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21 Mar 2024
16, Wardlow, Buxton, Derbyshire, SK17 8RW. Phone : 01298 872268
Monday to Sunday - 09:30am to 12:00pm
Dr Edalin Hendry
BDS, MDS - Oral & Maxillofacial Surgery
Date : 25 Jan 2024, 07:00
Appointment Type : Video
Patient Details
Kelly Joseph
- 28Y / Male
- Blood : O+ve
- Patient / Consult ID : OP1245654 / C243546566
- Type : Outpatient
Appointment Note
Vitals
- Pulse : 64 Bpm
- Systolic BP : 100mmHg
- Diastolic : 60mmHg
- Spo2 : 100%
- BSA : 1.68
- Height : 159 cm
- Weight : 64 Kg
- Patient Direct from : Walk in / OPD
- Body Mass Index : 25.16 BMI
- Allergies : Pain near left chest, Pelvic salinity
Previous Medical History
The patient has a history of type 2 diabetes mellitus diagnosed in 2018, well-controlled on metformin. Additionally, the patient underwent appendectomy in 2020 without postoperative complications.
Clinical Notes
The patient presents with a 3-day history of worsening cough and fever, peaking at 38.5°C, noted for decreased appetite. Physical examination reveals bilateral wheezing and crackles on lung auscultation, suggestive of a respiratory infection.
Complaint
An account of the present illness, which includes the circumstances surrounding the onset of recent health changes and the chronology of subsequent events that have led the patient to seek medi
Medications
The patient has a history of type 2 diabetes mellitus diagnosed in 2018, well-controlled on metformin. Additionally, the patient underwent appendectomy in 2020 without postoperative complications.
| SNO | Medecine Name | Dosage | Frequency | Duration | Timings | Instruction |
|---|---|---|---|---|---|---|
| 1 | Ecosprin 75MG [Asprin 75 MG Oral Tab] | 75 mg Oral Tab | 1-0-0-1 | 1 month | Before Meal | Take in alternate das, with hot water |
| 2 | Alexer 90MG Tab | 90 mg Oral Tab | 1-0-0-1 | 1 month | Before Meal | Take in alternate das, with hot water |
| 3 | Ramistar XL2.5 | 60 mg Oral Tab | 1-0-0-0 | 1 month | After Meal | Take in alternate das, with hot water |
| 4 | Metscore | 90 mg Oral Tab | 1-0-0-1 | 1 month | After Meal | Take in alternate das, with hot water |
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Dr. Edalin Hendry
Dept of Cardiology
View Prescription
21 Mar 2024
16, Wardlow, Buxton, Derbyshire, SK17 8RW. Phone : 01298 872268
Monday to Sunday - 09:30am to 12:00pm
Dr Edalin Hendry
BDS, MDS - Oral & Maxillofacial Surgery
Date : 25 Jan 2024, 07:00
Appointment Type : Video
Patient Details
Kelly Joseph
- 28Y / Male
- Blood : O+ve
- Patient / Consult ID : OP1245654 / C243546566
- Type : Outpatient
Appointment Note
Advice
An account of the present illness, which includes the circumstances surrounding the onset of recent health changes and the chronology of subsequent events that have led the patient to seek medicine
Lab Tests
1. Liver Function Tests (LFTs)
2. Hemoglobin A1c (HbA1c)
Follow Up
After 3 Months in empty Stomach
Lab test for Glucose Level
Scan to download report
Dr. Edalin Hendry
Dept of Cardiology