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    dr.kir97

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    MOCK PATIENT RECORD 9 PATEINT DETAILS NAME: Aw6 Shatwont bint Ao an! AGE: 25 years old SEX :fereate, OCCUPATION : pest tent in KK HOSPITAL NO, : coco 7248S DATE OF ADMISSION : 41 (5 (202 3 DATE OF DISCHARGE isTORY Patient Complaint: oe AN WO» multperet: predaaks th He anerqiney dep tent th Cousins che abe reesy TSR Wine hate A sopepie negion = 8 i sSutan oneent Berea en eotes Bee oe ee in as ns Ga), Bee Meg menigenn Cfaratnn ahem lat ot dpe Agate Mier etyeie Sweet ee Stet Lee oe hee aa oa Weohereet hae tee cue at See eee oo. a injection « ROA PSS Tag no ee en eee este RNG ISLET nay 4 enn, ete meat aes Snares a08l, Gietee op Bight laters! BEERS [Tee the sesollen with antonebioti spals —msteush SOR ASE i So inrenen es : ee gain menarche at He age of 1S years old. S aicataagesy co eel gs Oa Pera Sr nas ie ee tagicte machen Fone enlists Seta ee Suet foie ine +230 days. Along ho ay: “ maine dhevissions. Otker with “PS menorrhegiay no a Total bleeding Be Inttrntntwel Leading Cagete arelgesias ‘ children, treik dmugs jne alcatel on emoker net tating “A ‘ V year BS months rio Family bitten AK ber hushend and bee mem ee pete Coullipenro287 Saye be Social/Family History contume ton -Maried tor of anlometsosis Lives ot oe Pregient (E.She Hoke as a asaistenst Drugsallergy ino Encwn fod fAruogs alleegy Ne dredtitione\ madteaton any nedtcation -teken, PHYSICAL EXAMINATION Blood pressure 3/33 mmllg Pulse rate 08 /min Respiratory rate ah Body temperature: 36.3 6 sPo2 4% KGenarel amamination | Kenscious, alert & ocented. Patient TR in pein and aghty dechgpnie She ie nat pale Hem hydro onal ond muttered stabs *S adequate a Hand : Beenula attacked 42 be PaRY dorsi herd Palin os, wore jpin ant dey omic scar LUN iinderwees on ber efaht dorsum Rand due de bremuta insertion Cogley SoU Hee ey Sie! Seen drase aie were (OR bead per mine with seguier chgthen, Lighe vole no speeial character ino radio = radial dang no cadio- foral delay and no collapsing, pulse a lewer Unk Ne pedal Chama and no cat tenderness # Abdoman Aidowen 1 soft and tender over aght hac been, acd soprepubic area Upon palpation | On palpation it wos tender ot ght thine fons ond supra pre region WH guarding Negetve cabend dendusces Kgniela On auscuiterion ; bowel sounds at present, Ge) ers eee ; ee en MOSES sete waeered ct ee es closed, right poramedcion dhickened, lett pararsttvey geep no fOD wulease Bee ee ee sat Ghatiral ate! esi , no ccepivaNors’ respi “Eq “~ PROVISIONAL DIAGNOSIS :29 4) ;nulliparoos wnitl, endore-hros's INVESTIGATIONS : CRE PORT Meee 2-Unne pregrercy fest STUN blood Negative count THER gil Crormal) TPT AR@ BLOT L Ctermet> THETIES. 4 RLOTL CNcrmnal) TWICE FEY ete" L Cornet) Wo Renal grofle auto a teas sie Fast +e kO S$. CALS DNermed fTeenschdemina| seen (Amrmaminnl Scan * Udews mre verl jandemebion FEReSS 1 B-Cien jceguinr , Waitrel ovaries S820 jae Cutts Sten, Right ovary 2-FRaGer Lees even Bealelern sn daeeat eS «mo Erealtiaich MANAGEMENT PLAN \.Given LV Tentony! 6Omcq STAT 2. mMorphire 2mqQ STAT Crain reduced te Sli) RIV te change fo Oce 4 fie Sectees RLY reer ARS fer Spain Rohegiwent ON en PN SHI persicterd clespte qhen ((e(aons Combing anal geste dy Manclen lOmg TOS ay Tremat SOmq tos Poe uuee mousy, SIM Geo Trem La ae, ae pee ee 0A Mase ees For HSA hushond (xt nomal for HSC, PROGRESS NOTES / DAILY MANAGEMENT DATETIME: 2(¢ (2023 (2 pm) Caarnge Re BNET Tha PO OReeliney iro, naenn Pan ES ing Compdaiat of abdominal pcm Cyren 40 Merphing at §30¢m [oe Rers —Preducech te lio Crain Score) Que cnre PSRWCENes agiperaneanm OJ e : Alert, Conscious. puttert pint toleratle abdominal pains re S08 e Nithel, — Ge. ALO [iO , BALE lima; PRE LO [mtn seo. 14 ) tr 88 e RIAD Sefk ender of aight iliac fossa and suprapubic remton with guarding roan “Allow atracharat we cateteee FEM Cech OCP ~sharted on 24[8[2023) HAA SNA SOC OG te review symptoms one mba eae CCM eee iace! vie Hiv Memelen tong “2S eeernad Sa, es Teiteeben 200-5 BO A TIM Ug Ble REFLECTION AND DISCUSSION ON LEARNING ISSUES GH erp ton Tan Catsterded RUE entemy) , chrome Gai elgette sean wri fide nca ativan Ale Sade wRekeent y nptart. of eet Cleading fo see cbdawend, oe detelogira! Nowe Palved reg oe ee Ries ee eee 2. Moet common cites of endomedionis, mentignact change (met -Lncemmen 5M Capa Overy, pore of Coighlas, uterotacea! leynrent, pecteraginnl septem ,siqwoid colon, abdominal scar atiad of erdowetionig Deeg dupareenia, subterelity , DATE PREPARED : 216|202% Yideonsiner Aces Name of medical student MOCK PATIENT RECORD 10 PATEINT DETAILS NAME: No, A2q bith eind Abidin AGE: 23 Geers ata SEX: Ferete OCCUPATION : Howse te HOSPITAL NO. : eooo a S841, | DATE OF ADMISSION : +} 6|2028 | DATE OF DISCHARGE : ‘ORY Patient Complaint: US wlo GEEZ a aruecks of genetien .on GEM Caier oe A regQre—y Presented Waal! (anion Af (eqs | egw teing SP ftucel ee eee ea ty beter, Me legs hile ageing te feitel Mtr Upanty (rer wan vet Wk not Ailly Soaked Ctlerwise, co fre, ne aldeminal FEO eno FV bleeding mo FY ancherat , good Fated moverent fel) by mother an :. den diet TH(O GOR Lath fer previnS pegnency Tes 4 TGA Cle acted LUA Tinks ser Shere slat ‘ TORS tawe. Cie ak © panne tog sh, tatesk 12 f Rancid seer Wn peeqranesy Catt Cooking Previous History : Hate Rms Kroen & Serie PME prety ¢ — ote be 1 201%, Kall devon |SVO /3-R bg, be tone Sin Aen (| ote , Full deren (SVE, SBE DY THU, Mote Tee Ahram lings, pinco tinge hice PhnsinshedeStarcteah QO pTeSugresten MO mg STATA Ong nereal conte onl nance s procedures dora betove + 2030, FUN Chorantein SONG “ AOS HS TORS tHe detailed S00 grossly Pigk Wnt Atcined wares “ater [ict meare ly cedar Tee ye a8 20 days charges FH pads dee te ree ee ane CMRTIEE NO AYER TCUNTE no nenerrbgia aoe ce : a Socialiamily History pre eroker, net Febing Wied dings ine alcctet Contumpron - Femity Kishen Ts errtmerkeble. Lives ustth be, [eed aiden Suk peenrte at PrbeerA AIS ce eee = aller, Drugs/allergy : msc Koen fods Days a a4 SS eine cutee, PHYSICAL EXAMINATION Blood pressure: joo Ge mmHg Pulse rate : 69 fmin Respiratory rate: 4 min Body temperature: 365+ spo2 an% + Generel eCrarsinetion Conscious, alert end odented. Potiens wan ret in pein. nok peapinnteny dishes A cot tachupneie. Ste Avenel etedue is fod pele Hee Kydratenal and os ade quate mend Bramule ts ecttaskel te hen (el dors of hand Palos 1 epee ea eee a Le ee her Hight doctem dee fe brane insertion « Capillary ceR Hane Tc Decconds tulse peue i 6A [min, WAL regular rhuyther,qeed volume jna speatel chareter, Oo vedio redial delay ne radio- feroral dele ant no Solhepring putet Blower ane No pedal adtrro and vo colt tendernest we Audores Rdordn 3s digiendad auth gravid Ultnt toee te a € pretence of finta wag and wes gravida Cmbitent coed 6S centrellig Cocated andl everted Aldore= iS soft ond ren tender Ctinteatty firder( herght 30 emonepreptete te dele Th rs singieton , feds ith cephalic pretentntion ond (ong ihotinal (es Baby's Leck is ot maternal {ele end fetot ports ef modtrnml’s ght. fetal fend sound is 1Si bpm we Par speculern = VUNA® jceruix Hentthy jos clot pubtheh discharge JF Niquoer Seen (Cough impulse megntve | celica mes posite Beil eae WURAP esMtem Eee ee tan, Gal, PROVISIONAL DIAGNOSIS : *8 yo, G8 P24) ot 22 weeks rh, peter praleboer pte Ff wambrare. (RO) INVESTIGATION: (RE = PERF Negative 2, Group screen and held ote S.C oreectve predtin 1s FA bleed court SMe ICY STE erat) TPT 2UF WO LWormn) STWR ENG LOL (rorene!) 5 High vaginal suo CaS = GBS ond aa enone ove condita *Protese oN sheccocyt 4 ec ee ecdune + Ceguave + Poraccters 930-32 warks + tee USB ha, tans v aus MANAGEMENT PLAN U Raith te eared (e(6 (2028) Vitel signs cnt menting, Dagtone heer BBS walks DHE Tel ane ag + PREM A Ges eve Cte BD fulen edutad fetal mavernent Stet gat charting Cinform snaiting) F welchot fer cheroommlenih's + EF weekly AFI 4 trasectig FAC ICRF ve faker pends 6 Vertilebe ard PREM counselling Nwadeheut AQzo4 fesielhy yam perarshatore Weng BP completa, eT PEAR ty HEY ATES SOOmg BO 1S Says we le ceghatentn BOOM BWO™ (62 . qd MAQSO4 compete! fore Oo change celerr (Foul we PROGRESS NOTES / DAILY MANAGEMENT DATETIME: 30(s [2023 CA #=) Servet iy Evening enuonds no more leaking jroo sQnd A Ainphes Of cenvmetens jno signs of chervaminenih't, No AY Vaading ne fiver sng att fuptl Symptoms, goed fete movenent jable TH TM iGeod voliee NO SOB, TO chet pain Olt 2 Alert , concious -Pinkrainmn ne 208 - f@ LEMS BEE HLso eon tg RE Fin PE Lethnin, Seo. tq, BAL 3.2 "Cc PIA: Soft nen-tender goed fete! anevenent puters 3 weeks, queer cinrently adeguole ean Cont. Ulta agen “mantrorng. = Stick. god charting T ANetcheut! Re chetoemnntinites ~ wrekig ata + Daptene UU) hooey ~Biweeny FBC (eRe REFLECTION AND DISCUSSION ON LEARNING ISSUES Rigttenal, wet. Factor SF _Sphome Uatinall (nitrite © MacMtere sprtow FEAOM s placental abruption, cenvical iRenmet tence - tmotlg, polshgdvameen’ jeonnechwe Aaeve. Deerdere, SHEN chronic. verona Meena OFS Calan InvaRk procedure a Sienfocasneret, Feta Blood someting? 2. fetal Hal factor of POA UConqinttnt muttigle pregnancy a.ermom VE PROM RP PROM = Rup of membrace before $a mphom teerbere sh. Sete Seta 5 DATE PREPARED : 20/5 (2023 Seeemnlg’y weeks weeks eneshnee Avast Name of medical student MOCK PATIENT RECORD 11 PATEINT DETAILS NAME? Alay Yong. stew Yien AGE: 36 yeae ha SEX: tome OCCUPATION iGevtrncamt Servant HOSPITAL NO.: scoas nana DATE OF ADMISSION: 2/5 (a2-4 DATE OF DISCHARGE HISTORY, Patient Complaint Sale, GPO wes recered te emergency Heper tment ith Kenplaint ef severR Suprapebic pain Cabdeminal pein) Suprmpute oven Sudden onset Crmmping in netune tNe cadres pein. Salona th nininal °V bleeding wo excerbating or releving Cactor Pp>prooe Poke Pacha ceemerienee 2 .cprecdany ofereagreneet (echoes eee ered Nea clare che ed une Pa gleoreets CO teal SE me Ore cceening Seen nt dave nh pated cere PePene to ED, Shes EN Rmenrntrernl wees SSeS fee eli Previous History eet) Aoibray cadieal, Wieser ~Surgical 1 MO Sorgen fprocedsuie doe ~Gbe Lhe STE Hee cnptanned preanencasNed on oce (cece. — Manet ke ath R maneerche at the age of (2 Seare regen ae cays, perpes, not full Seated. No pop Enter done before jne hittoy of eclepic pregnancy -Ctheuise ;ne neronbagin no dusgarceacia re poet CSN. Glued he “inte lemihel Lteding Social/Family History: Bon- smokey, Joes rot coname alechel ov take Mics Srunsipoeeieemiet Sfeus wis, mr Loe cu Romy Wissen fhe QniO te ee eet, yb jngey Fornily ~ oe eee Drugsillerey: - No brown food [Avge allergy aWelf an ong

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