This essay, from our Ellard collection, takes a sobering look at the trajectory of our healthcare system.

A 55-year-old woman presents with an ulcerated nodule on her finger after a minor laceration two months earlier. Referral to a dermatologist is encouraged for a patient with a nonhealing ulcer.

Sclerotherapy can be used to reduce vein prominence in the legs, hands, chest and face. Side effects are common but usually transient.

Most children with SARS-CoV-2 infection will have mild or no symptoms that can be managed at home. In children with risk factors for severe disease, GPs play a crucial role in monitoring and providing additional support. Vaccination remains the best method of preventing severe disease.

Pyrexia of unknown origin often presents a conundrum to the modern-day clinician. Judicious history and examination, and considering the most likely diagnosis first, are key to investigation.

The increasing syphilis notification rates, particularly among women of reproductive age, raise significant concerns because of the heightened risk of congenital syphilis. Syphilis management must focus on antenatal, maternal and infant care, as well as prevention.

Headache is a common presenting complaint in general practice. This article provides a refresher on differential diagnosis and an approach to investigation.

Technologies such as insulin pumps and continuous glucose monitoring can help people with type 1 diabetes better manage their condition but raise their own set of practical issues.