Tuesday 10 February 2026

• 305468 Sally Connolly

  72-year-old lady with COPD presenting with sudden onset shortness of breath 24 hours post-discharge following recent exacerbation. Acute exacerbation of COPD likely precipitated by too rapid steroid wean, now requiring oxygen therapy.

  refined clerking - 55 days ago 10:22

  7- - 55 days ago + 7+
  Request troponin
  7- - 55 days ago + 7+
  Follow up troponin result
• 1474747 Michelle Duffy

  32-year-old pregnant woman with right-sided pyelonephritis, intolerant of co-amoxiclav, treated with cephalexin and discharged with outpatient ultrasound scan arranged.

  sdec - 55 days ago 13:46

  7- - 55 days ago + 7+
  Prescribe cephalexin for pyelonephritis
  7- - 55 days ago + 7+
  Send discharge letter to GP
  7- - 53 days ago + 7+
  Follow up urine MC&S result
  7- - 48 days ago + 7+
  Request outpatient ultrasound renal tract
• 285338 Jeffrey Noble

  72 year old man with Type 1 diabetes mellitus presenting with syncope secondary to complete heart block (HR 33), now with acute heart failure requiring isoprenaline infusion and pacemaker consideration.

  refined clerking - 55 days ago 16:25
• 409188

  49-year-old man presenting with acute shortness of breath and severe hyperglycaemia (41.2 mmol/L) secondary to intentional insulin non-compliance in context of active suicidal ideation. Diagnosis: left basal pneumonia with infective exacerbation of COPD causing decompensation and hyperosmolar state.

  refined clerking - 55 days ago 11:29
• 207935 Patricia Lamble

  Elderly widow living alone, presented following fall, found to have hypotension (86/51), raised inflammatory markers (CRP 111), right-sided pleural effusion with consolidation, and AKI. Diagnosis: Hospital-acquired pneumonia with sepsis.

  Refined Ultra Rapid Review - 55 days ago 09:25

  7- - 55 days ago + 7+
  Transfer to Acute Medical Unit
  7- - 55 days ago + 7+
  Swab bilateral leg ulcers
  7- - 55 days ago + 7+
  Recheck potassium level today
  7- - 55 days ago + 7+
  Request iron studies and haematinics
  7- - 55 days ago + 7+
  Monitor fluid balance and urine output
  7- - 53 days ago + 7+
  Follow up blood culture results
• 654249 Rosemary Taylor

  79-year-old lady presenting with comminuted patellar fracture following mechanical fall and subsequent vasovagal syncope. Cardiac monitoring reassuring. Awaiting orthopaedic definitive management plan.

  refined clerking - 55 days ago 17:22

  79-year-old lady who fell onto right knee causing comminuted patella fracture, with single episode of syncope in ED likely multifactorial (pain, dehydration, no oral intake). Observed 20 hours with no recurrence, cardiac causes excluded.

  refined clerking - 55 days ago 17:42