Urgent Care Summary Report


							
								
								
								
									
									
									standard dose given.


					
					
						
						
							
							
							
								
									
								
								
									
									
								
							
							
							
							
								
								
									
									
										
										
									
								
							
							
								
								
								
									
								
								
									
									
									
									
									
										
										
											John
											Partridge
										
									
								
							
							
								
								
								
									
									
									three times daily
								
							
							
								
								
								
									
									
									
								
							
						
					
					
					
						
						
							
							
							
								
									
								
							
							
							
						
					
					
					
						
						
							
							
							
								
									
								
							
							
							
						
					
					
					
						
						
							
							
							
								
									
								
							
							
							
							
						
					
					
					
						
						
							
							
							
								
									
								
							
							
							
								
								
							
							
								
								
									
									
								
							
						
					
					
					
						
						
							
							
							
								
									
								
							
							
							
								
								
							
							
								
								
								
								
								
									
									
									
									
									
										
										
											Polly
											Robertson
										
									
									
										
										
										Leeds City Out of Hours Centre
									
								
							
							
								
								
									
									
								
							
						
					
					
					
						
						
							
							
							
								
									
								
							
							
							
							
								
								
								
								
								
									
									
									
									
									
										
										
											Polly
											Robertson
										
									
									
										
										
										Leeds City Out of Hours Centre
									
								
							
						
					
					
					
						
						
							
							
							
								
									
								
							
							
							
							
								
								
								
								
								
									
									
									
									
									
										
										
											Jo
											Alexander
										
									
									
										
										
										Leeds City Out of Hours Centre
									
								
							
							
								
								
								
									
									
									
										
										Jane McInnes
									
								
							
						
					
					
					
						
						
							
							
							
								
									
								
							
							
							
							
								
								
								
								
								
									
									
									
									
									
										
										
											Jo
											Alexander
										
									
									
										
										
										Leeds City Out of Hours Centre
									
								
							
							
								
								
								
									
									
									
										
										Jane McInnes
									
								
							
						
					
					
					
						
						
							
							
							
							
						
					
					
						
						
							
							
							Presenting Information
							
								Call Handler: Jo Alexander, Health Advisor

													Caller: Jane McInnes (Mother)
								
								
							Mother report that child is screaming with ear pain and has a high temperature.
								
							
						
					
					
						
						
							
							
							Telephone Advice
							
								
							Clinician: Polly Robertson

													Consultation Time: 01-Aug-07 21:00 - 21:09
								
								
								
							
							
								
								
									
									
									History
									Started with cold symptoms this morning but is now screaming with ear pain. Mother has tried simple analgesics.
								
							
							
								
								
									
									
									Diagnoses
									
										Ear pain.
									
								
							
							
								
								
									
									
									Management
									
										
										
											
											
											Treatment
											
												Needs to be seen for face to face consultation. Appointment booked.
											
										
									
								
							
						
					
					
						
						
							
							
							Consultation at surgery
							
								
							Clinician: John Partridge, General Practitioner

													Consultation Time: 01-Aug-07 22:30 - 22:42
							
							
							
							
								
								
									
									
									History
									Started with cold symptoms this morning but is now screaming with ear pain. Mother has tried simple analgesics. In the past the child has had a febrile convulsion.
								
							
							
								
								
									
									
									Examination
									
										
											Right ear drum red and bulging 
											temperature 39.0 Celsius.
										
									
								
							
							
								
								
									
									
									Diagnoses
									
										
											Otitis Media
										
									
								
							
							
								
								
									
									
									Management
									
										
										
											
											
											Medication
											
												
													
														Amoxicillin syrup 125mg / 5ml three times daily. 100ml issued
													
													
														Paracetamol oral suspension to control temperature.
													
												
											
										
									
								
							
						
					
					
						
						
							
							
							Final Outcome
							
								
								
									
									
									Advice to Patient
									
										To see own GP if not better.