Presenting Complaint

Headache for three days.
Feverishness.

History of Presenting Complaint

Patient reports a headache lasting three days.
Patient describes sensitivity to light, noting it feels a little dark when looking at light.
Patient does not feel in pain but reports feeling feverish.

Observations

Not discussed.

On Examination

Not discussed.

Plan

Vitamin tablet given.
Cyclizine prescribed, a few milligrams three times a day.

Safety Netting

Not discussed.

Recordings

Original (A7) — Play recording

Audit

Presenting Complaint

Headache for three days. [1]
Feverishness. [5]

History of Presenting Complaint

Patient reports a headache lasting three days. [1][2]
Patient describes sensitivity to light, noting it feels a little dark when looking at light. [3]
Patient does not feel in pain but reports feeling feverish. [5]

Observations

Not discussed.

On Examination

Not discussed.

Plan

Vitamin tablet given. [6]
Cyclizine prescribed, a few milligrams three times a day. [6][7]

Safety Netting

Not discussed.

References

[1] I'm going headache for the last three days.

[2] I've been having this well for three days now.

[3] When I look at the light, it feels like it's a little bit dark.

[4] And then when can I really...

[5] I don't feel like I'm in pain, but I feel a little bit feverish.

[6] I gave a vitamin tablet, cyclazine,

[7] and a few milligrams, three times a day.