Clinical Case Database / Category: Case Based Discussion


Publication details

Dr Rebecca Theobald, Dr Fraser Birrell
Foundation Years Journal, volume 2, issue 10, p.437 (123Doc Education, London, December 2008)


An 84-year-old lady was admitted to hospital by her GP with nausea, constipation and confusion. Five days previously her morphine sulphate modified release tablets prescribed for pain had been increased from 40 mg twice a day to 80 mg twice a day. The staff at the residential home she lived in were not sure if this coincided with the onset of confusion. The patient had a background of breast cancer, which she did not think had spread anywhere else.

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Dr Rebecca Theobald

Foundation Year 2 doctor
North Tyneside General Hospital
Rake Lane
North Shields
Tyne and Wear
NE29 8NH

Dr Fraser Birrell

Consultant and Honorary Clinical Senior Lecturer
Northumbria Healthcare NHS Foundation Trust
Newcastle Hospitals NHS trust
Newcastle University


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About the Clinical Cases Database

T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

The database is fully searchable, or can be browsed by medical specialty. Abstracts can be read free of charge, however a subscription is required in order to read the complete cases.