🩺 Record Detail

Patient Info

Name: Unknown
Age: Unknown
Date: 2025-07-08 09:31:09

Transcript

[00:00 → 00:03] 2. Amit Koli Namaste John.
[00:03 → 00:10] Bataiye. Kya. Samasya hai haaj. John. Namaste Dr. Sahab.
[00:10 → 00:14] Pichle dudinoshai halka bukhar hai. Gala.
[00:14 → 00:18] Pikharab hai aur sharir me bohat takan mein sus.
[00:18 → 00:21] Ho rahi hai. 2. Amit Koli.
[00:21 → 00:26] Tikhe aur kya koi sungne yaswad ki kshamata.
[00:27 → 00:32] Mekami aai hai. John. Jiha. Galshei moche.
[00:32 → 00:35] Khaane ka swad pina hi aira ha aur sungne.
[00:35 → 00:40] Mephi tikkat ho rahi hai. 2. Amit Koli.
[00:40 → 00:43] Kya aap ko kansi yasans lehne me.
[00:43 → 00:46] Takleaf ho rahi hai. John.
[00:46 → 00:49] Tori bohat suki. Kansi hai.
[00:49 → 00:51] Lekin sans lehne me ziyada.
[00:52 → 00:56] Tikkat nahi hai abhi. 2. Amit Koli.
[00:56 → 00:59] Aap ne halhi me kisi sankramit.
[00:59 → 01:02] Viakti ke sambhark meane ki sambhavna.
[01:02 → 01:05] To nahi hai. John. Jiha.
[01:05 → 01:07] Offes me ek Sahakarmi.
[01:07 → 01:11] Ko Pichle hafte korona positiv baya.
[01:11 → 01:15] Kaya tha. Uske bhaad sei hi dhar lagra hai.
[01:15 → 01:17] 2. Amit Koli.
[01:17 → 01:20] Aap ke Luxian Covid-19 sei.
[01:20 → 01:23] Mil te jul te lagra hai hai.
[01:23 → 01:26] Me aap ko RTPCR.
[01:26 → 01:29] Test karvane ki salah dungata ki.
[01:29 → 01:31] Pushti ho saakhe.
[01:31 → 01:33] Jyap tak report nahiati.
[01:33 → 01:36] Taptak khod ko isoletkar.
[01:36 → 01:37] Lijiye.
[01:37 → 01:38] John.
[01:38 → 01:39] Tikhe doktor.
[01:39 → 01:41] Me aaj hi.
[01:41 → 01:42] Test karvangha.
[01:42 → 01:44] 2. Amit Koli.
[01:44 → 01:45] Aap cha.
[01:45 → 01:46] Rahiga.
[01:46 → 01:49] Is beach up halka kana kaya.
[01:49 → 01:50] Kube.
[01:50 → 01:53] Pani pijye aur aram kiijye.
[01:53 → 01:54] Me aap ko.
[01:54 → 01:58] Bukhar aur kansi ke liye kuchtava yalik.
[01:58 → 01:59] Raha ho.
[01:59 → 02:00] John.
[02:00 → 02:02] Kya hospital me parti.
[02:02 → 02:04] Hone ki zarurat hai.
[02:04 → 02:07] 2. Amit Koli.
[02:07 → 02:08] Filhal nahi.
[02:08 → 02:10] Aap ke Luxian mild.
[02:10 → 02:11] Hai.
[02:11 → 02:16] Agar oxigen saturation 94% shei komho.
[02:16 → 02:18] Deez sans chalei.
[02:18 → 02:21] Yabukhar lagata ar banara hai.
[02:21 → 02:23] Totorant aspatal jayye.
[02:23 → 02:24] John.
[02:24 → 02:25] Oxigen.
[02:25 → 02:27] Level kese checkkarum.
[02:27 → 02:29] 2. Amit Koli.
[02:29 → 02:30] Bulse.
[02:30 → 02:32] Oxi meter shei.
[02:32 → 02:35] Agar abke pas nahi hai to.
[02:35 → 02:38] Kisi medical store shei mangwasak de hai.
[02:38 → 02:41] Dinme 3-4 bar janche.
[02:41 → 02:42] John.
[02:42 → 02:43] Tika.
[02:43 → 02:44] Dr sahab.
[02:44 → 02:46] Bho hot tanyavad.
[02:46 → 02:48] 2. Amit.
[02:48 → 02:49] Koli.
[02:49 → 02:51] Tiana kiye John.
[02:51 → 02:52] Test ki.
[02:52 → 02:55] Report aate hi mutsesam par ki jiega.
[02:55 → 02:57] Jaldi tika.
[02:57 → 02:58] Yehi kam na.
[02:58 → 02:59] Hai.
[02:59 → 03:00] John.
[03:00 → 03:01] Zarur doctor.
[03:01 → 03:03] Tanyavad fir shei.

Clinical Notes

Subjective

  • Patient: John.

  • Primary Concern:

  • Experienced mild fever, sore throat, and body aches in the past few days.
  • Loss of taste and smell.
  • Dry cough and difficulty in breathing.
  • Recent exposure to a COVID-19 positive colleague at work.

  • Symptoms:

  • Sore throat, altered taste and smell, dry cough, and mild fever.
  • Concerned about potential COVID-19 infection.

  • Exposure:

  • Recent contact with a COVID-19 positive colleague at work.

Objective

  • Assessment:
  • Mild symptoms of COVID-19.
  • Advised to undergo an RTPCR test for confirmation.
  • Recommended self-isolation until test results are available.

  • Plan:

  • Suggested drinking plenty of water and getting rest.
  • Prescribed medications for fever and cough.
  • Advised to monitor oxygen saturation using a pulse oximeter.
  • Instructed to visit the hospital immediately if oxygen saturation drops below 94% or if breathing difficulties worsen.

  • Follow-Up:

  • Instructed to check oxygen levels 3-4 times a day using a pulse oximeter.
  • Encouraged to seek prompt medical attention if symptoms worsen.

Assessment

  1. COVID-19:
  2. Mild symptoms with recent exposure to a COVID-19 positive individual.
  3. RTPCR test recommended for confirmation.

  4. Respiratory Symptoms:

  5. Dry cough and difficulty in breathing.
  6. Oxygen saturation monitoring advised.

Plan

  1. Diagnostic:
  2. RTPCR test to confirm COVID-19 infection.

  3. Symptomatic Treatment:

  4. Prescribed medications for fever and cough.
  5. Advised rest, hydration, and self-isolation.

  6. Monitoring:

  7. Instructed to monitor oxygen saturation using a pulse oximeter.
  8. Visit the hospital if oxygen saturation drops below 94% or if symptoms worsen.
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