C/o: Fever , cold and cough for past2 days

H/o Body pain (+)

----------------------------------------------------
℞
Tab.Maxomax-CV 625mg (6) 1–0-1

Tab. Paracip650mg (9) 1–1-1

Tab.Okacet10mg (3) 0–0–1

Cap.Multirich (5) 0–0–1

Cap.Maxxopan-DSR (6) 1 - 0– 1 (BF)

Syp. M-DRYL (1) Bottle 10ml -10ml – 10ml

ORS (1) Packet

Advice:

Plenty of oral fluids

Hot water intake

IVF

Fever Profile
C/o: Cold,cough since x 2 days (+)
H/o: Fever/Body pain/Loss of Appetites (+)
No H/o N//V/H

--------------------------------------------------
℞
Tab.Moxymox-CV 625mg (6) 1–0-1

Tab. Paracip650mg (9) 1–1-1

Tab.Okacet10mg (3) 0–0–1

Tab.Zeebee 400mg (2) 0–0–1

Cap.Multirich (5) 0–0–1

Cap.Maxxopan-DSR (6) 1 - 0– 1 (BF)

Syp. Lupizyme (1) Bottle 10ml -10ml-10ml (BF)

Syp.Biochemdryle (1) Bottle 10ml -10ml – 10ml

ORS (1) Packet

Advice:

Plenty of oral fluids

Hot water intake

IVF
C/o: High grade Intermittent fever since x 2 days (+)
H/o: Generalized Myalgia (+)
No H/o: N/V/H
--------------------------------------------
℞
Tab. Mahacef plus (6) 1–0-1

Tab. Paracip650mg (9) 1–1-1

Tab.Okacet10mg (3) 0–0–1

Cap.Maxxopen-DSR (6) 1 - 0– 1 (BF)

Cap.Multirich (5) 0–0–1

Syp.Biochemdryle (1) Bottle 10ml – 10ml- 10ml

ORS (2) Packet

Advice:

Plenty of oral fluids

Hot water intake

IVF

Fever Profile
C/O: Left shoulder pain for past 1 week
H/o body pain

--------------------------------------
℞
Tab. Intagesic MR (9) 1 -1 -1

Tab. Okacet 10mg (3) 0-0-1

Cap.Pantosec-DSR (6) 1- 0 – 1 (BF)

Cap.Multirich (15) 0-1-0

Powerflam red ointment - 1

C/o cough and cold for past 3 days

H/o breathlessness (+)

--------------------------

℞
Tab.Novamentin 625 mg (6) 1–0-1

Tab. Chest on cold (9) 1–1–1

Cap.Multirich (5) 0–0-1

Cap. Omee20mg (6) 1 – 0 – 1 (BF)

K/C/Of OLD PTD/ RA Factor/Rheumatoid Lung
C/O: Cold, Cough, Body Pain (+)
Loss of Appetites (+)
---------------------------------------
℞

Tab. Novamentin625mg (6) 1-0-1

Tab. Cheston cold (9) 1–1-1

Tab. Okacet 10mg (3) 0-0-1

Cap.Multirich (10) 0–0–1

Cap.Pantosec-DSR (6) 1- 0 – 1 (BF)

Syp. Alkof-DX (1) Bottle 10ml - 10ml - 10ml

Advice:
CBC

RA Factor /CRP
Montex test / Sputum AFB
C T Chest

Ref. To Chettinadu Hospital for further investigation

K/C/Of T2 DM
C/o: Fever since today evening (+)
H/O: cough & cold (+)
O/E: Patient conscious, drowsy (+)
DM Foot ulcer present in Rt Foot (+)
∆ ?DKA
℞
Tab. Stancef-O 200mg (6) 1-0-1

Tab. Paracip650mg (9) 1-1-1

Tab. Okacet 10mg (3) 0-0-1

Cap.Pantosec DSR (6) 1-0-1 (BF)

Syp. Alkof (1) Bottle 10ml – 10ml – 10ml

ORS (1) Packet

Advice:

Ref.to higher centre for further management

Diabetologist opinion
Fever Profile
Urine Culture & Sensitivity
C/O: Intermittent Fever (+)
General weakness, Nausea, Body Pain (+)

-------------------------------------------------
℞
Tab. Stancef-o 2oomg (6) 1- 0 – 1

Tab. Paracip 650mg (9) 1–1–1

Cap. Multirich (10) 0–0–1

Cap. Pantosec DSR (6) 1 – 0 – 1 (BF)

Cap. Cofol-Z (30) 1–0–1

ORS (1) Packet

C/O: Cough, cold (+)

Cap.Cephadex500mg (6) 1- 0 – 1

Tab. Chest on cold (9) 1–1–1

Tab. Okacet10mg (5) 0–0–1

Cap. Omee20mg (6) 1 – 0 – 1 (BF)

SYP.Ambrox- LS (1) Bottle 10ml – 10ml – 10ml

 C/O: Fever (+) for past 2 days
H/o headache
H/o body pain (+)
---------------------------------------
℞
Tab. Novamax 625mg (6) 1 -0 -1

Tab. Paracip 650 mg (6) 1 – 1 - 1

Tab. Okacet 10mg (3) 0 -0 -1

Cap.Pantosec DSR (6) 1- 0 – 1 (BF)

Cap.Mecofal plus (10) 0 – 1 - 0

ORS (2) Packets

C/O: Cold, Cough (+)

---------------------------------------

Tab. Novamentin625mg (6) 1-0-1

Tab. Cheston cold (9) 1–1-1

Tab. Okacet 10mg (3) 0-0-1

Cap.Pantosec-DSR (6) 1- 0 – 1 (BF)

Syp. Alkof-DX (1) Bottle 10ml - 10ml - 10ml

K/C/Of T2 T2 DM

C/O: Fever since x 3 days (+)

Body Pain (+)

-------------------------------------

Tab.Novamentin 625mg (6) 1-0-1

 Tab. Paracip650mg (9) 1–1–1

Cap. Mecofol Plus (10) 0–0–1

Cap.Pantosec-DSR (6) 1- 0 – 1 (BF)

ORS (1) Packet

Advice:

Fever Profile
 C/o fever for past one week, he took investigations & treatment

for fever in the private clinic for the past 3 days

- Intermittent fever
- Associated with chills and rigor

H/o vomiting

No H/o cough and cold

No H/o abdominal pain
H/o body pain
H/o headache

Not a k/c of DM, HT and Epilepsy

O/E
Patient conscious ,
Oriented
Febrile
Pallor (+)

Systemic exam :

CVS – S1 , S2 present
No murmurs
RS – NVBS (+)
No added sounds
P/A – soft
No organomegaly
CNS – NFND
Investigation:
QBC for Malaria positive(P.V)
Platelet count 164000 (0n 5 th October 19)
Widal Positive
Provisional Diagnosis :

Uncomplicated Malaria positive

Treatment :

IVF
Tab. Chloroquine 25 mg / kg stat dose followed by 2 nd dose after

6 hours 3rd dose after 24 hours

Tab . Taxim 200 mg 1BD

Cap.Pantosec DSR

Tab. Paracip 650 mg 1 tds

Advice:

Advised admission to the patient ( not willing for admission)

Referred to higher centre for further investigations and

management

Daily monitoring of platlet count