🩺 Record Detail

Patient Info

Name: Unknown
Age: Unknown
Date: 2025-07-24 05:27:04

Transcript

<pre><b>Final Role-Tagged Transcript:</b><br><br><div><b>Doctor</b>: Symptoms, fever, food, reddit, findings, chest congested, hypertension, fever, spinal catacetamol, diagnosis, acute femtile illness, investigation, see we see LFT, KFT, UD, IFT,imer, instructions, take, 20 fluids, avoid, drinking, cold, and hard food, take medicines, This Regulatory follow after four days, medicines prescribed, Dolores 650, twice a day, 4-5 days, 4-5 days after lunch. Follow after five days with reports.</div></pre>

Clinical Notes

Subjective

  • Patient: Complaining of symptoms like fever and chest congestion.

  • History of Present Illness: Reports having hypertension and fever. Mentioned taking spinal catacetamol.

  • Past Medical History: Diagnosed with acute femtile illness.

  • Instructions: Advised to take fluids and avoid cold and hard food. Prescribed Dolores 650, to be taken twice a day for 4-5 days after lunch.

Objective

  • Medical History: No current medications mentioned except spinal catacetamol.

Assessment

  1. Acute Illness: Symptoms of fever and chest congestion, history of hypertension.

Plan

  1. Medications:

  2. Prescribed Dolores 650, to be taken twice a day for 4-5 days after lunch.

  3. Follow-Up:

  4. Instructed to follow up after five days with reports.
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