🩺 Record Detail

Patient Info

Name: Unknown
Age: Unknown
Date: 2026-08-12 19:05:00

Transcript

Doctor: patient has cough and fever for 3 days. Doctor: prescribed azithromycin 500 mg twice daily for 5 days. gave robitussin for cough

Clinical Notes

Clinical Note

Subjective

The patient reports having a cough and fever for the past 3 days.

Objective

The doctor observed symptoms consistent with a respiratory infection.

Assessment

The patient is assessed to have a likely respiratory infection, possibly bacterial given the prescription of antibiotics.

Plan

  • Prescribed Azithromycin 500 mg, to be taken twice daily for 5 days.
  • Recommended Robitussin for cough management.
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