Submitted by editorial board member Dr Gavin Davis

As clinicians, we often wish we had expert guidance at hand. There are some list-serves that provide this function and we hope that this blog might do the same thing. Feel free to submit difficult cases, and invite submissions from the readership to assist with patient management.

As a starter example, consider the case of a patient presenting to a sports medicine office with a past history of craniotomy for tumour, and insertion ventriculo-peritoneal shunt. She wants medical clearance to be able to play women’s rugby.

What are your thoughts on this case?