Overview
Hairul Nizam bin Zainal No known allergy
34y · Male · MRN MV-700151- Visit
- OP
- Clinician
- Dr. Michael S. H. Law
- Patient
- 1 of 5
Resident
- IC
- 911014-11-4333
- DOB
- 14/10/1991 · 34Y 11M 21D
Vitals
- BCVA
- OD6/18
- OS6/6
- IOP
- OD16
- OS17
- BP145/82
- Fall risk
- Not assessed
- Pain
- 2/10 NRS · 05/10
- Payor
- AIA BHD - CORPORATE
- GL
- RM 230 Issued
- Precaution
- None
- Allergies
- NKA
- Isolation
- None · no biohazard
- Diet / NBM
- None
- Blood
- AB Rh+
- Ht / Wt
- 179cm · 68.3kg
- BMI
- 21.3 · BSA 1.84
- NOK
- Nur Farah binti Yusof · Spouse
Diagnosis
2| H18.6 | Keratoconus Primary | |
| I10 | Hypertension |
Patient Visit
| Last Admission | None |
| Last Visit | 12/07 · Follow UpCornea & External Eye · Dr. Michael |
| Next Appointment | 03/04/27 · Review 6 moDr. Michael · Cornea & External Eye |
| This Visit | 05/10 · OP Follow UpCornea & External Eye · Dr. Michael · AIA BHD - CORPORATE |
Medical / Surgical History
2| Med | Hyperlipidaemia | 07/04/10 |
| Surg | Haemorrhoidectomy | 01/07/19 |
Family / Social History
Nothing recorded. Add family or social history with +.
Medication History
| None |
Internal Referral
No internal referral. Refer with +.
Service Charges
2 RM 190.00| Corneal Topography (Bausch + Lomb Orbscan IIz, OD) | 120.00 | |
| Consultation — Follow Up | 70.00 |
OT Booking
No theatre booking. Book with +.
Checkpoint History
7| 11:00 | Front desk | Arrived |
Eye Results
6| 05/10 | 12/07 | 19/04 | ||
|---|---|---|---|---|
| BCVA | OD 6/18OS 6/6 | OD 6/18OS 6/6 | OD 6/18OS 6/6 | |
| IOP | OD 16OS 17 | OD 16OS 18 | OD 16OS 17 | |
| CMT | -- | -- | -- |
Laboratory
No laboratory results. Order with +.
Diagnostic
1| Corneal topography05/10 · OD 54.6 · OS 45.5 D Kmax Abnormal |