Monday 16 March 2026

• 312336 Ruth Parkhouse

  Ruth Parkhouse is a 77-year-old lady admitted with worsening confusion and fever, found to have an acute haemorrhagic stroke in the right anterior parietal lobe at the site of a previous haemorrhagic stroke, with likely concomitant urinary tract infection as a precipitant of delirium, on a background of Alzheimer's dementia.

  refined clerking - 3 weeks ago 13:28
• 1476690 Philip Birkinshaw

  Philip Birkinshaw is a 74-year-old man presenting with a flare of known post-stroke absence seizures whilst on holiday in Torbay, away from his usual neurology team in Hull/Lincolnshire. He has a background of left TACI (2015), type 2 diabetes, and hypertension, and is currently managed on carbamazepine. Investigations have not identified an acute metabolic or structural cause; he is being loaded with levetiracetam and admitted to the Acute Medical Unit for observation.

  refined clerking - 3 weeks ago 14:29
• 1048053

  Peter Francis is a 76-year-old gentleman with known T4N2M1 metastatic rectal adenocarcinoma who presented with progressive left-sided hemiparesis, back pain following a fall, and reduced stoma output; CT head today demonstrated bilateral cerebral lesions most consistent with intracranial metastatic disease with peritumoral oedema, and there is additional concern regarding spinal metastases given significant bony tenderness on examination.

  refined clerking - 3 weeks ago 15:43
• 150170 Rosa Sloan

  Rosa Sloan is an 89-year-old lady presenting following a mechanical fall down 7 steps with a resultant acute subdural haematoma on the falx cerebri and large left subgaleal haematoma, in the context of anticoagulation with rivaroxaban for AF. She has been admitted for neurosurgical observation, DOAC reversal with PCC has been performed, and rivaroxaban has been stopped.

  refined clerking - 3 weeks ago 17:34
• 174357 Peter Wellum

  Mr Peter Wellum, a fit and active male of approximately 12 stone, presented with a significant episode of haematemesis at home with a brief loss of consciousness. The likely diagnosis is an upper GI bleed, most probably from an oesophageal source in the context of possible silent reflux or recent NSAID use, and he is being admitted for IV PPI therapy and OGD the following day.

  refined clerking - 3 weeks ago 18:12