C09978185 / invoice 10000

Reason: Allergic Reaction?Appointment Notes: Overdue remindersReason: Allergic ReactionConsultation Time: History: BIOP since Nil hx previous major health problemsNil current prescription medicationsUTD vacc, worming. EDUD all WNLSubjective:  Objective: Temp     MM pink, moist  CRT <2   HR   FP BCS:   5/9                       Wt:  kgPain Score (CSU):   0/4CV:  Nil murmur/arrhythmia, FP = HR, readily palpable       RESP:   Resp effort normal, mild pant. Lung sounds clearGIT:   Abdomen relaxed and non painful. No discrete organomegaly on abdominal palpation. U/G:  NOADNeuro:  Mentation appropriateM/S:  Ambulatory, nil lamenessInteg:  . Ophth:  Pupils mid sized, symmetrical, visualLNs: Nil peripheral lymphadenopathyAssessment: Type 1, IgE mediated hypersensitivity reaction, localised cutaneous and GIT signs. Nil evidence of haemodynamic compromise. Primary dx dt wasp/bee sting. Anticipate resolution of signs over 12-24h.Small risk biphasic reaction. Options Offered to Client:Recommend conservative rx and monitoring. Revisit if any further concerns. O indicated comfortable with this. Treatment:Chlorpheniramine 0.5mg/kg SCDexamethasone 0.1mg/kg SCPlan:Confine and monitorRecheck ASAP if any concerns otherwise with RV if not 100% by tomorrow.===============================================================    Vital Signs