Vitals

• Pulse : 64 Bpm
• Systolic BP : 100mmHg
• Diastolic : 60mmHg
• Spo2 : 100%
• BSA : 1.68
• Height : 159 cm
• Weight : 64 Kg
• Patient Direct from : Walk in / OPD
• Body Mass Index : 25.16 BMI
• Allergies : Pain near left chest, Pelvic salinity

Previous Medical History

The patient has a history of type 2 diabetes mellitus diagnosed in 2018, well-controlled on metformin. Additionally, the patient underwent appendectomy in 2020 without postoperative complications.

Clinical Notes

The patient presents with a 3-day history of worsening cough and fever, peaking at 38.5°C, noted for decreased appetite. Physical examination reveals bilateral wheezing and crackles on lung auscultation, suggestive of a respiratory infection.

Complaint

An account of the present illness, which includes the circumstances surrounding the onset of recent health changes and the chronology of subsequent events that have led the patient to seek medi

Medications

The patient has a history of type 2 diabetes mellitus diagnosed in 2018, well-controlled on metformin. Additionally, the patient underwent appendectomy in 2020 without postoperative complications.

Advice

An account of the present illness, which includes the circumstances surrounding the onset of recent health changes and the chronology of subsequent events that have led the patient to seek medicine

Lab Tests

1. Liver Function Tests (LFTs)

2. Hemoglobin A1c (HbA1c)

Follow Up

After 3 Months in empty Stomach

Lab test for Glucose Level