Paeds ED Admission

Introduction: [introduced self and job role (if applicable)] Chief Complaint - Presenting Issue: [Brief description of the presenting issue or complaint] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) - [Details of the reason for visit, current issues including relevant signs and symptoms, as well as associated signs and symptoms] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) Past Medical History - [Any known chronic medical conditions] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) - [Details of previous surgeries or hospitalizations] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) Pregnancy and labour: - [any complications in pregnancy, term at birth, delivery method, any post natal information] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) Drug History - Medications: [Current medications and dosages] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) - Allergies: [Any known allergies, particularly to medications] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) Family History - [Relevant family medical history (if applicable)] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) Social History - [Current or past smoking history (if applicable)] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) - [Alcohol consumption habits (if applicable)] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) - [Any illicit drug use (if applicable)] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) - [Current or previous occupation (if applicable)] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) - [recent travel information (if applicable)] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) - [any social worker involvement (if applicable)] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) Physical Examination - Vital Signs: [Blood pressure, heart rate, respiratory rate, temperature, oxygen saturation (if applicable)] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) - General examination: [General state of health and any notable findings (if applicable)] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) - Airway: [any breathing support or oxygen requirements (if applicable)] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) - Breathing: [work of breathing, percussion, Breath sounds, any wheezes or crackles (if applicable)] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) - Cardiovascular: [Heart rate, rhythm, and any murmurs, perfusion, capillary refill time, pulses (if applicable)] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) - Disability: GCS score, blood glucose, behaviour (if applicable)] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) - ENT: [right and left ear, nose and throat examination (if applicable)] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) - Abdo: [observation, percussion, Palpation, bowel sounds, any tenderness (if applicable)] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) - MSK: [Range of motion, strength, any deformities (if applicable)] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) - Neuro: [Mental status, cranial nerves, coordination, reflexes (if applicable)] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) Investigations - Pathology: [Blood tests, urine tests, etc. (if applicable)] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) - Imaging: [X-rays, CT scans, MRIs, etc. (if applicable)] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) - Other Investigations: [ECG, ultrasound, etc. (if applicable)] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) Assessment - [Presumed diagnosis based on consult summary] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) - [Differential diagnosis (if applicable)] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) Plan/Treatment - Immediate Management: [Details of treatment administered in the ED (if applicable)] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) - Investigations: [Plans for additional diagnostic tests (if applicable)] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) - Referrals: [Referrals to specialists, seniors or other departments (if applicable)] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) - Discharge & Follow-up Instructions: [Instructions for patient discharge and follow-up (if applicable)] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) (For each section, only include if explicitly mentioned in transcript or context, else omit section entirely. Never come up with your own patient details, assessment, plan, interventions, evaluation, or next steps—use only the transcript, contextual notes, or clinical note as reference for all information. If any information related to a placeholder has not been explicitly mentioned, do not state that in the output; simply leave the relevant placeholder or section out entirely. Use as many lines, paragraphs, or bullet points as needed to capture all relevant information from the transcript.)