Station 36

Adam Leatherhead

Age: 6 years old male

Doctor

Patient’s Data​

Patient’s name: Adam Leatherhead 

Age: 6-year-old-male 

Past medical history

  • Bronchiolitis at 1 year of age  

Drug and Allergy History

  • No known drug allergy
  • Movicol – 2 sachets daily for constipation (Acute prescription) 

Alerts and QOFs

  • Up to date with immunization

Recent notes/consultation  

Seen by Mrs Penelope Brinkman (Nurse Access role) 6 months ago

Presenting Complaint: Mother reports constipation in patient

Examination: Abdomen soft, non-tender and no masses.  Heart rate: 109bpm, Temp 36.5

Plan: trial of Movicol-2 sachets daily. Encourage fibre diet, Worsening advice given

Mother, Ruby Leatherhead, has booked a telephone appointment to discuss concerns regarding