72 YO/ CHINESE/ FEMALE U/L: 1) BA X40YEARS -FOLLOW UP IN GP -MDI SALBUTAMOL 2 PUFFS PRN 2) H/O HOPSITAL ADMISSION IN AUGUST -TREATED

AS: AEBA SECONDARY CAP : OSTEOPOROTIC T12 COMPRESSION WITH KYPHOSIS PT IS REFERRED FROM KK TRO MEDENTERIC ISCHEMIA P/W 1) ABDOMINAL PAIN ON AND OFF X1/12 -CLAIMED FROM FRONT TO BACK -A/W COUGH WITH YELLOWISH SPUTUM -ABLE TO TOLERATE ORALLY 2) LL EDEMA X1/52 O/E ALERT, CONSIOUS BP 110/55 PR 59 RR 20 T 37 SPO2 98% (UNDER RA) LUNGS BASAL CREPITATIONS CVS S1S2 P/A UMBILICAL HERNIA, TENDERNESS NO PEDAL EDEMA UPON DISCHARGE, -PT COMFORTABLE -AMBULATING WELL -TOLERATING ORALLY WELL O/E ALERT, CONSCIOUS BP 129/70 RR 21 HR 92 T 37 LUNGS CLEAR CVS S1S2 P/A UMBILICAL HERNIA NO PEDAL EDEMA

UPON DISCHARGE, PT IS GIVEN -T. FRUSEMIDE 40MG OD -MDI BUDOSENIDE 2 PUFFS PRN -MDI SALBUTAMOL 2 PUFFS PRN -T. AUGMENTIN 625MG BD X5/7 -T. ASPIRIN 75MG OD -T. SLOW K 600MG BD -LMS CREAM LA -T. PARACETAMOL 1G PRN -T. CA LACTATE 300MG BD -T. ROCALTRIOL 0.25MCG OD

-T. OMEPRAZOLE 20MG OD DX: DECOMPENSATED CCF SECONDARY TO CAP BRONCHIAL ASTHMA HB 3.92 TWDC 7.9 PLT 383 UREA 2 SODIUM 135 POTASSIUM 4.3 CREATININE 64 FBS 3.8 T. CHOLETEROL 6.2 TRIGLYCERIDE 1.5 HDL 4.26 LDL 1.26 CXR: HAZZINESS OVER B/L BASE OF LUNG ECG:AF (SLOW)

-MEMO TO KK TO FOLLOW UP AND TO REVIEW ECHO -DO ECHO AS OUTPATIENT