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Clinical notes
Malaria and anemia
Kawempe National Referral Hospital
PDF20219 pages1.8 MB
The document captures the child's demographic data, presenting complaints, vital signs, and physical examination findings. It lists provisional and final diagnoses including severe malaria with anemia, pneumonia, and dehydration. Laboratory results show a positive malaria blood smear and hematology values indicating anemia and lymphocytosis. The treatment plan records intravenous artesunate, ceftriaxone, amoxicillin, and supportive care. The record is signed by Dr. Mwene, a junior medical officer, and dated 10 / 03 / 2021.
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