🩺 Record Detail
Patient Info
Transcript
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<tbody><tr><td id="fragmentid_1"><div><p><strong class="Doctor">Doctor</strong>: Hi Rajni, how are you?</p></div></td></tr><tr><td id="fragmentid_2"><div><p><strong class="Patient">Patient</strong>: I am good sir. Actually I am having severe stomach pain.</p></div></td></tr><tr><td id="fragmentid_3"><div><p><strong class="Doctor">Doctor</strong>: Till we wear exactly the pain is.</p></div></td></tr><tr><td id="fragmentid_4"><div><p><strong class="Patient">Patient</strong>: Just somewhere near the lower abdomen.</p></div></td></tr><tr><td id="fragmentid_5"><div><p><strong class="Doctor">Doctor</strong>: Do you have any other symptoms?</p></div></td></tr><tr><td id="fragmentid_6"><div><p><strong class="Patient">Patient</strong>: No doctor.</p></div></td></tr><tr><td id="fragmentid_7"><div><p><strong class="Doctor">Doctor</strong>: What did you eat last night?</p></div></td></tr><tr><td id="fragmentid_8"><div><p><strong class="Patient">Patient</strong>: I had dinner party with friends in a restaurant.</p></div></td></tr><tr><td id="fragmentid_9"><div><p><strong class="Doctor">Doctor</strong>: That's the reason, don't worry. I am prescribing you some medicines. Take them regularly for three days and avoid eating outside food. Medicine prescribed, metrogel 400 twice daily after food. Pan 40 before food in the morning empty stomach. Follow up after three days and don't have any outside food.</p></div></td></tr></tbody>
Clinical Notes
Clinical Notes
Doctor: Dr. DOCTOR_NAME
Patient: PATIENT_NAME
Date: SESSION_DATE
Symptoms:
Chief Complaints: Patient presented with severe stomach pain localized near the lower abdomen.
Findings:
General Examination Findings: No other symptoms reported by the patient.
Medical History:
History of present illness: Patient mentioned having dinner at a restaurant with friends the previous night.
Medicines:
Prescribed Medicines:
1. Metrogel 400 - Twice daily after food.
2. Pan 40 - Before food in the morning on an empty stomach.
Diagnosis:
Diagnosis after General examination: Stomach pain due to outside food consumption.
Investigation:
Advised Investigations: None
Instruction:
General Instructions: Patient advised to take prescribed medicines regularly for three days, avoid eating outside food, and follow up after three days.
Follow up:
Follow up: After three days.