ABSTRACT

You are reviewing patients in the medical outpatient clinic. Your next patient has been referred by his general practitioner with the following letter. Please read the letter and then review the patient.

Dear Doctor,

Re: Mr Eric MacKay

Age: 44 years

I would very much appreciate your expert opinion on this nice man who has developed swelling of his abdomen and legs, confirmed on clinical examination. He has enjoyed good health previously except for a diagnosis of epilepsy, for which he is on medication.

Yours sincerely