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created_time: 2025-11-28T16:58:16.272Z
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ocr_text: INE CENTER ms a)\nKishore R. Pandey MBBS MRCP/ Samrat Bashyal, MDGP/\nUpdate on 23" April'2019:\nDiagnosis:- Acute bacterial Diarrhoea with dehydration\nDate Of Admission:-21** April 2019\nChen had 4-5 episodes of loose stool yesterday. It was associated with mild abdominal cramps.\nand bloating. He feels slightly better in the morning. On exam: T: 37.8c max, Sa02:95%, BP:\n120/80mmHg, RR: 20/min, Per abdomen: Soft with mild tenderness all over the abdomen.\nChen is on third dose of Azithromycin today. We have repeated the creatinine level, white count\nand CRP today. His Haematocrit is 33.3% WBC 5600/cmm Polys 76%. BUN 15.1mg/dI Creatinine\n1.2mg/di Sodium 140mEq/L Potassium 3.7mEq/L. C-Reactive Protein 156mg/L. He has been\ndischarged to go to the hotel and is advised to come for follow up on the 25% April 2019.\nSincerely,\na.\n‘Durga Bhandari, MD\nKishore R. Pandey (Sos, 2\nCIWET Hospital Pt. Lid, 4 &\nKathmandu, Nepal ea 4
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