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    Gracia Clinic: Medical Certificate

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    pande_pramana_2
    The medical certificate is for a 9 month old Taiwanese baby named Kiu Tie who presented at Gracia Clinic in Bali with a fever. On examination, the baby had a temperature of 38.22°C, pulse of 88 beats per minute, and respiration rate of 18 breaths per minute. The diagnosis was acute pharyngitis. Treatment prescribed was paracetamol syrup and pseudoephedrine syrup. The family was advised to check for blood analysis if fever did not improve in 3 days and to give warm compresses, plenty of fluids, and avoid spicy foods until symptoms resolved.

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    Gracia Clinic: Medical Certificate

    Uploaded by

    pande_pramana_2
    24 views1 page
    The medical certificate is for a 9 month old Taiwanese baby named Kiu Tie who presented at Gracia Clinic in Bali with a fever. On examination, the baby had a temperature of 38.22°C, pulse of 88 beats per minute, and respiration rate of 18 breaths per minute. The diagnosis was acute pharyngitis. Treatment prescribed was paracetamol syrup and pseudoephedrine syrup. The family was advised to check for blood analysis if fever did not improve in 3 days and to give warm compresses, plenty of fluids, and avoid spicy foods until symptoms resolved.

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    p3k NIKKO

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    The medical certificate is for a 9 month old Taiwanese baby named Kiu Tie who presented at Gracia Clinic in Bali with a fever. On examination, the baby had a temperature of 38.22°C, pulse of 88 beats per minute, and respiration rate of 18 breaths per minute. The diagnosis was acute pharyngitis. Treatment prescribed was paracetamol syrup and pseudoephedrine syrup. The family was advised to check for blood analysis if fever did not improve in 3 days and to give warm compresses, plenty of fluids, and avoid spicy foods until symptoms resolved.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as doc, pdf, or txt
    24 views1 page

    Gracia Clinic: Medical Certificate

    Uploaded by

    pande_pramana_2
    The medical certificate is for a 9 month old Taiwanese baby named Kiu Tie who presented at Gracia Clinic in Bali with a fever. On examination, the baby had a temperature of 38.22°C, pulse of 88 beats per minute, and respiration rate of 18 breaths per minute. The diagnosis was acute pharyngitis. Treatment prescribed was paracetamol syrup and pseudoephedrine syrup. The family was advised to check for blood analysis if fever did not improve in 3 days and to give warm compresses, plenty of fluids, and avoid spicy foods until symptoms resolved.

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    GRACIA CLINIC

    Jl. Gatot Subroto Tengah No. 100 K


    Email : gracia.clinic.bali@gmail.com

    MEDICAL CERTIFICATE

    Name : Kiu Tie Sex : Male


    Age : 9 month Nationality : Taiwan
    Address at Bali : Hilton Bali resort Room Number : 712

    ANAMNESIS (11.30 AM)


    Chief complaint : fever
    Patient (baby) come to clinic with chief complaint fever since yesterday. Patient also complain of flu
    and wet cough. Patient have had taken antipyretic drug which his mother brought by herself from her
    country. Patient have no complain of urination and defecation. He also have good appetite . No history
    of allergic to medicine.

    PHYSICAL EXAMINATION
     VITAL SIGN
    o Pulse : 88 times/minute;
    o Respiration Rate : 18 times/minute
    o Temperature : 38,22̊ C
    o Blood Pressure : -
    o Body weight : 10 kg
     Status General
    Eye : no sign of anemia, not icteric, shrunken eyes -/-
    ENT : elaborated more in local examination
    Chest : Heart : S1S2 Single regular, murmur (-)
    Lung : ves +/+, rh -/-, wh -/-
    Abdomen : bowel sound (+) normal, distention (-)
    Extremity : Warm on four extremities, CRT < 2 sec
    Local Examination :
    ENT: pharynghiperemis (+), mucous (+)
    DIAGNOSA : Acute Pharyngitis

    THERAPY : - Praxion syr (paracetamol micronized) 3 x 5 cc


    - Alco syr (Pseudoephedrine HCl) 3 x 5 cc

    PLANNING : If the fever doesn’t relieve in 3 days, please check blood analysis

    SUGGESTION : - warm compress in his body


    - take plenty of warm water
    - avoid any seasoning until symptomps relieved

    Bali, February 1 st 2017

    dr. Krisna Bayu

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