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Case scenarios
Mulago case Trisomy 21, ACHD, pneumonia
Mulago Hospital
PDF20219 pages1.3 MB
The document captures the initial admission data, physical examination findings, and clinical history of a premature infant with recurrent chest infections, cyanotic congenital heart disease, and poor growth. It includes vital signs, anthropometric measurements, and a comprehensive assessment of airway, breathing, circulation, and disability. The treatment sheet outlines the prescribed intravenous antibiotics (ampicillin and amikacin), nutritional support with F75 formula, and nasogastric feeding. The record also notes maternal HIV exposure, immunisation status, and social background. The case is dated March 2021 and signed by Dr. Nalubega.
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