                                                                                 Frela

                                                                                              Hospital

                    ATIENT INFORMATIC                                                                                         OP/IP No.          : OP654542
                                                               Shivan
                   Baby SAI ANJANAA                                                                                           Visit Date        : 13/09/2023 17:42
                                                               URID #               12018106945
                   SENTHILKUMAR                                                                                               STATUS             : Approved
                   DOB.          30/08/2016

                   AGE               7Y
                   GENDER       FEMALE
                                                                         Outpatient Visit Summary
                                                                Department of Paediatric Neurology

              VISIT INFORMATION
                                   RNTE299233
               Ref
                                   Follow-up
              Type                 Dr Shivan Kesavan , MBBS, MD(Pediatrics), DM(Pediatric Neurology)
               Amended By
               VITALS                                               Value
              Vital                                                  36.1 ·
               Hody Temperature                                      102 beats/min
              Pulse Rate                                            97 %%
              SPO2                                                   15.32 kg/m2
              BMI                                                   22.8 kg
              Weight
                                                                     122 cm
              Height
             OFD FOLLOW UP
             Part B (To Be Filled By Physicians )
                                                                   Reviewed
             Clinical Examination & Notes Summary
                                                                      Idiopathic focal epilepsy
             Provisional Diagnosis
                                                                      None
             Investigation Recommended
                                                                      EEG- Normal sleep and awake
             Result Review
                                                                      MRI Brain NAD

            Follow up / Admission Plan                                1 month

            Plan Of Care                                             Syp VINLEP (5ml/300mg) 1.5 ml-0-1.5 ml x 1 week, 2.5 ml-0-2.5
                                                                     ml to continue
                                                                     Adverse effects explained- STOP if rash+
                                                                     Video of event if recurs and review earlier SOS
                                                                     Seizure first aid as explained
                                                                     MIDAZOLAM NASAL SPAY (5mg/ml) 3+3 puffs if seizure > 5
                                                                     minutes




                                                                                                                                               Dr Shivan Kesavan
                                                                                                                                           Department of Pediatire -
                                                                                                                                                      Neurology




                                                                                                                                                                         Page Number:



                                                        Dr. Rela Institute & Medical Centre

ILC Works Road, Chromepet                                               www.relainstitute.com                                         24x7 Emergency Care: +91 44 6666
onai-600 044                                                         wecare a relainstitute.com                                                     Appointment:+91 44 6666
uil Nadu, INDIA.                                      A Unit of JR Super Speciality Hospitals Pvt. Ltd                                           General Enquiry:+91 44 7111

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