Presenting Complaint

Headache
Difficulty breathing
Fever

History of Presenting Complaint

Not discussed

Observations

O2 93% on room air
BP 106/70
Temp 38.0

On Examination

Not discussed

Plan

Not discussed

Safety Netting

Not discussed


Audit

Presenting Complaint

Headache [1]
Difficulty breathing [1]
Fever [1]

History of Presenting Complaint

Not discussed

Observations

O2 93% on room air [2]
BP 106/70 [2]
Temp 38.0 [2]

On Examination

Not discussed

Plan

Not discussed

Safety Netting

Not discussed

References

[1] [S1] 00:01 — Headache. Difficulty breathing. Fever.

[2] [S2] 00:08 — So are the SpO2 for this patient. Is 9,393% on room air okay. Please update the report. Blood pressure. Blood pressure is 100 106 over 70. And then temperature is 38.0. What else? Okay. Please update the report.