Overview
Nurul Izzah binti Abdul Malik Allergy · Latex
79y · Female · MRN MV-709542- Visit
- OP · Glaucoma · 10:10
- Clinician
- Dr. Michael S. H. Law
- Patient
- 3 of 5
Resident
- IC
- 470810-12-4854
- DOB
- 10/08/1947 · 79Y 1M 25D
Vitals
- BCVA
- OD6/12
- OS6/9
- IOP
- OD22, above range
- OS14
- BP145/89
- Fall risk
- Not assessed
- Pain
- 0/10 NRS · 05/10
- Payor
- MICARE SDN BHD
- GL
- Short RM 1,949.2
- Precaution
- None
- Allergies
- Latex
- Isolation
- None · no biohazard
- Diet / NBM
- Blood
- AB Rh+
- Ht / Wt
- 170cm · 65.2kg
- BMI
- 22.6 · BSA 1.75
- NOK
- Wan Nurul binti Salleh · Child
Diagnosis
2| H40.1 | Primary open-angle glaucoma Primary | |
| E78.0 | Hypercholesterolaemia |
Patient Visit
| Last Admission | None |
| Last Visit | 26/07 · Follow UpGlaucoma · Dr. Michael |
| Next Appointment | 02/11 · IOP reviewDr. Michael · Glaucoma |
| This Visit | 05/10 · OP Follow UpGlaucoma · Dr. Michael · MICARE SDN BHD |
Medical / Surgical History
2| Med | Essential (primary) hypertension | 07/12/10 |
| Surg | Haemorrhoidectomy | 15/07/17 |
Family / Social History
Nothing recorded. Add family or social history with +.
Medication History
| Timolol 0.5% 5 ml Eye drops1 drop BD OD · Eye · long-term | ||
| Latanoprost 0.005% 2.5 ml Eye drops1 drop ON OD · Eye · long-term |
Internal Referral
No internal referral. Refer with +.
Service Charges
6 RM 2,039.20| Consultation — Follow Up | 100.00 | |
| Fundus Photography (Topcon TRC-NW400, OD) | 60.00 |
OT Booking
No theatre booking. Book with +.
Checkpoint History
3| 10:41 | Clinic | Arrived |
Eye Results
13| 05/10 | 26/07 | 18/05 | ||
|---|---|---|---|---|
| BCVA | OD 6/12OS 6/9 | OD 6/12OS 6/9 | OD 6/12OS 6/9 | |
| IOP | OD 22OS 14 | OD 24OS 14 | OD 26OS 14 | |
| CMT | OD 258OS 274 | -- | -- |
Laboratory
No laboratory results. Order with +.
Diagnostic
4| Visual field Humphrey05/10 · OD -8.7 · OS -1.2 dB MD Abnormal | |
| OCT RNFL05/10 · OD 60 · OS 93 µm Abnormal |