Everything about the patient in front of me is ringing alarm bells. She is the first of ten complex cases I will see that day at the start of what will be a ten-hour shift as an A&E doctor, and she is clearly seriously ill.
Aged 60, she has blood cancer and is due to have chemotherapy later that day. But she is feverish and says she has a burning pain when passing urine.
It’s obvious she has a urinary