Handover 21 February 2026 :: PA

Saturday 21 February 2026

21-year-old lady with 4-month history of bilateral foot rash consistent with allergic contact dermatitis, now with secondary staphylococcal infection and new papular rash on forearms.
sdec - 44 days ago 09:55

71-year-old man with depression and recent bereavement presented with feeling unwell, hypotension and bradycardia secondary to reduced oral intake. Investigations normal, discharged home.
sdec - 44 days ago 16:28

59-year-old man with decompensated alcohol-related liver disease presenting with CT evidence of partial small bowel obstruction and worsening ascites requiring drainage.
issues review - 104 days ago 11:37
Patient with alcohol-related cirrhosis presented with haematemesis and presyncope; impression is variceal bleed secondary to decompensated liver disease with associated AKI. Management includes terlipressin, IV fluids and albumin, broad-spectrum antibiotics, urgent discussion with on-call endoscopist for possible endoscopic therapy, and close monitoring of Hb, INR and lactate.
refined clerking - 25 days ago 20:55
Adult patient with decompensated alcohol-related liver disease presenting with hematemesis and suspected variceal bleed. Plan includes terlipressin, IV fluids, antibiotics, and urgent upper GI endoscopy with potential tamponade or stenting; ongoing monitoring and multidisciplinary escalation as needed.
refined clerking - 25 days ago 21:00
John Woodward is an adult man with decompensated alcohol-related cirrhosis who presented with haematemesis and dizziness. Impression is probable variceal upper GI bleed with associated AKI and ascites, without current overt hepatic encephalopathy.
refined clerking - 25 days ago 21:05
Patient with known decompensated alcohol-related liver cirrhosis and oesophageal varices presenting with acute variceal haematemesis, tachycardia, hypotension, acute kidney injury and elevated lactate requiring urgent resuscitation and potential emergency endoscopy.
refined clerking - 44 days ago 17:55
Adult male with decompensated alcohol-related liver cirrhosis presenting with fresh haematemesis secondary to variceal bleeding, now haemodynamically stable on terlipressin with plan for endoscopy if further bleeding or electively tomorrow.
refined clerking - 44 days ago 19:13

25 year old electrician with persistent dizziness since October 2025 described as off-balance sensation with difficulty concentrating. Abnormal head impulse test suggests central cause. CT head normal. Plan for urgent MRI head to exclude posterior circulation pathology.
refined clerking - 44 days ago 19:13