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Here is a polished summary of the handover information from the image (with no names):
Summary – 15 July 2025
Patient Overview:
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Presenting Problem: Pyrexia of unknown origin (PUO)
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Recent Events:
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Disseminated TB; treatment initiated 4 weeks ago.
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Appendectomy performed on 7 June 2025.
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Crohn’s disease – treatment currently on hold due to TB.
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Admitted from 7–27 June 2025 due to post-operative fever and tachycardia; found to have TB.
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Investigations & Results:
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Bloods: CRP 64.6, Hb 109, WCC 13, Na 134, K normal, ALT 39.
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CRP previously 25, spiked again on 12 July at midday.
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CXR (11 July): No abnormalities detected.
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Stool MCS, abdominal USS, extended NPA (sent 13 July).
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Discussed with Paediatric Infectious Diseases and Junior Registrar.
Treatment:
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On IV ceftriaxone since 14 July.
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Daily IV antibiotics.
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TB treatment ongoing; further evaluation needed for possible pulmonary TB (FPP3 mask advised).
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Clarification with Infection Prevention & Control (IPC) scheduled for 14 July regarding required PPE.
Discharge Planning:
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Repeat LFTs to be considered prior to discharge due to previous ALT elevation (follow-up if not done during admission).
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Parents have expressed concern about premature discharge if afebrile, fearing recurrence of fever at home and potential readmission. Request has been made for discharge planning to be discussed with them in advance.
Welfare: No additional concerns noted.
PEWS: 0–4
VTE: Not specified
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