Hospitalization 30jul2024

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UHID: AMHL.

0002394345 AH - QF - WS - 14

Discharge Summary
Dept. of ORTHOPAEDICS

General Information
Type of Discharge None

UHID AMHL.0002394345

Ward/Bed No 4TH FLOOR , SEMI-PRIVATE - 4TH FLOOR,Bed no:423

Name Mr. VISHWAMBHAR LAL BANKA

Age 79Yr 6Mth 16Days

Sex Male

Address FLAT-2A BLOCK 2 VIVEK VIHAR PHASE 5, 493/C/A G T ROAD SOUTH,


SHIBPUR, HAORA,Howrah,West Bengal

Primary Consultant Dr. TATHAGATA DAS


MBBS,MS (Orthopaedics),MCh (Orthopaedics)
ORTHOPAEDICS

Date of Admission 30-Jul-2024

Date of Discharge 05-Aug-2024

Diagnosis DISPLACED INTERTROCHANTERIC FRACTURE OF RIGHT PROXIMAL


FEMUR

History of Present Illness


CHIEF COMPLAINTS HISTORY OF SLIP AND FALL AT HOME ON 30TH JULY 24 LEADING TO
PAIN RIGHT GROIN AND INABILITY TO STAND ON RIGHT LOWER LIMB

SOCIAL HISTORY

SNOMED
SNOMED DISPLACED INTERTROCHANTERIC FRACTURE OF RIGHT PROXIMAL FEMUR

Clinical Examination
Weight Kg Icterus Nil

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UHID: AMHL.0002394345 AH - QF - WS - 14

Temperature °F Pulse /min.

B.P / mm of Hg.

LOCAL RIGHT HIP EXAMINATION


EXAMINATION ANTERIOR HIP POINT TENDERNESS PRESENT
LIMB SHORTENING +
EXTERNAL ROTATION DEFORMITY
NO DISTAL NEUROVASCULAR DEFICIT

Consultation OPINION OF DR JAYANTH SHARMA (GENERAL PATIENT) TAKEN IN VIEW OF


Referral DECREASED SODIUM LEVEL IN BLOOD AND HIS ADVICES WERE FOLLOWED

Course In The Hospital & Discussion


AFTER ALL RELEVANT INVESTIGATION AND PAC PATIENT WAS SHIFTED TO OT ON 02/08/24 WITH
WRITTEN AND INFORMED CONSENT. FOLLOWING MENTIONED PROCEDURE WAS PERFORMED.
PERIOPERATIVE PERIOD WAS UNEVENTFULL. CHECK XRAY DONE AND FOUND TO BE SATISFACTORY.
DRESSING CHANGED ON POD-2 AND WOUND FOUND HEALTHY. NOW PATIENT IS BEING DISCHARGED
UNDER STABLE CONDITION.

Name of the Procedure: ORIF RIGHT PROXIMAL FEMUR + RECONSTRUCTION OF RIGHT


PROXIMAL FEMORAL JOINT SURFACE UNDER SPINAL ANAESTHESIA
ON 2ND AUGUST 24

Significant medication given INJ. SUPACEF 1.5 G

Condition at Discharge HAEMODYNAMICALLY STABLE,AFEBRILE

ADVICE ON DISCHARGE
DIET SALT RESTRICTED DIET

T. ZOCEF CV 500 1 TAB TWICE DAILY AFTER MEAL FOR 5 DAYS


T. HIFENAC 100 1 TAB TWICE DAILY AFTER MEAL FOR 3 DAYS
T. PCM 1GM 1 TAB THRIICE DAILY AFTER MEAL FOR 5 DAYS AND SOS IF PAIN
T DISPERZYME 1 TAB TWICE DAILY BEFORE MEAL FOR 7 DAYS
T. PAN 40 1 TAB ONCE DAILY EMPTY STOMACH FOR 7 DAYS
T. COBUILT PLUS 1 TAB TWICE DAILY AFTER MEAL FOR 1 MONTH
T. A TO Z GOLD 1 TAB ONCE DAILY AFTER MEAL FOR 2 WEEKS
CAP LUMIA 60K 1 CAP WEEKLY AFTER MEAL FOR 8 WEEKS
T. XARELTO 10MG 1 TAB ONCE DAILY AFTER MEAL FOR 2 WEEKS
TAB URIMAX-D 1 TAB ONCE DAILY AT BEDTIME TO CONTINUE
TAB AZTOR 20 1 TAB ONCE DAILY AT BEDTIME TO CONTINUE
TAB TELMA 80 MG 1 TAB ONCE DAILY AFTER BREAKFAST TO CONTINUE
TAB CILACAR T 10 MG 1 TAB ONCE DAILY AFTER DINNER TO CONTINUE ( HOLD IF BP IS < 140/80 MMHG)

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UHID: AMHL.0002394345 AH - QF - WS - 14

TAB JANUMET 50 X 500 MG 1 TAB TWICE DAILY BEFORE MEAL TO CONTINUE


TAB LYRICA 75MG 1 TAB ONCE DAILY AT BEDTIME FOR 15 DAYS

OTHER ADVISES
KEEP DRESSING DRY AND CLEAN
WEIGHT BEARING AS TOLERATED WITH WALKER SUPPORT UNDER SUPERVISION OF
PHYSIOTHERAPIST
VMO STRENGTHENING EXERCISE AND HIP ROM EXERCISE
ANKLE FOOT PUMP EXERCISE

Follow Up FOLLOW UP WITH DR TATHAGATA DAS AT ORTHO OPD AFTER 15 DAYS FROM DATE
OF SURGERY WITH PRIOR APPOINTMENT( CONTACT Mr Sourojit- 8240689191)

PLEASE CALL EMERGENCY 1066 / 033-23203040 ,IF YOU HAVE ANY OF THE
FOLLOWING SYMPTOMS:

1. Fever Of 101°F
2. Onset of new pain or worsening of previous pain.
3. Vomiting.
4. Breathing difficulty.
5. Altered level of consciousness.
6. Discharge from the operative wound.
7. Worsening of any symptoms.
8. Other significant concerns.

Please visit our website: www.apollohospitals.com

* FOR ENQUIRY, APPOINTMENTS AND TELEMEDICINE CONSULTATIONS CONTACT 033-


23203040.

Dr. TATHAGATA DAS


MBBS,MS (Orthopaedics),MCh (Orthopaedics)
ORTHOPAEDICS
Primary Consultant

Please understand your discharge prescription from your doctor before using the medicines.
_________________________________________________________________________________________________________
You can contact Emergency Room Physician, Apollo Multi Speciality Hospitals ltd. at or 033-6060-1066.
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