Sunday 22 February 2026

• 320761 Anthony Domaine

  { "mrn": "320761", "patient_name": "Anthony Domaine", "content": "Medical ST5 Miller Clerking\n\nPresenting Complaint:\nVisual disturbance\n\nHi

  refined clerking - 43 days ago 13:26

  77-year-old gentleman with acute onset left visual blurring and transient right-sided weakness. History under investigation for giant cell arteritis. Rapid improvement post-admission (NIHSS 6 to 0). Plan for IV methylprednisolone and rheumatology review.

  refined clerking - 43 days ago 13:32

  77-year-old gentleman (MRN 320761) presenting with acute left visual disturbance and transient right-sided weakness (NIHSS 6→0) on a background of mechanical aortic valve, previous aortic root infection, right eye blindness from previous CRAO, and ongoing inconclusive investigations for giant cell arteritis; plan for IV methylprednisolone and rheumatology review.

  refined clerking - 43 days ago 21:58
• 414396 Lisa Rogers

  Lisa Rogers is a 58-year-old lady presenting with her first episode of significant haematemesis (approximately two litres of bright red blood) in the early hours of 26/02/2024, with biochemical coagulopathy, a falling haemoglobin, and clinical signs of portal hypertension (spider naevi, palmar erythema, tremulousness), consistent with a first presentation of decompensated alcohol-related liver disease with likely oesophageal variceal haemorrhage.

  refined clerking - 41 days ago 10:06

  Lisa Rogers, a 58-year-old lady (MRN 414396), presented on 22/02/2026 with a first episode of significant haematemesis (approximately two litres of bright red blood) in the context of a longstanding history of heavy alcohol use. Clinical and biochemical findings are consistent with a first presentation of decompensated alcohol-related liver disease with portal hypertension and likely oesophageal variceal bleeding, complicated by coagulopathy and acute anaemia.

  refined clerking - 43 days ago 20:02