I want to send pus culture icd done 1100 ml came out

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I can see this is a hospital inpatient case record from JJ Neo Life Hospital for a patient with respiratory complaints. Let me analyze the image in detail.

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Here is a draft clinical note / referral message based on the patient record and your additional information (ICD done, 1100 ml pus drained):

To: [Lab / Microbiology Department] From: JJ Neo Life Hospital, Ramanathapuram

Re: Pus Culture & Sensitivity Request

Patient Details:

Name: Mr. Nagalingam
Age / Sex: 45 years / Male
IP No.: AA 15880 A1
Address: 1/73, Uppur Post, H/O Kallyammal, R.S. Mangalam Taluk, Ramanathapuram Dt.
Date of Admission: 31/07/2026 at 11:45 AM
Contact: 7548888793

Diagnosis: Empyema / Pleural Collection (Suspected)

Procedure Done: ICD (Intercostal Drainage) Insertion

Sample Details:

Sample Type: Pus / Pleural Fluid
Volume Drained: 1100 ml
Date / Time of Collection: 01/08/2026

Clinical Details:

C/o shortness of breath (dyspnea) with RS wheeze
C/o cough with expectoration
C/o on/off giddiness
H/O smoking (stopped ~10 years ago), alcohol (stopped ~3 months ago)

Vitals at Admission:

SPO2: 98%
Pulse Rate: 78/min
BP: 120/80 mmHg

Investigation Requested:

Pus Culture & Sensitivity (C/S)
Please also consider: Gram stain, AFB smear (if TB empyema suspected given history)

You can copy and adapt this as a lab requisition form or WhatsApp message to the lab. Let me know if you want it formatted differently or need any additions (e.g., requesting LDH, protein, glucose on the fluid for Light's criteria).

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