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    Fever Clerking Sheet KKBSP

    Uploaded by

    Ed Thomas
    This fever clerking sheet collects information about a patient presenting with fever including their name, contact details, medical history, symptoms, exam findings, investigations, diagnosis, and management plan. Key information collected includes temperature, presence of cough or sore throat, gastrointestinal symptoms, red flags like bleeding, lethargy or confusion. Blood tests such as full blood count, dengue serology and COVID testing may be done. Based on results, patient may be isolated, treated as an outpatient, or referred for further care.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Fever Clerking Sheet KKBSP

    Uploaded by

    Ed Thomas
    261 views2 pages
    This fever clerking sheet collects information about a patient presenting with fever including their name, contact details, medical history, symptoms, exam findings, investigations, diagnosis, and management plan. Key information collected includes temperature, presence of cough or sore throat, gastrointestinal symptoms, red flags like bleeding, lethargy or confusion. Blood tests such as full blood count, dengue serology and COVID testing may be done. Based on results, patient may be isolated, treated as an outpatient, or referred for further care.

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    Fever Clerking Sheet Kkbsp

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    This fever clerking sheet collects information about a patient presenting with fever including their name, contact details, medical history, symptoms, exam findings, investigations, diagnosis, and management plan. Key information collected includes temperature, presence of cough or sore throat, gastrointestinal symptoms, red flags like bleeding, lethargy or confusion. Blood tests such as full blood count, dengue serology and COVID testing may be done. Based on results, patient may be isolated, treated as an outpatient, or referred for further care.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    261 views2 pages

    Fever Clerking Sheet KKBSP

    Uploaded by

    Ed Thomas
    This fever clerking sheet collects information about a patient presenting with fever including their name, contact details, medical history, symptoms, exam findings, investigations, diagnosis, and management plan. Key information collected includes temperature, presence of cough or sore throat, gastrointestinal symptoms, red flags like bleeding, lethargy or confusion. Blood tests such as full blood count, dengue serology and COVID testing may be done. Based on results, patient may be isolated, treated as an outpatient, or referred for further care.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    FEVER CLERKING SHEET KKBSP

    Date & Time: ______________________

    NAME

    IC / PASSPORT PHONE NO

    AGE / SEX VACCINATION


    STATUS
    ADDRESS

    Medical Illness: _________________________________________ LMP: __________________

    Fever Nausea / Vomiting: ____ episodes / day


    Day: ______
    Cough / Sore throat Diarrhea: ____ episodes / day
    SYMPTOMS
    Flu / Nasal congestion Dizziness / Headache

    Anosmia / Ageusia Others:

    Myalgia / Arthralgia

    Persistent GI loss over 24H Spontaneous bleeding tendency

    Abdominal pain / Tender liver SOB / Rapid breathing


    RED FLAG
    Significant lethargy / Less active Poor oral intake

    Restlessness / Confusion Syncope

    Third space fluid accumulation Others:


    _______________________________

    General: Well / Lethargic / Tachypneic Hydration status: Good / Dehydrated


    BP: HR: RR: Temp: SpO2:
    EXAMINATION
    PP (SBP – DBP): DXT: Weight (kg): Height (cm): BMI:

    Peripheries Warm / Cold Lungs: Other systems:

    CRT <2s / ≥ 2s CVS:

    Pulse Volume Good / Weak PA:


    CXR
    FBC: TWC _______ / Hb _____ / HCT _____ / PLT ______ Findings:
    *↑HCT with rapid ↓ Plt is warning sign for DF
    INVESTIGATIONS
    Dengue Combo: NS1 ____ / IgM ____ / IgG _____

    UFEME: UPT: Pos / Neg

    COVID Test PCR / RTK / Saliva : Positive / Negative

    PTB workout / RP / LFT / ESR


    Others: ECG:

    DIAGNOSIS

    T/O Isolation Room Discharged, with:


    Passover to _______________
    Syr / T. PCM ______mg TDS/QID x 1/52

    Syr/T. Chlorpeniramine ____mg TDS x 1/52

    Syr Diphenhydramine 10mls TDS x 1/52

    Syr/T. Bromhexine ____mg TDS x 1/52

    MANAGEMENTS
    _________________________________

    _________________________________

    _________________________________

    _________________________________

    _________________________________
    Referral to: TCA: (if any)

    MC (if given): Clerked by:


    Date: ____________till _____________
    MC Number: ______________________

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