Case 1: Robert Smith

Scenario

A picture of Robert Smith in a hospital bed
Mr Robert Smith is a 73 year old gentleman. He is admitted to your ward with a profound right sided weakness. He is immobile and requires a hoist for all transfers. He has expressive dysphasia and on admission appears very confused and agitated.

He presents not having passed a good volume of urine for approx 48 hrs, he appears to continuously dribble small amounts of urine. Robert has had two episodes of faecal incontinence passing very loose foul smelling stool, it is unclear when he last had a normal formed bowel motion.

Medical History: Type 2 diabetic, Hypertension.

Medications: Fybogel, Furosemide, Nifedipine, Metformin and Amitriptyline (for more information on each of these medications see “Additional Information”).

Page last reviewed: 27 Apr 2020