ABSTRACT

You are reviewing patients in the medical admissions unit. 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 Roger Chapman

Age: 48 years

I would very much value an urgent assessment of this overweight chap who has presented with an acute arthritis confirmed on examination. Examination also confirmed a significant pyrexia with a temperature of

38.5°C. I am worried that he is suffering with a septic arthritis and hence am referring him for an urgent opinion.

Yours sincerely