C09987321 / invoice 20000

Appointment Notes: ADMIT FOR CHEST X-RAY  JH  ------- Sms reply: YHistory: - RRR 28 last night, but it was contend when his breathing was a bit irregular - Hacking cough when playing/eating/randomly (not something new) Examine: - Propofol slow IV given to effect to observe larynx during breathing: soft tissue inflammation and swelling, elongated soft palate, white phlegm ++, no obvious evidence of laryngeal paralysis - Butorphenol 0.5ml IV given and Chest X-rays performed - Minor era clean with otoflush Assessment: - Suspected inflammation+/- inflammation of the larynx causing worsening of stertors - Elongated soft palate - Chest x-rays clear Plan: - Blood taken. O to drop off urine - Continue with Pred: 10mg SID for 3-5d, followed with 5mg EOD till finished     Vital Signs    MMColour: Pink;       Neck: Abnormal (Hacking cough on tracheal palpation );       Heart: Normal;       Lungs: Normal (clear lung sound );       Demeanour: BAR;       Temperature: 38.8;       HeartRate: 80;       BodyScore: 5;       CRT: Less than 1;       

02/03/2026 6:15:48 PM JL:Maintain 7.5 mg prednisolone daily alongside the antibiotics    Vital Signs