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    ER Discharge SUmmary

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    Vicky Pandey
    Mr. Dilip Kumar Verma, a 64-year-old male, presented to the emergency room with cholelithiasis and grade I prostatomegaly. He underwent a laparoscopic cholecystectomy on April 2, 2023. His lab results were reviewed and he was discharged in stable condition with instructions to follow up with his doctors in one week and three days.

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    ER Discharge SUmmary

    Uploaded by

    Vicky Pandey
    105 views1 page
    Mr. Dilip Kumar Verma, a 64-year-old male, presented to the emergency room with cholelithiasis and grade I prostatomegaly. He underwent a laparoscopic cholecystectomy on April 2, 2023. His lab results were reviewed and he was discharged in stable condition with instructions to follow up with his doctors in one week and three days.

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    ER Discharge SUmmary

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    Mr. Dilip Kumar Verma, a 64-year-old male, presented to the emergency room with cholelithiasis and grade I prostatomegaly. He underwent a laparoscopic cholecystectomy on April 2, 2023. His lab results were reviewed and he was discharged in stable condition with instructions to follow up with his doctors in one week and three days.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    105 views1 page

    ER Discharge SUmmary

    Uploaded by

    Vicky Pandey
    Mr. Dilip Kumar Verma, a 64-year-old male, presented to the emergency room with cholelithiasis and grade I prostatomegaly. He underwent a laparoscopic cholecystectomy on April 2, 2023. His lab results were reviewed and he was discharged in stable condition with instructions to follow up with his doctors in one week and three days.

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    ER DISCHARGE SUMMARY (Unapproved)

    ER ID / PatientID : 90454 / 8171334 Address : Ratopul


    Name : Mr.DILIP KUMAR VERMA Discharge Ward : EMERGENCY
    Age/Gender : 64 Y / Male Admission Date : 2023-04-01 AD 22:49:10 (2079-12-18 BS)
    Panel Name : General-Non Cat Discharged Date : 2023-04-02 AD 00:05 (2079-12-19 BS)
    Consultant Incharge : Dr.Shambhu Shah Discharged Type : -
    Case Type : Emergency Medicine

    Final Diagnosis : S/P LAPAROSCOPIC CHOLECYSTECTOMY DONE ON 02/APRIL/2023


    K80-CHOLELITHIASIS
    K/C/O PROSTATOMEGALY GRADE I

    NOTES
    27Y Primi was admitted to the hospital for Dexona administration. Dr Dina Consultation was done for GDM.
    Patient received 6mg Dexona 12 hrs apart(total 24 mg). During her stay in the hospital she was kept on sugar
    charting, her vitals and FHS were monitored regularly. She is now being discharged with stable vitals
    LAB INVESTIGATION
    2023-04-01 22:50:58
    DLC-0 , TLC - 14680cell/cumm, HB (HAEMOGLOBIN) - 13.5gm%, HCT / PCV - 40.8%, RBC - 4.73millions/cumm, MCV -
    86.4fl, MCH - 28.5pg, MCHC - 33.0%, PLATELETS COUNT - 270000cells/cumm, S. UREA - 21mg/dl, S.CREATININE -
    0.74mg/dl, S.SODIUM - 132mEq/L, S.POTASSIUM - 3.6mEq/L, S. TOTAL PROTEINS - 7.40g/dL, S. GLOBULIN -
    2.55g/dL, ALBUMIN - 4.85g/dL, S. SGOT - 23U/L, S. SGPT - 25U/L, S.ALKALINE PHOSPHATASE - 82U/L, S.BILIRUBIN
    DIRECT - 0.16mg/dl, S.BILIRUBIN (TOTAL) - 0.31mg/dl, SUGAR RANDOM - 113.60mg/dl

    ADVICES
    DIABETIC DIET
    W/F DECREASED FETAL MOVEMENT,PV BLEEDING, ABD PAIN

    FOLLOW UP
    F/U IN DR AMRITA OPD IN 1 WEEK( 12TH APRIL,2023 WEDNESDAY) WITH REPORTS/SOS
    F/U IN DR DINA OPD AFTER 3 DAYS (9TH APRIL,2023 SUNDAY)WITH FASTING AND PP REPORTS.
    Patient Condition : Recovered/Cured
    Patient Condition : Recovered/Cured

    Page 1/2

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