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What are theses tell me
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This is a medical prescription written by Dr. M. Khan (M.S., Surgical Specialist) at Govt. District Hospital, Ujjain. Here's a breakdown of everything on it:
Patient Details
- Name: Majma (माजमा)
- Age: 35 years, Female
- Obstetric history: G4P4 (4 pregnancies, 4 deliveries)
Diagnosis / Complaints
- Pyuria - pus cells in urine (sign of urinary tract infection or pelvic infection)
- Right Adnexal tenderness - pain/swelling near the right ovary/fallopian tube
- This suggests a possible Pelvic Inflammatory Disease (PID) or urinary/adnexal infection
Tests Advised
- USG Pelvis (Ultrasound) - to check the uterus, ovaries, and adnexa
- ECG - heart check (routine pre-admission workup)
- Hourly urine output monitoring (values noted: 17 → 15 → 12 → 8 ml/hr, which is declining and needs close watch)
Medicines Prescribed
| Medicine | What it is | Dose | Duration |
|---|---|---|---|
| Tab Chymoral Forte 300 | Enzyme (Trypsin-Chymotrypsin) - reduces swelling & inflammation | 1 tablet twice daily | 5 days |
| Tab Triflav (Flavoxate) 80mg | Urinary antispasmodic - relieves painful/frequent urination | 1 tablet twice daily | 5 days |
Other Notes
- Admission advised - the doctor recommended hospital admission
- No Oophorectomy (Right) - a note that the right ovary should NOT be surgically removed (decision noted)
- Date at bottom appears to be 13/7 (July 13)
Important: Please follow up directly with Dr. M. Khan regarding the admission advice and urine output concern. The declining urine output noted on this prescription warrants medical attention.
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