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Edith Bless
Demographics
Name
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Phone Number
Age (years)
Sex
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Male
Female
NHIS Status
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Active
Inactive
None
Vitals
Weight (kg)
Height (cm)
BMI (auto)
34.7
Obese
BP Systolic (mmHg)
BP Diastolic (mmHg)
Pulse (bpm)
Temperature (°C)
Blood Sugar (mmol/L)
Blood Sugar Type
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Random
Fasting
Hb (g/dL)
Hepatitis B
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Positive
Negative
Clinical
Complaint
Complaint Duration
Examination Findings
Odq: palpitations+(intermittently), dizziness-, easy fatigue+, bleeding from orifices- Dhx: losartan 50 mg od Exams: Generally stable
Treatment Plan
To add nifedipine 30 mg od to meds CT losartan To do bp profile for a week To do supp pmol 500 mg prn Iron III 100 mg bds X 30 days Vit c 100 mg tds X 14 days Folic acid 5 mg od X 30 days Review with bp profile Counselled on good nutrition
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