Patient presents with a productive cough Generalised Malaise Sputum green in colour Occasional fevers Examination: Respiratory exam: Good Air entry bilaterally No Resp distress CREPITATIONS HEARD Reason for visit: Chest infection Management: Oral Antibioitics as prescribed Patient advised to: - Rest - Regular paracetamol +/- Ibuprofen - Drink plenty of fluids They have been advised to return here or present to ED should their symptoms worsen or if they have any concerns Keywords: +chestinfection, Penumonia
Presents for a refill of her oral contraceptive pill script Has been on this medication for some time without any ill effect No history of - Hypertension - DVT / PE - Migraine with aura Preventiative health screen: Cervical smears up to date Good Diet Exercises regularly Non smoker No concerns about mood Examination: BP: Reason for contact: Oral contraceptive pill script Management: Script as requested
Patient presents requesting screening testing for sexually-transmitted diseases Patient states they have no symptoms which concern for a STD Counselled patient on the testing that we perform HIV counselling provided and the patient informed that the negative result does not mean that they are clear if they can send I will need to have further testing if they had an exposure which they feel would be high risk for this disease tests to be performed: - Gonorrhoea and chlamydia with first catch urine - had HIV, hepatitis C, hepatitis B, syphilis with blood testing serology herpes simplex testing was not included as the patient does not have any lesions which were consistent with this disease advised patient that the best form of protection for STDs is condom is but this would not provide protection against contracting herpes from her partner who has an active infection advised patient that if the neither p...
Comments
Post a Comment