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Casenote Oet Wesam
Casenote Oet Wesam
15 May 2021
Mr. Gale was diagnosed with UTI recently, which may be related to the cause of
the fall. Two weeks before, he had an episode of vomiting, palpitations, and
dysuria. During hospitalization, he has made good progress, and he has
commenced on IV amoxicillin 750mg every 8 hours for UTI. Additionally, he has
been on his regular medications, which are paracetamol for osteoarthritis since
2003 and felodipine for hypertension since 2009.
Mr. Gale lives alone in his apartment. However, he socializes with his neighbors.
Additionally, he is known to be independent with his ADLs. He drinks occasionally
and smokes 10 cigarettes per day.
If you have any further questions, please do not hesitate to call me.
Yours sincerely,
Nurse