Thursday 02 April 2026

• 1463782 Brandon Brooks

  Brandon Brooks is a 26-year-old man presenting with severe headache, myalgia, dizziness, photophobia and low-grade fever following a recent viral illness, with rhinovirus detected and mild hypoxia. Examination and investigations suggest viral infection with mild transaminitis and cardiomegaly in the context of known Ebstein's anomaly; meningitis was considered unlikely.

  notes - 2 days ago 16:07

  Brendan is a 26-year-old man reviewed for acute headache, photophobia, rigors, back pain, and transient oxygen requirement following a viral prodrome. He was found to have rhinovirus infection with mild transaminitis and cardiomegaly on CXR, with meningitis felt unlikely and known Ebstein's anomaly contributing to the cardiac findings.

  notes - 2 days ago 16:10

  26-year-old man with rhinovirus infection presenting with headache, photophobia, myalgia and transient oxygen requirement. Clinical picture is most consistent with viral illness on a background of Ebstein's anomaly/cyanotic congenital heart disease, with mild transaminitis and meningitis felt unlikely.

  refined clerking - 2 days ago 20:46

  26-year-old man with Ebstein's anomaly presented with headache, photophobia, dizziness and back pain following a recent coryzal illness. He was found to have rhinovirus infection with mild transaminitis and an oxygen requirement; meningitis was felt unlikely clinically.

  refined clerking - 2 days ago 20:47

  26-year-old man with Ebstein's anomaly presented with 2 days of back pain, headache, photophobia, rigours and an oxygen requirement following a recent viral upper respiratory tract illness. Investigations showed rhinovirus positivity, cardiomegaly and mild transaminitis consistent with viral illness; meningitis was felt unlikely.

  refined clerking - 4 days ago 13:04

  Brandon Brooks is a young adult man with rhinovirus infection presenting with back pain, fever, headache, photophobia and transient oxygen requirement. He has known Ebstein’s anomaly and was felt to have a viral illness with mild transaminitis; meningitis was considered but is unlikely.

  refined clerking - 2 days ago 21:33
• 321354 Sam Bell

  36-year-old man with ulcerative colitis and a defunctioned pouch/loop ileostomy presented with 2 to 3 days of high stoma output, crampy abdominal pain, vomiting and marked dehydration with AKI. Working diagnosis is high-output ileostomy due to gastroenteritis versus inflammatory activity/pouchitis.

  refined clerking - 4 days ago 14:45
• 068143 Philip Roslee

  Male patient with COPD presented with 5 weeks of nasal catarrh, 3 weeks of productive cough and worsening breathlessness, consistent with an infective COPD exacerbation. He also had a chest rash likely related to heat pad use and constipation with dark stools, which was not felt to represent melaena.

  refined clerking - 4 days ago 17:33