3. 0 Based on 2. 0, manage the patient'. s fever if such sign and syn1ptom is present. 4. 0 Based on 2. 0, advise the patient to avoid oily or fatty foods and alcoho Hc beverages. · 5. 0 Provide the doctor \vitb appcopriate clinical record or referral note containing a brief history, pertinent physical examination findings, laboratory results (if available) and management initiated at the referring level (see Figure 3. 2 for a sample referral form). PLANC: 1. 0 Refer the patient immediately to a hospital, preferably the nearest one, since the patient might be suffering from a heart attack or stone in the gall bladder \vith or without infection. 2. 0 Make the patient as comfortable as possible. 3. 0 Keep the patient as calm as possible. 4. 0 Do the following if there is a fever: 4. 1 Cover the patient lightly. 4. 2 Give the patient a quick sponge bath with water and alcohol or ice. 5. 0 Provide the agency /person where the patient is being referred to \.,,jtb appropriate clinical record or Tefe:rral note containing a brief history, pertinent physical examination findings, laboratory results (if available) and management initiated at the referring level (see Figure 3. 2 for a sample referral form). 406--