Handover 22 December 2025 :: PA

Monday 22 December 2025

87-year-old man with persistent anaemia despite iron supplementation, heart failure, and metallic aortic valve, requiring investigation for possible upper GI bleeding.
refined clinic supervision - 15 weeks ago 15:54

68-year-old frail lady with PR bleeding, weight loss, and new microcytic anaemia. Plan for CT imaging rather than invasive investigations given poor functional status.
refined clinic supervision - 15 weeks ago 14:56

Wayne Monday with learning disabilities and autism presenting with iron deficiency anaemia following unprovoked DVT, requiring investigation with potential colonoscopy under GA if iron deficiency persists.
refined clinic supervision - 15 weeks ago 14:30

88-year-old independent lady with iron deficiency anaemia (ferritin 13) and folate deficiency, declining invasive investigations - plan for blood tests and iron supplementation.
refined clinic supervision - 15 weeks ago 14:32
88-year-old independent lady with long-standing anaemia, recent microcytosis and iron deficiency (ferritin 13) with folate deficiency, declining further investigations.
refined clinic supervision - 104 days ago 06:27

69-year-old lady with new iron deficiency anaemia and positive FIT test, presenting with fatigue and recent episodes of rectal bleeding.
refined clinic supervision - 15 weeks ago 14:56
69-year-old lady with new iron deficiency anaemia, positive FIT, and recent rectal bleeding requiring CT imaging if iron responsive.
refined clinic supervision - 104 days ago 06:28

74-year-old lady with giant cell arteritis on steroids, presenting with persistent iron deficiency and recent microcytosis, Hb 120, requiring assessment for iron deficiency anaemia versus anaemia of chronic disease.
refined clinic supervision - 15 weeks ago 14:57
74-year-old lady with giant cell arteritis on steroids presenting with persistent iron deficiency and recent microcytosis, Hb 120 g/L, challenging to differentiate from anaemia of chronic disease.
refined clinic supervision - 104 days ago 06:38

83-year-old fit gentleman with developing microcytic anaemia, low ferritin, elevated FIT (53 micrograms/gram) and change in bowel habits requiring investigation for possible GI malignancy.
refined clinic supervision - 15 weeks ago 14:58
83-year-old fit and active man with new onset microcytic anaemia, low ferritin, positive FIT and change in bowel habits requiring upper and lower GI endoscopy.
refined clinic supervision - 104 days ago 09:27

91-year-old lady with dysphagia, 1.5 stone weight loss over 1.5 years, and significant reflux symptoms, suspected oesophageal dysmotility possibly achalasia.
refined clinic supervision - 15 weeks ago 14:59
91-year-old lady with 18-month history of dysphagia, weight loss, and volume reflux, suspected oesophageal dysmotility requiring urgent upper GI endoscopy.
refined clinic supervision - 104 days ago 09:27
7- - 97 days ago + 7+

Request urgent upper GI endoscopy

7- - 83 days ago + 7+

Consider barium swallow if endoscopy normal

16-year-old girl with 6-month history of diarrhoea and recent rectal bleeding, with iron deficiency anaemia requiring urgent gastroenterology assessment.
refined clinic supervision - 15 weeks ago 14:59

Andrew McLoughlin presents with decompensated cirrhosis and alcohol-related hepatitis, bilirubin risen from 23 to 125, following pattern of alcohol cessation then resumption.
refined clinic supervision - 15 weeks ago 15:24

77-year-old lady with AKI stage 3, developing anaemia with melaena and deranged liver function tests requiring endoscopy and CT imaging.
refined clinic supervision - 15 weeks ago 15:14

96-year-old gentleman Frederick Young presenting with melena and falling haemoglobin (97→89), currently stable on PPI therapy with conservative management planned pending consultant review.
refined clinic supervision - 15 weeks ago 15:33

71-year-old lady with end-stage COPD and alpha-1 antitrypsin deficiency, presenting with cor pulmonale and respiratory failure, with poor prognosis of approximately 3 months.
referral - 15 weeks ago 17:35
71-year-old lady with end-stage COPD, cor pulmonale, and incidental pancreatic cystic mass requiring gastroenterology assessment.
refined clinic supervision - 15 weeks ago 17:45
71-year-old lady with severe COPD and alpha-1 antitrypsin deficiency presenting with cor pulmonale and poor prognosis (estimated 3 months).
clinic letter - 104 days ago 09:10

76-year-old lady with severe hyponatraemia (114 mmol/L) secondary to indapamide, presenting with anxiety, confusion, and cognitive impairment.
refined clerking - 190 days ago 06:34
76-year-old female with incidental finding of anaemia likely secondary to chronic disease rather than iron deficiency, related to recent pelvic fracture.
refined clinic supervision - 15 weeks ago 16:05