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Consultation Logbook - Correct Way

1. The logbook contains records of 5 patients seen at the health consultation on various dates from July 24 to November 8. It includes each patient's name, age, cell, chief complaint, working impression or diagnosis, medications prescribed, diagnostics ordered, and referral or management. 2. The patients presented with issues like headache and fever, diarrhea, foot ulcer, cough of 15 days, and headache with body pains and bruises. Diagnoses included leptospirosis, infectious diarrhea, diabetic foot ulcer, presumptive TB, and injury. Treatments involved medications, diagnostics, and referrals.

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79 views1 page

Consultation Logbook - Correct Way

1. The logbook contains records of 5 patients seen at the health consultation on various dates from July 24 to November 8. It includes each patient's name, age, cell, chief complaint, working impression or diagnosis, medications prescribed, diagnostics ordered, and referral or management. 2. The patients presented with issues like headache and fever, diarrhea, foot ulcer, cough of 15 days, and headache with body pains and bruises. Diagnoses included leptospirosis, infectious diarrhea, diabetic foot ulcer, presumptive TB, and injury. Treatments involved medications, diagnostics, and referrals.

Uploaded by

bella
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
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BJMP Health Consulation Logbook 1

Name of Patient Working Management


Date / Time Cell/ Source Chief Complaint NOD/ MD
No. (Surname, First name, Middle Age Dorm (SR, NN, Impression/ Referral Mode Remarks
HA) (Symptoms based) Diagnosis Medications Diagnostics Referral (Initials)
Initial)
11/8/2018
1 8:45am Magalang, Jose Pino 55 3 SR headache, fever T/C Leptospirosis TO Paracetamol U/A, CBC, CXR HGT/JPB

11/8/2018
Perfecto, Dimaculangan diarrhea,
2 10:00am Labis 60 2 SR loose watery stool 4x today
infective SMS loperamide HGT/JPB

11/8/2018
Diabetic Foot
2 11:00am Dela Cruz, Juan Antonio 56 1 HA foot ulcer
ulcer TO ciprofloxacin, metronidazole CBG, CBC HGT/JPB

7/24/2018 RHU
4 12:30pm Pulmon, Ricardo Baga 28 5 cough 15 days PresumptiveTB X Genexpert 7/25/2018 HGT

7/24/2018
5 1:00pm 23 4 TO HGT/JPB
Lomad, Arthur head ache, body pains, bruises injury ibuprofen skull x-ray AP/lateral

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