Friday 27 March 2026

• 625544

  Lisa presents with recent pruritus and transient bilateral arm swelling after starting flucloxacillin, concerning for drug-induced liver injury. Biliary obstruction is also being excluded with blood tests and abdominal imaging.

  refined clerking - 10 days ago 11:46
• 1441777 Crystal Shepherd

  20-year-old woman with type 1 diabetes mellitus admitted with DKA following interruption of her insulin pump after recent delivery, with associated poor oral intake and a draining left arm pump site infection. Ketones and pH are improving on DKA protocol; plan is to treat infection, bridge with long-acting insulin, then restart the pump once resolved.

  refined clerking - 10 days ago 18:43
• 1357548 Daniel Scofield

  31-year-old man with Brugada syndrome and recurrent atrial fibrillation presented with palpitations from 07:00. ECG showed AF with Brugada pattern changes in V2; symptoms were not improved with IV metoprolol or bisoprolol.

  refined clerking - 10 days ago 16:10