Adobe Scan 10 Oct 2023
Adobe Scan 10 Oct 2023
ON EXAMINATION
Baby is Acrocyanosis+,CRT- 2 sec, peripheries warm.
AF- flat. Eyes, Ears, Skull, Oral cavity- Normal.
Nocongenital anomalies/dysmorphic features
senitalia-Normal.
pine- Normal, Hips- Stable.
CVS: S1, S2+
RS: B/LNVBS+
PA: Soft
CNS: New born reflexes optimal
EXAMNATION AT DISCHARGE:
Baby is pink, CRT 2 sec, peripheries warm.
AF- lat. Eyes, Ears, Skull, Oral cavity- Normal. Red reflex positive.
Genitalia- Normal
Spine- Normal, Hips- Stable.
CVS: S1, S2+
RS: B/L NVBS+
PA:Soft
CNS: New born reflexes optimal
1/2
DISCHARGE SUMMARY
10THER DETAILS: Mrs. Anusha O, 29 years, Primigravida at 39+1 weeks of Gestation with Cephalic
Presentation with hypothyroidism for Safe Confinement. Patient underwent Emergency LSCS under SA on
02/10/2023.(IND: Non reassuring NST)
Blood group:"0" Positive
BIRTH DETAILS:
Girl baby was born on 02/10/2023 at 10:08PM by Emergency LSCS with birth weight 3.62kg. Baby cried
immediately after birth with APGAR of 9/10 at Imin and 10/10at 5 min. Sugars were monitored and remained
normal with brcast milk and formuia feeds. Baby is eeing well, vitals stable, passing urine well. SBR done
after 36 hours was below phototherapy range and hence planned for discharge.
ON EXAMINATION
Baby is Acrocyanosis+, CRT- 2sec, peripheries warm.
AF- flat. Eyes, Ears, Skull, Oral cavity- Normal.
Nocongenital anomalies/ dysmorphic features
denitalia-Normal.
Jpine- Normal, Hips- Stable.
CVS: S1, S2+
RS: B/L NVBS+
PA: Soft
CNS: New born reflexes optimal
EXAMINATION AT DISCHARGE:
Baby is pink, CRT 2 sec, peripheries warm.
AF- flat. Eyes, Ears, Skull, Oral cavity- Normal. Red reflex positive.
Genitalia- Normal
Spine- Normal, Hips- Stable.
CVS: S1,S2+
RS: B/L NVBS+
PA:Soft
CNS: New born reflexes optimal
1/2