GP Notes

Patient presents with bruising for the last Does not recall any trauma to account for the bruises Has not had any significant bruising in the past Denies abdominal pain, haemoptytis, PR bleeding, malaena or nose bleeds Feels otherwise well No chest pain, abdominal pain or SOB No fatigue No personal or family history of blood clotting disorders, haemophilia, thalassaemia Examination: The patient appears well.  There is clinically no evidence of anaemia Vitals as noted Bruises noted in the following areas: Respiratory exam : good air entry bilaterally No respiratory distress No crepitations or wheeze Abdominal exam: soft No tenderness, guarding or rebound No hepatomegaly or splenomegaly Brief examination of the Cardiovascular system was normal: - Heart sound were dual with no obvious murmurs - JVP was not elevated - No peripheral oedema - No fine creps throughout the lung fields Throat exam was normal: - Pharynx showed no redness or pus - Tonsils ...

Patient presents with a non-productive cough Duration: Describes a recent upper respiratory tract infection which has now settled Not feeling unwell No fevers Normal energy Cough is worse at night Examination: Patient looks well Respiratory exam : good air entry bilaterally No respiratory distress No crepitations or wheeze Ear nose and throat exam: Both ears normal with no redness on ear drum No rhinorrhoea Normal throat exam with no enlarged tonsils or pus Pharynx normal Reason for visit: Cough, post infective Management: Reassured this cough is unlikely pathological The cough should settle in the next few weeks No need for antibiotics If change in symptoms or concerns return here for review Keywords:  Post Viral cough,  Post infective cough, chronic cough, +postviralcough