Request for Consultation

Admitted Under

Dr.Sumit Singh

Type of Admission:	First Time
Reason for Admission :	Emergency

Referral By:	CITY_HOSPITALAA
Patient Identification Band tied:	Yes
Patient Rights & Responsibilities explained:	Yes
Patient Made aware of surroundings and safety measures:	Yes

Created & Updated

By :Amit Kumar

At : 2024-08-23 06:24:18

 

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?:	No
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 :Amit Kumar

At : October 04, 2024 / 04:25:39 PM

Medical Assessment

Fever:	Yes
Other Symptoms :	burn

Created & Updated

By :Priya Singh

At : 2024-10-04

Nutritional Screening

Does the patient have any weight loss/ Weight gain?:	No
Does the patient appear emaciated or BMI is Below <18.5 ? :	No
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:	No
Does the patient have any enteral tube feeding :	No
Does the patient have any parenteral tube feeding:	No
Food Pattern Followed :	Vegetarian
Appetite	Good

Created & Updated

By :Priya Singh

At : 2024-10-04

Prescription

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

Vitals

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

BMI Result

27.28

Chief Complain

Fever:
Other Symptoms :	burn

Significant findings :	null
Nutritional diagnosis	Normal
Provisional diagnosis	Recurrent pregnancy loss (N96)
Proposed Surgery:	Treatment requiring bronchoscopy

Investigation

Date Time	Investigation	Result	Evidence (Upload)
October 04, 2024 / 04:32:38 PM	Ultrasound & Doppler -HEAD & NECK-Neck (Thyroid)

Rx

Drug & Dose	Route	Note	Frequency	Duration
CRESEMBA 100MG CAPSULE-100 ISAVUCONAZOLE (100MG)	Orally	before bedtime or at 5pm	BID/b.i.d. (twice a day)	5 Days
VBLASTIN 10MG INJECTION-10 VINBLASTINE (10MG)	Sublingually/ Buccally	before bedtime or at 5pm	BID/b.i.d. (twice a day)	5 Days

Plan Of Care

Eplaimned

Dr.Sumit Singh (MBBS, MD)	October 04, 2024 / 04:33:23 PM