Handover 27 February 2026 :: PA

Friday 27 February 2026

Lee Roberts is a 59-year-old male with a background of fibrillary astrocytoma (excised 2014) who presented with a three-day history of nausea, vomiting, diarrhoea, and fluctuating predominantly left-sided weakness. The impression is a stroke mimic secondary to infective gastroenteritis causing dehydration and a low-flow state in the context of prior neurosurgery, with CT head showing no new intracranial pathology and stable appearances compared to previous imaging.
refined clerking - 38 days ago 00:18
59-year-old man presenting with stroke mimic symptoms after a few days of gastroenteritis. Diagnosed with dehydration related to illness without acute intracranial pathology.
refined clerking - 25 days ago 20:30
59-year-old man with 3 days of vomiting, diarrhoea and fever who developed acute fluctuating left-sided weakness; CT head shows stable post-surgical/radiation changes and no acute mass lesion. Impression: dehydration from infectious gastroenteritis causing a low-flow state and stroke mimic.
refined clerking - 25 days ago 20:43
59-year-old man with previous fibrillary astrocytoma resection and epilepsy presented as a stroke call with fluctuating predominantly left-sided weakness, nausea, vomiting and diarrhoea. Assessment was most consistent with infectious gastroenteritis causing dehydration and pre-AKI, leading to a stroke mimic on a background of chronic neurological deficit.
refined clerking - 25 days ago 20:45
Lee Roberts is a 59-year-old male presenting with a three-day history of nausea, vomiting, diarrhoea and fever, brought to the Emergency Department as a stroke pre-alert due to predominantly left-sided weakness in the context of previous fibrillary astrocytoma resection. The most likely diagnosis is a stroke mimic secondary to infective gastroenteritis and dehydration in a patient with pre-existing neurological deficit, with CT head showing no new acute intracranial pathology and stable appearances compared to prior imaging.
refined clerking - 38 days ago 00:19

Monique Jones is a 54-year-old radiographer presenting following a collapse stepping off a bus, with associated left-sided weakness, numbness, diplopia, and word-finding difficulties, in the context of a background of chronic hemiplegic migraine and FND. The treating clinician and stroke nurse assessed the presentation as most consistent with a severe hemiplegic migraine episode rather than acute stroke, and treatment with aspirin, sumatriptan, and metoclopramide has been initiated.
refined clerking - 38 days ago 01:27

Mr Luke Temblett presented to A&E with a 1-2 week history of right-sided headache and right-sided facial droop with incomplete eye closure, in the context of a recent right-sided ear infection with brown exudate. Clinical examination is consistent with a right-sided lower motor neurone facial nerve palsy (Bell's palsy); stroke has been excluded clinically.
refined clerking - 38 days ago 01:41