Thursday 12 March 2026

• 675558 Lee Roberts

  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
• 1097220 John Woodward

  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