Request for Consultation

Admitted Under

Dr.Sumit Singh

Type of Admission:	First Time
Reason for Admission :	Emergency

Referral By:

Created & Updated

By :Priya Singh

At : 2024-08-23 06:25:31

 

Covid 19 Checklist

Do you have symptoms such as fever, cough, sneezing, sore throat, fatigue, sense of smell, changes in taste, and body aches?:	Yes
Do you have difficulty of breathing?:	Yes
Have you travelled outside the country in the last 30 days?:	Yes
Have you traveled to other cities in India in 15 days?:	No
Were you a Covid-19 positive patient in the last two weeks? or suspect in a case of covid-19 ?:	No
Have you visited a health care facility in the past two weeks?:	No

Created & Updated

By :Priya Singh

At : October 05, 2024 / 04:10:00 PM

Medical Surgical History

Medical Assessment	Status
Diabetes	Active
Low Blood Pressure	Cured

Allergies	Category
peanuts	Food
Cold Drink	Drug
peanuts	Food

Information Obtained from

Patient

Created & Updated

By :Priya Singh

At : 2024-10-05

Vitals

BMI	24000
SPo2
RBS
Temperature
Pulse
Blood Pressure:	/

Created & Updated

By :Priya Singh

At : October 05, 2024 / 04:11:27 PM

Medical Assessment

Created & Updated

By :Priya Singh

At : 2024-10-05

Nutritional Screening

Does the patient have any weight loss/ Weight gain?:	Yes
Does the patient appear emaciated or BMI is Below <18.5 ?:	Yes
Does the patient look Obese or BMI is above >30:	No
Does the patient have any GL Symptoms like Constipation, Nausea, Diarrhea, Anorexia, Vomiting, chewing/swallowing difficulty affecting oral intake in last 2 weeks:	Yes
Does the patient have any enteral tube feeding :	Yes
Does the patient have any parenteral tube feeding:	No
Food Pattern Followed :
Appetite

Created & Updated

By :Priya Singh

At : 2024-10-05

Prescription

Type of Admission::	First Time
Reason for Admission :	Emergency

Vitals

SPo2(%)	RBS(mg/dl)	Temp(C*)	Pulse(Min)	BP(mmHg)
				/

BMI Result

24000

Chief Complain

Other Symptoms :

Significant findings :	null
Nutritional diagnosis	Obese
Provisional diagnosis

Investigation

Date Time	Investigation	Result	Evidence (Upload)

Rx

Drug & Dose	Route	Note	Frequency	Duration