Abnormal liver function found after an unplanned consultation: case presentation

doi:10.1136/bmj.329.7460.273

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James Heathcote (james.heathcote@gp-G84001.nhs.uk), general practitioner1

¹ South View Lodge, South View, Bromley, Kent BR1 3DR

Mrs Prior is a 40 year old housewife whose husband frequently attends the surgery because of his diabetes. They are a close couple, and she takes the lead in managing his condition. In the past three years she has consulted her general practitioner just once on her own account—for dyspepsia. During one of her husband's consultations (and quite out of character) she mentions three problems of her own: a seven day history of intermittent “cystitis,” for which she …