OPD CASE 001
Diabetes Mellitus
46-year-old woman, BMI 29 kg/m². Polyuria and fatigue. FBS 168 mg/dL, PPBS 264 mg/dL, HbA1c 8.2%, eGFR 92.
FREE SAMPLEOpen Case →🩺 OPD MASTERCLASS
100 common outpatient problems presented as evolving real-world visits. Read the patient and reports first, decide what you would prescribe, then tap Answer to reveal the drug plan. Follow-up visits change the treatment according to response, severity, tolerance and comorbidity.
FREE SAMPLE Cases 1–2 are open. 🔒 MEMBERS Cases 3–100 remain visible and require Members Access. Answers focus on medicines, supportive drugs when relevant, and Lifestyle Modification (Diet + Exercise)—without long textbook discussion.
OPD CASE 002
Essential Hypertension
52-year-old man. Repeated clinic BP 154/96 and 150/94 mmHg; no acute symptoms.
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Dyslipidaemia
48-year-old man with diabetes; LDL-C 156 mg/dL, TG 210 mg/dL.
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Primary Hypothyroidism
35-year-old woman, TSH 14 mIU/L with low free T4; no cardiac disease.
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Iron Deficiency Anaemia
29-year-old woman with heavy menses; Hb 9.4 g/dL, microcytosis, ferritin low.
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Vitamin B12 Deficiency
42-year-old vegetarian with macrocytosis and distal tingling; B12 low.
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Vitamin D Deficiency
40-year-old woman with diffuse aches; 25-OH vitamin D clearly deficient.
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GERD
38-year-old man with typical heartburn and regurgitation without alarm features.
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Functional Dyspepsia
32-year-old woman with post-meal fullness and epigastric discomfort; no alarm features.
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Irritable Bowel Syndrome
27-year-old woman with recurrent abdominal pain related to defecation and variable stools; no red flags.
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Constipation
61-year-old man with chronic hard stools, no alarm features.
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Acute Gastroenteritis
24-year-old man with 1 day watery diarrhoea, mild dehydration, no blood or high fever.
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Migraine
30-year-old woman with episodic migraine without aura, 2 attacks/month.
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Tension-Type Headache
34-year-old office worker with bilateral pressing headache, normal exam.
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Neuropathic Pain
58-year-old man with diabetic burning feet, worse at night.
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Osteoarthritis Knee
63-year-old overweight woman with activity-related knee pain.
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Acute Low Back Pain
41-year-old man with mechanical low-back pain for 4 days, no red flags.
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Chronic Low Back Pain
50-year-old woman with nonspecific low-back pain for 5 months.
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Allergic Rhinitis
22-year-old man with sneezing, itchy nose and seasonal congestion.
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Acute Rhinosinusitis
36-year-old woman with 5 days congestion, facial pressure and purulent discharge, improving slightly.
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Community-Acquired Pneumonia OPD
45-year-old stable man with fever, cough, focal crackles; suitable for outpatient care.
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Bronchial Asthma
26-year-old woman with intermittent wheeze twice weekly, normal between episodes.
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COPD Stable
62-year-old smoker with exertional dyspnoea, spirometry-confirmed COPD and infrequent exacerbations.
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AECOPD Mild OPD
64-year-old COPD patient with increased dyspnoea and sputum but stable oxygenation and no danger signs.
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Smoking Cessation
39-year-old man smoking 15 cigarettes/day and ready to quit.
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Obesity
37-year-old woman, BMI 34 kg/m², no diabetes, repeated unsuccessful lifestyle-only attempts.
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Metabolic Syndrome
49-year-old man with central obesity, BP 146/90, TG 240, low HDL and prediabetes.
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Prediabetes
44-year-old overweight woman, HbA1c 6.2%.
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Hyperuricaemia with Gout
47-year-old man with acute podagra.
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Hyperthyroidism
31-year-old woman with weight loss, tremor, palpitations; biochemical thyrotoxicosis.
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Subclinical Hypothyroidism
43-year-old woman, TSH 6.8 with normal free T4, minimal symptoms.
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PCOS
25-year-old woman with irregular cycles, acne and BMI 31; pregnancy not currently desired.
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Menopausal Vasomotor Symptoms
51-year-old woman with troublesome hot flushes, no contraindication to menopausal hormone therapy.
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Dysmenorrhoea
20-year-old student with predictable painful menses, no red flags.
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Acne Vulgaris
19-year-old man with mild inflammatory facial acne.
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Tinea Corporis
28-year-old man with localized annular pruritic plaques.
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Scabies
23-year-old woman with nocturnal itch and household contacts affected.
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Urticaria
33-year-old woman with recurrent wheals, no anaphylaxis.
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Atopic Dermatitis
24-year-old man with flexural eczema flare.
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Contact Dermatitis
36-year-old nurse with hand dermatitis related to repeated products/gloves.
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Psoriasis Mild
40-year-old man with limited plaque psoriasis on elbows/knees.
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Insomnia
45-year-old woman with 3 months difficulty initiating sleep.
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Generalized Anxiety Disorder
29-year-old man with persistent excessive worry and somatic tension.
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Depressive Disorder
38-year-old woman with moderate depression, no psychosis or immediate self-harm risk.
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Panic Disorder
27-year-old woman with recurrent unexpected panic attacks.
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Restless Legs Syndrome
56-year-old woman with evening urge to move legs; ferritin low-normal.
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Peripheral Vertigo BPPV
58-year-old woman with brief positional spinning, positive positional test.
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Vestibular Neuritis
42-year-old man with acute prolonged vertigo, no hearing loss or focal neurologic deficit after appropriate assessment.
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Bell Palsy
35-year-old woman with acute isolated peripheral facial weakness within 48 h.
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Trigeminal Neuralgia
59-year-old woman with electric shock-like unilateral facial pain triggered by touch.
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Epilepsy Stable Follow-up
32-year-old man seizure-free 1 year on levetiracetam, tolerating well.
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Post-Stroke Secondary Prevention
66-year-old man after non-cardioembolic ischemic stroke, now stable in OPD.
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Stable Angina
58-year-old man with exertional chest tightness, established chronic coronary disease.
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Heart Failure HFrEF Follow-up
60-year-old man, LVEF 32%, euvolaemic after recent admission.
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HFpEF Follow-up
68-year-old hypertensive woman with HFpEF and intermittent congestion.
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Atrial Fibrillation Rate Control
70-year-old man with persistent AF, stable, symptomatic palpitations, no pre-excitation.
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Hypertension with CKD
57-year-old woman with CKD and albuminuria, BP 152/92.
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CKD Outpatient Follow-up
62-year-old man, CKD G3b, stable, albuminuria present.
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Diabetic Kidney Disease
55-year-old woman with T2DM, UACR elevated, eGFR 58.
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UTI Uncomplicated
28-year-old nonpregnant woman with dysuria/frequency, no fever/flank pain.
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Recurrent UTI
34-year-old woman with multiple culture-consistent uncomplicated UTIs.
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Benign Prostatic Hyperplasia
64-year-old man with bothersome LUTS, no retention/red flags.
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Erectile Dysfunction
52-year-old man with diabetes and stable cardiovascular status.
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Chronic Prostatitis / CPPS
39-year-old man with pelvic discomfort and urinary symptoms, cultures negative.
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Allergic Conjunctivitis
21-year-old woman with bilateral itchy watery eyes during pollen season.
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Dry Eye Disease
47-year-old screen-heavy worker with gritty eyes.
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Otitis Externa
30-year-old swimmer with canal pain and tenderness, tympanic membrane intact.
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Acute Otitis Media Adult
35-year-old adult with acute ear pain, bulging tympanic membrane and fever.
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Oral Aphthous Ulcer
26-year-old woman with recurrent small painful oral ulcers, otherwise well.
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Oral Candidiasis
58-year-old inhaled-steroid user with removable white plaques.
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H. pylori Infection
40-year-old man with dyspepsia and positive stool antigen, no alarm features.
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Peptic Ulcer Disease
45-year-old NSAID user with endoscopically diagnosed uncomplicated gastric ulcer.
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Nonalcoholic Fatty Liver / MASLD
46-year-old man with obesity, diabetes and fatty liver on ultrasound, no decompensation.
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Chronic Hepatitis B Follow-up
39-year-old HBsAg-positive man under evaluation.
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Alcohol Use Disorder
44-year-old man wants help reducing/stopping alcohol, no acute withdrawal.
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Chronic Liver Disease Ascites Follow-up
56-year-old cirrhosis patient with mild recurrent ascites, stable renal function.
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Hemorrhoids
36-year-old man with mild bleeding/prolapse, no alarm features.
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Anal Fissure
30-year-old woman with severe pain during defecation and small bright-red bleeding.
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Acute Hemorrhoidal Thrombosis
41-year-old man with sudden painful perianal lump, early presentation.
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Osteoporosis
67-year-old postmenopausal woman with fragility vertebral fracture.
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Calcium Deficiency / Low Intake
50-year-old woman with low dietary calcium but no hypocalcaemic emergency.
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Cervical Spondylosis Pain
55-year-old man with neck pain, no myelopathy/red flags.
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Frozen Shoulder
54-year-old woman with diabetes and painful restricted active/passive shoulder movement.
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Lateral Epicondylitis
43-year-old manual worker with lateral elbow pain.
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Plantar Fasciitis
45-year-old overweight woman with first-step heel pain.
🔒 MEMBERSLogin / Register to Open →OPD CASE 086
Rheumatoid Arthritis Suspected Follow-up
39-year-old woman with confirmed early RA after rheumatology evaluation.
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Osteoarthritis Hand
60-year-old woman with painful hand OA.
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Fibromyalgia
36-year-old woman with widespread pain, fatigue and poor sleep after appropriate exclusion of mimics.
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Hyponatraemia Mild Chronic
68-year-old man, Na 130 mmol/L, clinically stable; thiazide recently started.
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Hypokalaemia Mild
52-year-old woman on diuretic, K 3.1 mmol/L, no ECG symptoms.
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Hyperkalaemia Borderline CKD
63-year-old man with CKD, K 5.5, stable ECG and sample confirmed.
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Chronic Cough
46-year-old nonsmoker with 10-week cough, normal chest X-ray.
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Post-Viral Cough
29-year-old woman with dry cough 3 weeks after URI, normal exam.
🔒 MEMBERSLogin / Register to Open →OPD CASE 094
Acute Bronchitis
33-year-old man with cough 5 days, afebrile, clear lungs, no pneumonia features.
🔒 MEMBERSLogin / Register to Open →OPD CASE 095
Seasonal Influenza
41-year-old woman with abrupt fever, myalgia and cough within 36 h, high-risk comorbidity.
🔒 MEMBERSLogin / Register to Open →OPD CASE 096
COVID-19 Mild High-Risk
65-year-old man with mild COVID-19, early in illness, high risk for progression.
🔒 MEMBERSLogin / Register to Open →OPD CASE 097
Pulmonary Tuberculosis Continuation Follow-up
35-year-old man on standard drug-sensitive TB treatment, improving, managed under national program.
🔒 MEMBERSLogin / Register to Open →OPD CASE 098
Latent TB Infection
30-year-old healthcare worker with confirmed latent TB after active disease excluded.
🔒 MEMBERSLogin / Register to Open →OPD CASE 099
Enteric Fever Follow-up
25-year-old man with culture-confirmed enteric fever treated according to susceptibility.
🔒 MEMBERSLogin / Register to Open →OPD CASE 100
Dengue Convalescent OPD
28-year-old woman after uncomplicated dengue, afebrile, platelets recovering.
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