Notes
07 January 2026
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Today
Wednesday 07 January 2026
777020
Sharon Patience
Patient Sharon with fever documented in emergency department, plan includes repeat cultures and orthopaedic consultation.
rapidreview - 89 days ago 00:05
Sharon Patient, post right total knee replacement, presenting with severe epigastric pain likely secondary to hiatus hernia/oesophagitis and ongoing right leg pain with recent DVT diagnosis.
refined clerking - 90 days ago 23:06
1469338
Christopher Roberts
Elderly patient presenting with new-onset neurological symptoms including parkinsonian features, mobility issues, and incontinence following recent medication changes from sertraline to mirtazapine.
rapidreview - 89 days ago 03:17
Patient with neuropsychiatric presentation including mobility issues, incontinence, and parkinsonian features following recent medication changes, requiring neurology and psychiatry review.
Refined Ultra Rapid Review - 89 days ago 03:27
GP with new-onset neuropsychiatric symptoms including rigidity, tremor, incontinence and mobility issues following medication switch from sertraline to mirtazapine, requiring neurology and psychiatry review for possible parkinsonism vs medication-induced symptoms.
Refined Rapid Review - 89 days ago 03:30
339470
Trevor Wall
80-year-old gentleman with metastatic oesophageal adenocarcinoma presenting with worsening dysphagia and dehydration, found to have oropharyngeal candidiasis requiring antifungal treatment and IV rehydration.
refined clerking - 89 days ago 00:59
348114
Behcet Mozaffer
73-year-old gentleman with recurrent sepsis secondary to transphincteric fistula and pelvic abscess, requiring IV antibiotics and surgical management.
refined clerking - 89 days ago 04:11
092900
Tina Batten
Sarah presented with acute right-sided intracerebral haemorrhage causing left-sided neurological symptoms, requiring anticoagulation reversal and neurosurgical assessment.
refined clerking - 89 days ago 07:58
Patient with acute right-sided intracerebral haemorrhage causing left-sided weakness, requiring anticoagulation reversal and neurosurgical assessment.
refined clerking - 89 days ago 08:25
229939
Julian Clay
80-year-old lady with atrial fibrillation presenting with fast ventricular response (120-125 bpm) and problems with bisoprolol therapy causing bradycardia, considering switch to digoxin.
refined clerking - 89 days ago 08:28
1192213
Darren Beresford
54-year-old gentleman with Type 2 diabetes presenting with euglycaemic diabetic ketoacidosis, likely dapagliflozin-induced, requiring intensive insulin therapy and diabetes type reassessment.
refined clerking - 89 days ago 21:50
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89 days ago
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