Table 2.
A summary of entries into a critically ill patient's chart in the post partum period
| Day one-15.15 |
| Delivered 7 days ago |
| Chronically ill looking, pallor, Chest- AE down bilaterally, dull on percussion, S1, S2 normal, pus aspirated on both sides |
| R/O (sic.Rule out) RVD (sic. HIV) |
| CXR, FBC,ESR,LFT,ICD,VCT,ATT |
| Day 2 |
| VCT requested- Cotrimoxazole given |
| Day 3 |
| Follow up lab tests, VCT |
| Day 4 |
| No entry |
| Day 5 |
| Follow up lab tests, VCT |
| Day 6 |
| Follow up lab tests, VCT, consider ICD, Surgeon to see |
| Day 7 |
| Repeat lab tests, VCT, surgeon to see, trace lab results |
| Day 8 |
| Repeat lab tests, surgeon to see, trace lab results |
| Day 9 |
| Repeat CXR, follow up on lab results, surgeon to see |
| Day 10 |
| R/O RVD (sic HIV), follow up lab results, VCT, repeat U/E, LFT |
| Day 11 |
| FBC/ESR, Urgent HB, CXR, Surgical consultation, Lasix, CST, O2 therapy |
| Day 12 |
| Surgical consultation, CXR, Trace lab results |
| Day 13 |
| VCT |
| Day 14 |
| VCT, RPR, surgical consultation |
| Day 15 |
| VCT, RPR |
| Day 16 |
| Add slow K, Prednisolone |
| Day 17 |
| (Not seen in am) |
| Certified dead at 14.26 |