3 rare case presentations, emphasising the importance of timely diagnosis, multidisciplinary collaboration, and comprehensive care.

PEComa: A young woman presented with pelvic pain to a rural emergency department, where an incidental finding suggested possible lung metastasis. As her community primary care physician, I persisted with various specialists in undertaking investigations that eventually led to a diagnosis of PEComa. This case highlighted the value of continuity of care and the critical role of specialty input in unraveling rare conditions.

Antenatal Encephalitis: A pregnant woman with complex social issues presented to a rural emergency department with vague symptoms and unusual behaviours. While family members assured the team that her behaviour was baseline, her condition worsened over time, revealing a diagnosis of encephalitis. She required tertiary input and intensive management, culminating in a successful delivery, which I had the privilege of guiding her through. This case highlighted the importance of recognising subtle changes and ensuring timely intervention.

Congenital Heart Block: This case involved a remote Aboriginal woman with persistent foetal bradycardia. Collaborative efforts between primary care, antenatal care, and sub-specialists helped manage her pregnancy safely. The case emphasised the significance of early risk identification, particularly regarding autoimmune conditions like Sjogren’s and severe hypothyroidism.