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MEDICAL REPORT FORM

Date: August 18, 2015


Name of Patient: Astorga Romeo Alfonso
Hospital: Holy Child Hospital
Medical report is as follows:
Reason for admission:
Fever and thrombocytopenia
Medical History:
3 days prior to admission onset of high grade fever with body malaise and
watery stools.
Advised admission for possible admission.
Diagnosis:
Dengue Hemorrhagic Fever
Treatment, procedure and medication:
Fluid administration at 4liters/day. Strict montoring of HCT/PLT every 6 hours
with lowest platelet count of 60,000. Patient was stable throughout hospital course.
There was an episode of blood
Treating Doctors recommendation: (fit to travel, follow-up, or other assistance
required, etc.):
Improved, repeat CBC, Return after 3 days