🩺 Record Detail
Patient Info
Name: Unknown
Age: Unknown
Date: 2025-09-19 07:29:51
Transcript
Doctor: Patient Rahul is a case of acute febrile illness, having diabetes from last 5 years, on medication taking Telma 40, Roosevelt 60, Azithrax 500, investigation advised, CBC, LFT, KFT. Doctor: Allergies, allergic to bowling pins and sulphur dioxide. Doctor: History of present illness, diabetic since last 5 years. Doctor: Instructions, take medicine regularly, have a brisk walk for 30 minutes, follow up after 3 days. Doctor: www.cdc.gov.au
Clinical Notes
Allergies
- Allergic to bowling pins and sulphur dioxide.
Chief Complaints / HOPI / Examination
- Acute febrile illness
- Diabetes for the last 5 years
Provisional Diagnosis/Diagnosis:
- Acute febrile illness
- Diabetes mellitus
Investigations / Medication Advised
Laboratory:
- Complete Blood Count (CBC)
- Liver Function Test (LFT)
- Kidney Function Test (KFT)
Medication
| Sr. | Drug Name | Route | Dose | Frequency | Duration | Remarks |
|---|---|---|---|---|---|---|
| 1 | Telma 40 | Oral | - | - | - | - |
| 2 | Roosevelt 60 | Oral | - | - | - | - |
| 3 | Azithrax 500 | Oral | - | - | - | - |
Advice / Follow-Up
- Take medication regularly
- Have a brisk walk for 30 minutes daily
- Follow up after 3 days