Saturday 28 March 2026

• 567274

  62-year-old woman with type 2 diabetes, hypertension, previous breast cancer and osteoporosis presenting with constant epigastric pain since January, worse since yesterday. Mild jaundice and isolated bilirubin rise were noted, with normal liver enzymes and amylase; differentials include Mounjaro-related upper GI symptoms and biliary pathology.

  refined clerking - 9 days ago 12:02
• 1313592 Nate Brett

  45-year-old man with advanced metastatic colorectal cancer and malignant bowel obstruction, admitted with left lower leg erythema, warmth and swelling consistent with cellulitis, with DVT also considered. He is receiving home TPN via PICC line and palliative care support, with prognosis felt to be measured in weeks.

  refined clerking - 9 days ago 16:39
• 967915 Margaret Andrucci Hague

  78-year-old lady presented with sudden onset dyspnoea on a background of cardiomyopathy and left bundle branch block. Findings are most consistent with acute pulmonary oedema due to decompensated heart failure, with myocardial infarction felt less likely given recent normal CT coronary angiography.

  refined clerking - 9 days ago 14:01
• 658290 Terry Charalambos

  85-year-old lady with COPD, HFrEF and significant frailty admitted with shortness of breath following a recent chest infection, with possible fluid overload and resolving respiratory infection. Plan was to treat with increased diuretics, antibiotics and support discharge home with an enhanced package of care.

  refined clerking - 9 days ago 09:35