SCD CLINIC REVIEW

SEEN AT SCD CLINIC AGE 11 YEARS VITALS TEMP __ *C RR: __ CPM SPO2:__ % PULSE: __ BPM WT __ KG KNOWN SICKLE CELL DISEASE GENOTYPE (SS) COMING FOR REVIEW CURRENT MEDICATIONS HU 500MG OD MON-WED, 1G ON THURSDAY TO SUNDAY (25.3/KG) ZINCOVIT 10 ML OD FOLIC ACID 5ML OD C/O : NIL ODQ : DARK COLOURED URINE- JOINT PAINS- FEVER- ABDOMINAL PAIN- JOINT SWELLING- YELLOWISH DISCOLOURATION OF SCLERA-, DIFFICULTY BREATHING-, CHEST PAIN OE: __GENDER__ CHILD IN NO OBVIOUS RESP DISTRESS NOR PAIN, NOT PALE, __NOT JAUNDICED, _AFEBRILE, HYD FAIR RR: CHEST EXPANSION IS ADEQUATE AND SYMMETRICAL, AE ADEQUATE BIL, BS VESICULAR NO ADDED SOUND CVS: S1 + S2 NO MURMUR ABD: FULL, MWR, NON TENDER, NO MASSES NO ORGANOMEGALY CNS: GROSSLY INTACT, GCS 15/15 CONSCIOUS AND ALERT, ORIENTED TO TIME PLACE AND PERSON IMPRESSION - SICKLE CELL DISEASE( SS GENOTYPE) PLAN HU TO __ MG/KG. 500MG OD ZINCOVIT 11 ML OD FOLIC ACID 5MG OD FBC AND RETIC COUNT FOR NEXT VISIT REVIEW ON __