ABSTRACT
In the run up to Christmas, Mr S Claus, 72, books in for a ‘Well Man’ check-up. He does not come to the doctor that often as he says he is too busy, especially at this time of the year with his work as a delivery driver. On general questioning, he says he has been quite stressed recently given a number of factors. His elves have recently been on strike, citing health and safety concerns with the icy cold conditions. The postal workers strike has resulted in a delay in childrens’ wish lists arriving to him and the Brexit vote has provided uncertainty with regards to visa issues with his worldwide travels. He admits to enjoying a glass or two of sherry, adding up to approximately 14 units per week, and mince pies and says his weight is a problem. He is fairly active, climbing up and down chimneys. On examination, his BP is 155/90 and his BMI is 32.8 (height 178 cm, weight 104 kg). The rest of his examination is normal. General screening bloods were also normal apart from a raised cholesterol:HDL ratio of 7.
