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  • Round Note1... A4

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    Rao Rizwan Shakoor
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    The medical records document three rounds of care for patient Parveen Akhtar with registration number 117182. In the first round on July 28 at 9:00pm, the patient reported mild abdominal pain. Examination found her abdomen soft but tender on the right side. The plan was to continue the same treatment. In the second round on July 28 at 10:20pm, the patient reported no complaints. Examination findings were unchanged and treatment continued. In the third round on July 29 at 9:20am, the patient reported no complaints and her abdomen was now soft and non-tender. The plan was to remove her drain, change her dressing, and discharge her.

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    ROUND NOTE1...A4

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    The medical records document three rounds of care for patient Parveen Akhtar with registration number 117182. In the first round on July 28 at 9:00pm, the patient reported mild abdominal pain. Examination found her abdomen soft but tender on the right side. The plan was to continue the same treatment. In the second round on July 28 at 10:20pm, the patient reported no complaints. Examination findings were unchanged and treatment continued. In the third round on July 29 at 9:20am, the patient reported no complaints and her abdomen was now soft and non-tender. The plan was to remove her drain, change her dressing, and discharge her.

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    22 views1 page

    Round Note1... A4

    Uploaded by

    Rao Rizwan Shakoor
    The medical records document three rounds of care for patient Parveen Akhtar with registration number 117182. In the first round on July 28 at 9:00pm, the patient reported mild abdominal pain. Examination found her abdomen soft but tender on the right side. The plan was to continue the same treatment. In the second round on July 28 at 10:20pm, the patient reported no complaints. Examination findings were unchanged and treatment continued. In the third round on July 29 at 9:20am, the patient reported no complaints and her abdomen was now soft and non-tender. The plan was to remove her drain, change her dressing, and discharge her.

    Copyright:

    © All Rights Reserved
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    of 1

    ROUND NOTES:

    PT. NAME :PARVEEN AKHTAR REG. # : 117182. JULY 28, 2019/09:00PM

    SUBJECTIVE COMPLAINT : MILD PAIN ABDOMEN

    OBJECTIVE ASSESSMENT:

    DRAIN: NIL
    NVB+NAS B/L
    S1+S2+0
    GCS 15/15
    ABD. SOFT , TENDER RHC , B/S N*
    PLAN:
    CONTINUE SAME TREATMENT

    DOCTOR’S NAME/SIGN/STAMP.

    ROUND NOTES:

    PT. NAME :PARVEEN AKHTAR REG. # : 117182. JULY 28, 2019/10:20PM

    SUBJECTIVE COMPLAINT : NIL

    OBJECTIVE ASSESSMENT:

    DRAIN: NIL
    NVB+NAS B/L
    S1+S2+0
    GCS 15/15
    ABD. SOFT , TENDER RHC , B/S N*
    PLAN:
    CONTINUE SAME TREATMENT

    DOCTOR’S NAME/SIGN/STAMP

    ROUND NOTES:

    PT. NAME :PARVEEN AKHTAR REG. # : 117182. JULY 29, 2019/09:20AM

    SUBJECTIVE COMPLAINT : NIL.

    OBJECTIVE ASSESSMENT:

    NVB+NAS B/L
    S1+S2+0
    GCS 15/15
    ABD SNT , B/S N*
    PLAN:
    REMOVE DRAIN , CHANGE DRESSING,
    AND DISCHARGE.

    DOCTOR’S NAME/SIGN/STAMP

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