Its the weekend, so call starts off with checking the red flag ward patients.

1. Ms S
Ms. S is a 55 year old female who's come in with hemoptysis (coughing up blood). She's hypertensive with dislipidemia. She's had pulmonary TB many times, the last time was a year ago, she reports that she completed treatment. She now has post-TB structural lung disease. She's hard of hearing.

Today, I'm coming to review her hemoptysis. she hasn't coughed up any blood for 48 hours. When I talk to her, she tells me that she wants to go home as her children are blind and they need her to care for them. There's been no symptoms for 48 hours, so I'm sending her home.

2. Mr. L
A 30 year old male who's come in with hemoptysis. He's HIV positive, taking his treatment. He smokes and drinks but is otherwise healthy. Based on his risk factors, he was started on TB treatment.

Today, I'm checking if he's still coughing up blood. He reports coughing up 100ml of blood since yesterday. He is stable. We keep him and continue with his treatment.

3. Ms. N
A 24 year old female who's come in with neurosyphilis and TB. She is a drug user and has been newly diagnosed with HIV. She came in with some weakness and coughing, and was diagnosed with HIV and TB after initially being suspected to have pneumonia. Her syphilis result came back strongly positive and when they tested her CSF, found brain involvement.

She's now ready to go home but doesn't have transport and is too weak to walk. I check she is fine and plan to book government transport tomorrow.

4. Mr. A
A 35 year old male came in with hemoptysis. He is known with Kartagener syndrome: he has situs inversus and bullous lung disease with a lot of previous procedures and operations. He was admitted last year with disseminated TB, and treatment was started.

Today, I'm checking if he's still coughing up blood. He is, but it's decreasing in volume and is more brown instead of fresh red blood. We'll keep him and continue treatment. The specialists are considering a CT scan of rhe chest, but they'll decide on that tomorrow.

5. Mr. J
A 36 year old male presenting with TB with concern for TBM. He is HIV positive, not taking his medication, with a CD4 count of 17. He abuses alcohol "over the holiday season". He's from Malawi. He came in with a cough and loss of weight for a month, and now delirium. His lumbar puncture did not reveal TB in the brain.

Today, I'm reviewing his scan, which hasn't been done yet, and checking he got his blood transfusions. His hemoglobin levels are better, and he isn't confused when I chat to him.

6. Mr. J
An 18 year old male with TB. He was admitted almost a month ago. He is HIV negative, and vapes. He was diagnosed with disseminated TB two weeks before being admitted with shortness of breath, hypoxic on room air. His xray showed a multilobar pneumonia with endobronchial cavitatory TB. He was continuously short of breath and tachycardic so they did a CTPA and found bilateral pulmonary emboli (clits in the lungs).

Today I'm checking his blood results to see if his INR has improved (it hasn't yet). He is off oxygen and coping well.

7. Mr. G
A 38 year old male presenting with TB. He is HIV positive, not taking his treatment. He has a 20 pack year smoking history. He is a polysubstance user. He's been diagnosed with TB before but stopped his treatment because he didn't feel well. This is not the first time. He is now being worked up for possible resistant TB.

Today, I'm checking his results (not out yet).

8. Mr. R
A 25 year old male admitted with concern of lymphoma. He came from private with lower back pain and an acute kidney injury. His back xray was normal. He's from DRC. His kidney injury got worse with the next blood test. They also found generalised rubbery lymph nodes. His CXR showed hilar LAD. On bloods, he had a pancytopenia. The theory emerged that he may have tumour lysis syndrome, as his electrolytes were abnormal.We can't do a CT yet because of his kidney function not being good.

Today, I'm checking his results (not better) and making sure his drip is up and running.

9. Ms. O
A 78 year old woman who came in with strange behaviour. She is hypertensive and obese. Someone called her daughter to her house as she impulsively began painting her home and was behaving strangely with her speech not making any sense. Her daughter told us that her brother of 13 was recently jailed after their mother opened a case against him. Theory then was she was having an acute stress reaction. Medicine reviewed and suspected an infectious cause somewhere. Her blood results were all normal but her chest xray showed some infiltrates on the right. Treatment was started.

Today, I'm checking if she's still confused, and she is. They'll so a CT brain tomorrow.

10. Ms. B
A 67 year old female with biventricular heart failure. She's hypertensive with dyslipidemia and a history of sometimes stopping her meds intermittently. Her chest xray showed a pleural effusion which was tapped and sent to the lab.

Today, I'm checking how she's doing - she's still in heart failure but stable. The results show an exudate or lymphocyte predominant fluid, and now she needs to be worked up for cancer and TB.

Now that the ward is done, it's time to head down to the emergency room.