Patients

78F · Outpatients · Heart Failure · Dr Amara Okonkwo

78-year-old woman with HFpEF, CKD 3b, type 2 diabetes and anticoagulation for AF. Polypharmacy and a nocturnal hypnotic are the dominant reversible risks.

Heart failure with preserved EF · CKD stage 3b · Type 2 diabetes · Atrial fibrillation · Hypertension · Osteoarthritis, knees

54M · Post-ACS pathway · Dr Lena Hart

Day 12 post NSTEMI with DES to the mid-LAD. Residual risk is driven by smoking, LDL not yet at target, and dual antiplatelet therapy.

NSTEMI · DES to mid-LAD · Type 2 diabetes · Hyperlipidaemia · Tobacco use · Obesity

31F · Pre-conception clinic · Dr Amara Okonkwo

Type 1 diabetes for 18 years, microalbuminuria, euthyroid on levothyroxine, actively planning pregnancy. Ramipril must come off before conception.

Type 1 diabetes · Diabetic microalbuminuria · Hypothyroidism · Planning pregnancy

82M · Falls & bone health · Dr Ruth Klein

Parkinson's disease with three falls in four months. Anticholinergic burden from oxybutynin and PRN quetiapine is the main iatrogenic driver.

Parkinson's disease · Recurrent falls · BPH · Mild cognitive impairment · Constipation

47F · Hepatology day unit · Dr Omar Said

Alcohol-related cirrhosis, Child-Pugh B, banded varices and diuretic-treated ascites. The live risks are encephalopathy, HRS and rebleeding.

Alcohol-related cirrhosis · Oesophageal varices · Ascites

63M · Respiratory clinic · Dr Fiona Bell

COPD GOLD D after a steroid-treated exacerbation. AF on warfarin, and untreated steroid-related bone risk.

COPD GOLD D · Atrial fibrillation · Osteoporosis risk