Discharge Summary
Final Diagnosis: Infectious Diseases - Gastroenteritis
Main Complaints/History:
19 YRS/CHI/MALE
HAS DIARRHOEA FOR 4 EPISODES, NO BLOOD, WATERY X 2/7
HAS 3 EPISODES OF VOMIITING, NO BLOOD
FEVER NOTED TODAY
A/W MILD LEFT SIDE HEADACHE, THROBBING, HAS HISTORY OF MIGRAINE
NO ABDO PAIN
CAME BACK FROM BRUNEI 6/7/05
Physical Examination
TEMPERATURE: 37.8
PULSE RATE: 086
RESPIRATION: 16
BLOOD PRESSURE: 121/072
ALERT COMFORTABLE NON TOXIC
HYDRATION FAIR
NOT JAUNDICED/PALE
HEART SOUNDS NORMAL AND DUAL
LUNGS CLEAR ON AUSCULTATION
ABDOMEN SOFT
RIGHT ILIAC FOSSA NONTENDER
NO HEPATOSPLENOMEGALY
BOWEL SOUNDS HYPERACTIVE
Prescription
PANADOL
STEMETIL
BUSCOPAN
KAOLIN
Cost: free (NSFs no nid to pay :])
saw a few elderly at the hospital... felt very sad for them... i always have this soft spot in my heart... reminds me of the days i volunteered at the CGH.
one of our instructor that was attached to us left to continue his studies... gave us a meaningful gift...

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