C10026348 / invoice 10000

Reason: Swollen Face - Skin CheckAppointment Notes: Overdue remindersHistory: Noticed face swollen last night and still slightly this morning No v/d/Didnt give food this morning Feels less interested in food the last 3 days but O has also been away Examine: BAR, CRT <2, P&M MM, bcs 5/9 (stable) HR 100, RR 32, strong and synchronous pulse Temp 38.1RHS of face looks slightly more oedematous than the LHS No dental signs visibleBoth extremities of the pinnae slightly swollen and warm on touch Comfortable on abd palaptionRest of LN WNL Assessment: Possible adverse reaction Treatment: Niramine 0.5ml sc Dex 0.25ml sc Plan: Discussed reduced appetite does not seem consistent with todya's findings. If no improvement or if still has reduced appetite to bring back in for bloods.    Vital Signs    Weight: 9.2;