The medical certificate is for a 9 month old Taiwanese baby named Kiu Tie who presented at Gracia Clinic in Bali with a fever. On examination, the baby had a temperature of 38.22°C, pulse of 88 beats per minute, and respiration rate of 18 breaths per minute. The diagnosis was acute pharyngitis. Treatment prescribed was paracetamol syrup and pseudoephedrine syrup. The family was advised to check for blood analysis if fever did not improve in 3 days and to give warm compresses, plenty of fluids, and avoid spicy foods until symptoms resolved.
The medical certificate is for a 9 month old Taiwanese baby named Kiu Tie who presented at Gracia Clinic in Bali with a fever. On examination, the baby had a temperature of 38.22°C, pulse of 88 beats per minute, and respiration rate of 18 breaths per minute. The diagnosis was acute pharyngitis. Treatment prescribed was paracetamol syrup and pseudoephedrine syrup. The family was advised to check for blood analysis if fever did not improve in 3 days and to give warm compresses, plenty of fluids, and avoid spicy foods until symptoms resolved.
The medical certificate is for a 9 month old Taiwanese baby named Kiu Tie who presented at Gracia Clinic in Bali with a fever. On examination, the baby had a temperature of 38.22°C, pulse of 88 beats per minute, and respiration rate of 18 breaths per minute. The diagnosis was acute pharyngitis. Treatment prescribed was paracetamol syrup and pseudoephedrine syrup. The family was advised to check for blood analysis if fever did not improve in 3 days and to give warm compresses, plenty of fluids, and avoid spicy foods until symptoms resolved.
The medical certificate is for a 9 month old Taiwanese baby named Kiu Tie who presented at Gracia Clinic in Bali with a fever. On examination, the baby had a temperature of 38.22°C, pulse of 88 beats per minute, and respiration rate of 18 breaths per minute. The diagnosis was acute pharyngitis. Treatment prescribed was paracetamol syrup and pseudoephedrine syrup. The family was advised to check for blood analysis if fever did not improve in 3 days and to give warm compresses, plenty of fluids, and avoid spicy foods until symptoms resolved.
Age : 9 month Nationality : Taiwan Address at Bali : Hilton Bali resort Room Number : 712
ANAMNESIS (11.30 AM)
Chief complaint : fever Patient (baby) come to clinic with chief complaint fever since yesterday. Patient also complain of flu and wet cough. Patient have had taken antipyretic drug which his mother brought by herself from her country. Patient have no complain of urination and defecation. He also have good appetite . No history of allergic to medicine.
PHYSICAL EXAMINATION VITAL SIGN o Pulse : 88 times/minute; o Respiration Rate : 18 times/minute o Temperature : 38,22̊ C o Blood Pressure : - o Body weight : 10 kg Status General Eye : no sign of anemia, not icteric, shrunken eyes -/- ENT : elaborated more in local examination Chest : Heart : S1S2 Single regular, murmur (-) Lung : ves +/+, rh -/-, wh -/- Abdomen : bowel sound (+) normal, distention (-) Extremity : Warm on four extremities, CRT < 2 sec Local Examination : ENT: pharynghiperemis (+), mucous (+) DIAGNOSA : Acute Pharyngitis
THERAPY : - Praxion syr (paracetamol micronized) 3 x 5 cc
- Alco syr (Pseudoephedrine HCl) 3 x 5 cc
PLANNING : If the fever doesn’t relieve in 3 days, please check blood analysis
SUGGESTION : - warm compress in his body
- take plenty of warm water - avoid any seasoning until symptomps relieved
