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Case 41 · Sophie, 5
Data Gathering
00:00 / 06:00
Clinical Mgmt
00:00 / 06:00
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Patient
Sophie Morgan
Case 41
Age
5
Gender
Female
Speaking with: Lisa (Sophie's mum)
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Doctor Notes
Patient Information
Name: Sophie Morgan
Age: 5 years
Gender: Female
Accompanied by: Lisa Morgan (mum)
Current Appointment

Mum Lisa Morgan has brought Sophie in following A&E discharge. Anaphylaxis at birthday party yesterday — peanut exposure. A&E letter requests: (1) prescribe 2x adrenaline auto-injectors, (2) refer to paediatric allergy clinic, (3) provide allergy action plan.

Medical History
Past Medical History

Known peanut allergy (mild urticaria previously), Mild asthma

Drug History

Salbutamol 100mcg MDI 2 puffs PRN. NKDA (except peanuts — anaphylaxis)