Postural orthostatic tachycardia syndrome (POTS) occurring during treatment for breast cancer.

Postural orthostatic tachycardia syndrome (POTS) is a common condition of orthostatic intolerance in response to changes in position. We report a case of a middle-aged woman presenting with a new onset of POTS likely due to chemotherapy for treatment of breast cancer. She was started on a trial of a beta blocker, which was effective in controlling her symptoms and heart rate.

Absent monofilament sensation in a type 2 diabetic feet.

Neuropathy is a common complication which can affect up to 90% of patients with diabetes mellitus. Asymptomatic neuropathy is a common presentation. We present a case that emphasises the importance of foot screening in people with diabetes.

Infertility in a young woman with Type 2 diabetes.

Key Messages: Ovulatory dysfunction is the most common female cause of infertility in the UK.Polycystic ovarian syndrome is associated with oligo-ovulation and Type 2 diabetes.Good glycaemic control is essential before getting pregnant to prevent congenital malformations and miscarriages in young women with Type 2 diabetes.

Three care plans from one West London multidisciplinary group workshop.

This section of LJPC provides multidisciplinary insights into ways in which to explore the problems of patients, particularly those with long-term conditions. Each case presented must have had multidisciplinary discussions to arrive at a management plan. To retain patient anonymity the specific location of the case study must not be mentioned and details that might identify specific individuals should be altered.