Discharge Summary Orthopedics

Patient Demography Details :

Abdurabu Dhaif Allah
Name. : SSN No. : 671160342 Mobile No. : 9971700234
Abdu Al Hantosh
Primary Bhushan Nariani / Shivam
Patient Name : Abdurabu Dhaif Allah Abdu Al Hantosh

DOB : 01 FEB, 1962 Age/Gender : 61 Years/MALE :

Consultant Tiwari / Suryakant Singh
Treating
DOA : 17 DEC, 2023 17:03 Ward : BLK-NS A BLOCK (7F) : Bhushan Nariani
Consultant
IP No. : 137307 Bed No. : BLK-734B Sponsor Name : IPS 50 (BLK)
Address : YEMEN, ......., 0

Anesthetist Name : Dr. Umesh Valecha and Team

Surgeon Name : Dr. Bhushan Nariani / Shivam Tiwari / Suryakant Singh
Date and Time of Discharge : 22 DEC, 2023 10:00

Diagnosis:

Right Knee Osteoarthritis

Presenting Complaints:

Severe pain, swelling and deformity in right knee, difficulty to perform activities of daily living.

History of Present Illness:

SSN No. : 671160342

61 years old male patient was apparently asymptomatic few months back when he complained of pain in right knee which
was insidious in onset, gradually progressive, moderate to severe in intensity, non radiating, sharp in character, associated
with gradually progressive swelling, which got aggravated on movement and partially relieved on rest and analgesics. He
also complained of gradual restrictions of range of motion and difficulty to perform activities of daily living. He was now
been admitted at BLK for further management.

Past Medical History:

Left Total Knee Replacement was done on 04/11/2023.

Personal History : No significant personal history
Family History : No significant family history

Drug Allergy:

Nothing significant

For post-hospital care at home, call Max@Home at 8744 888 888 (24x7 helpline).Services include Critical Care@home,
Nursing Healthcare Attendant, Physio-therapy, X-Ray, Sample Collection, Medicine Delivery, Medical Equipment and more.

IN CASE OF ANY EMERGENCY PLEASE CONTACT 011-30403040.

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 On Examination:

Physical Examination:
Conscious, alert
Afebrile
Vitals stable
Patient Name : Abdurabu Dhaif Allah Abdu Al Hantosh

Systemic Examination:
Respiratory system : Air entry equal both sides
Cardio Vascular System: S1,S2 present
Central Nervous System : Conscious, alert
Per abdomen : Soft , non-tender

Surgery:

Right Total Knee Replacement was done on 18/12/2023.

Implants :

Implant Details : Smith&nephew

Right side
- Size 5, Right, Posterior stabilized, Legion Nonporous, Femoral Component, LOT No 23CM12543
- 14mm x 100mm, Genesis II Long Non Slotted, Stem, Lot No. 22GSM0113
- Size 5-6, 11mm, Genesis II PS, High Flexion, Articular Insert, LOT No. 22KB00451
- Size 5, Genesis II Right, Non Porous, Tibial Baseplate, Lot No. 23BB00319
- 66057861 Palacos R+G 1x40. Lot No 67331249
SSN No. : 671160342

Course in Hospital:

Patient was thoroughly evaluated and all the surgery related complications like infection, pain, Deep vein thrombosis,
pulmonary embolism, iatrogenic injury, periprosthetic fracture, asceptic loosening, patellofemoral maltracking and
neurovascular injury were explained to the patient and attendants in details. Written and informed consent was taken. Pre
anaesthaesia check up was done. Cardiology clearance was taken for the surgery. Patient was taken up for surgery on
18/12/2023. Patient shifted to Surgical Intensive Care Unit (SICU) for post surgery care and after stabilization patient was
shifted back to ward.1 Unit PRBC was transfused in view of low haemoglobin. Pain management opinion was taken before
discharge and dressing changed before discharge and wound found to be dry and healthy. Patient is now stable and being
discharged with following advice.

Local Examination:

Right Knee:

For post-hospital care at home, call Max@Home at 8744 888 888 (24x7 helpline).Services include Critical Care@home,
Nursing Healthcare Attendant, Physio-therapy, X-Ray, Sample Collection, Medicine Delivery, Medical Equipment and more.

IN CASE OF ANY EMERGENCY PLEASE CONTACT 011-30403040.

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 - Local Tenderness present
- Crepitus Present
- Swelling present
- Deformity Present
- Distal Neurovascular Status Intact

Condition on Discharge:
Patient Name : Abdurabu Dhaif Allah Abdu Al Hantosh

Stable

Advice on Discharge:

Medications:
- Tab. Ultracet one tab orally twice daily after breakfast and dinner x 10 days
- Tab. Dolo 500 mg one tab orally thrice daily after breakfast, lunch and dinner x 10 days
- Tab. Pantop D 40 mg one tab orally twice daily before breakfast and dinner x 10 days
- Syp. Mucaine Gel 2 tsp orally thrice daily before breakfast, lunch and dinner x 10 days
- Tab. Xarelto10 mg one tab orally once daily after dinner x 10 days
- Tab. Gabantin GRS 300 mg one tab orally once daily after dinner x 10 days
- Cap. Orofer XT one cap orally once daily after breakfast x 10 days
- Replaid powder one scoop orally once daily after breakfast x 10 days
- Tab. Chymogrand one tab orally twice daily after breakfast and dinner x 10 days
- Softovac SF powder 1tsp otally twice daily after breakfast and dinner x 5 days
- Tab Zolfresh 10 mg one tab as and when required in case of lack of sleep
- Tab. Emeset 4 mg one tab orally as and when required in case of vomiting
- Tab. TRD Contin 50 mg one tab orally as and when required in case of severe pain
- Syp. Looz 30 ml orally as when required in case of constipation
SSN No. : 671160342

-Buprenorphine (Buvalor patch 5mcg) applied on 21/12/2023 next to be changed on 28/12/2023 then 04/01/2024
and remove on 11/01/2024

As Advised by Dr. Subhash Chandra and Team (cardiologist)

- Tab. Ecospirin 75 mg one tab orally once daily after dinner
- Tab. Vymeda 50 mg one tab orally twice daily after breakfast and dinner
- Tab. Dytor Plus LS 10/25 mg one tab orally once daily in morning
- Tab. Embeta XR 25 mg onje tab orally once daily
- Review in OPD on SOS basis

Special Needs:

For post-hospital care at home, call Max@Home at 8744 888 888 (24x7 helpline).Services include Critical Care@home,
Nursing Healthcare Attendant, Physio-therapy, X-Ray, Sample Collection, Medicine Delivery, Medical Equipment and more.

IN CASE OF ANY EMERGENCY PLEASE CONTACT 011-30403040.

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 Do's & Dont's:
- Walker aided ambulation.
- Ice pack local application 4-5 times for 10-15 min.
- Keep pillow below knees over night or between legs while turning on bed
- Do not sit on low chair and indian toilet
- Physiotherapy as advised- Q drill, Straight Leg Raise, ankle pumps.
Patient Name : Abdurabu Dhaif Allah Abdu Al Hantosh

- Incentive Spirometry 2 hourly

Follow up Advice:

In case of Emergency contact Dr Bhushan Nariani on 9818063869

FOLLOW-UP ADVICE: Review with Dr Bhushan Nariani/ Dr Shivam Tiwari for suture removal on 02/01/2024 in Ortho
OPD at 2 PM.

Review as and when required in case of any emergency.

THE CARE PLAN AND INSTRUCTION HAS BEEN DISCUSSED AND EXPLAIN TO THE PATIENT/ATTENDENT
IN THE LANGUAGE THEY UNDERSTAND.

KINDLY CALL IN CASE OF :

1) FEVER OF>101.5F/38.60 C
2) ONSET OF SYMPTOM OR DISCOMFORT OR PAIN/WORSENING PREVIOUS PAIN/CHEST
PAIN/BREATHLESSNESS
3) DISCHARGE FROM YOUR OPERATIVE WOUND (IN CASE YOU HAD AN OPERATION)
4) VOMITING
SSN No. : 671160342

5) OR ANY OTHER COMPLAINT YOU THINK NECESSARY THAT YOU SHOULD DISCUSS WITH DOCTOR
URGENTLY /
CONTACT OUR DOCTOR ON TELEPHONE NO. -011 3040-3040

/es/ Bhushan Nariani / Shivam Tiwari / /es/ Bhushan Nariani / Shivam Tiwari /
Entered Date : 20 DEC, 2023 15:19
Suryakant Singh Suryakant Singh
Cosigned: 22 DEC, 2023 13:14
Signed: 22 DEC, 2023 13:14 for Bhushan Nariani / Shivam Tiwari / Prepared By: Reeta Dhar
Suryakant Singh

For post-hospital care at home, call Max@Home at 8744 888 888 (24x7 helpline).Services include Critical Care@home,
Nursing Healthcare Attendant, Physio-therapy, X-Ray, Sample Collection, Medicine Delivery, Medical Equipment and more.

IN CASE OF ANY EMERGENCY PLEASE CONTACT 011-30403040.

"This is a computer generated document and does not require any a signature"