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LOVE-CLERKING

A few days ago, we discussed clerking.
We’d use that basic knowledge in clerking an individual presenting with certain complaints.
History Taking
Biodata: Patient X is a 22 year old male Afghanistan student.
Presenting complaints: Tachycardia, Sleeplessness, lack of focus
History of presenting complaints: first symptom- insomnia (sleeplessness), followed by tachycardia (increase in heart beat), and then, loss of focus. First noticed about 3 weeks ago.
Past medical history: Relatively healthy individual, treated for malaria 2 months ago. Has no history of insomnia or tachycardia.
Physical Examination
Examine cardiovascular system with stethoscope. Examine the lungs as well as the neurological system.
Provisional diagnosis
Patient is undergoing mental stress, and this is taking a toll on his heart and brain
Investigations
Laboratory tests are carried out on patient’s blood
Due to the neurological and psychological nature of this problem, other areas are also investigated; and personal questions may need to be asked, so as to come to a differential diagnosis and to know the mode of treatment.
Differential diagnosis
Patient is in love
Treatment
Prescribe bed rest
Marriage (?)
Prognosis
Non-preventable condition especially on first attacks
Guard heart






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