A GP-facing orthopaedic update for hip pain, groin pain, knee pain, anterior knee pain and posterior knee swelling. It links imaging choice to the suspected structure, flags referred hip or groin pain, and keeps ACL injury and Baker's cyst management clinically grounded.

Weight-loss injectables can cause nausea, constipation, reflux, altered bowel habit and delayed gastric emptying, especially after initiation or dose increase. Before prescribing, document baseline gastrointestinal symptoms, advise protein, fibre, hydration and exercise, and safety-net severe abdominal pain as possible pancreatitis.

Rectal bleeding in an adult under 50 still needs a colorectal frame. The focus is PR bleeding, altered bowel habit, iron deficiency, family history and persistent abdominal symptoms, with early referral when initial tests do not explain the clinical picture.

A white oral patch with burning, ulceration, or peeling gums is not a lesion to dismiss. This episode earns a high place because it separates classical oral lichen planus from oral lichenoid lesions and makes biopsy, history, and surveillance feel clinically immediate.

A rib hump or shoulder asymmetry is not just poor posture in a growing child. Use Adams forward bend testing, arrange standing full-spine imaging for suspected scoliosis, and escalate sooner when pain, neurological signs, bowel or bladder change, or milestone regression are present.