® Sapthagiri Super Speciality Hospital Creating Healthcare GD Grow, Name: Mr. G KUMBHARESH hei peas ai sit 1D: 2 hace GUNKUSKATHE VOYSALA NAGARA Admission Date: 75-01-2024 02:26 Location: BANGALORE, KARNATAKA Discharge Date: 01-02-2024 13:00 Doctor: Dr. SRIVATSA A Ward/Bed: Sth SEMI PRIVATE WARD Department: NEPHROLOGY MALE C/SEMI Rate Plan: CGHS : Referred By: ‘Ambulance Sponsor: ESI Discharge Summary Consultants DR SRIVATSA A Final Diagnosis CKD STAGE 5 ON MHD (3/7) TYPE 2 DIABETES MELLITUS HYPERTENSION BACTEREMIA- ENTEROCOCCUS Procedure Done HEMODIALYSIS Chief Complaints C/O REDUCED RESPONSIVENESS SINCE 1 DAY History A - 75 YR MALE COMPLAINTS OF REDUCED RESPONSIVENESS SINCE 1 DAY, H/O PATIENT WAS APPARENTLY NORMAL 15 DAYS BACK WHEN HE DEVELOPED BREATHLESSNESS SUDDEN IN ONSET PROGRESSIVE IN NATURE AGGRAVATES ON LYING SUPINE . ONE EPISODE OF HYPOGLYCEMIA PRESENT. NO HISTORY OF ORTHOPNEA , PND PATIENT ALSO COMPLAINTS OF GENERALISED WEAKNESS SINCE 15 DAYS NO H/O CHEST PAIN , PALPITATION, SYNCOPE Past Medical History KICIO HYPERTENSION SINCE 5 YR ON MEDICATION K/C/O T2DM SINCE 5 YR ON REGULAR MEDICATION KIC/O CKD STAGE ON MEDICAL LINE OF MANAGEMENT. Personal History DIET MIXED Bae NORMAL REGULAR BLADDI ‘DECREASED URINE OUTPUT lo. 15, (Chikkasandra, esaraghatts M ‘oad, Bet ru - 5 UN 4 Hesaragh fe 160 090. * ighatta lain Road, Ngaluru - _ | ‘Wwwsapth noe Email : [email protected]Physical Examination BP : 134/70 PR: 97 BPM Local Examination 'DEMA AND PALLOR PRESENT No SIGNS OF CYANOSIS, CLUBBING, LYMPHADENOPATHY, ICTERUS Systemic Examination RV/S:B/L DIFFUSE CREPTS PRESENT CVS : $1 S2 HEARD NO MURMUR P/A; SOFT, NON TENDER CNS;HMF PRESENT NO MOTOR DEFECITS Investigations ENCLOSED Course In The Hospital 75 YR MALE K/C/O CKD STAGE 5, HYPERTENSION AND T2DM CAME WITH ABOVE MENTIONED COMPLAINTS.AN EPISODE OF HYPOGLYCEMIA PRESENT. PATIENT WAS ADMITTED TO ICU.RELAVANT INVESTIGATION SENT AND MENTIONED ABOVE. EMERGENCY DIALYSIS INITIATE! D ECHO SHOWED SEVERE CONCENTRIC LVH WITH EF-55% . CT BRAIN DONE I/V/O ALTERED SENSORIUM SHOWED NORMAL STUDIES ‘PSYCHIATRY OPINION WAS TAKEN I/V/O ALTERED FOLLOWED. PATIENT WAS TREATED WITH IV Treatment Given INJ LASIX 40MG 2-1-0 IV ING PAN 40MG 1-0-0 B/F INJ EMESET 4MG 1-1-1 Iv TAB OROFER XT 0-1-0 TAB PHOSTAT 667 1-1-0 WITH FOOD T TAB FEBUGET 1-0-0 TAB NODOSIS 1GM 1-1-1 Condition On Discharge STABLE Advice On Discharge MAINTANENCE HEMODIALYsIs 3/7, (as LINID 600meG 1-0-1 FOR 5 BAYSSapthagiri Hospital Central Clinical Laboratory patient Name : Mr. G KUMBHARESH MR No + SH0002251378 lage/Sex 2 75Y/M Visit No + IP2402030206 Iconsultant Name : Dr. SRIVATSA A Report Date + 04-02-2024 17:11 Ispecimen : SERUM Sample No : GSR576740 Pres. Date ? 04-02-2024 16:11 Ward/Bed : NEPHROLOGY MALE UNIT 1 / GENERAL/IP2 Sample Collection Date: 04-02-2024 16:21 Report Print Date : 04-02-2024 BIOCHEMISTRY , Test Description Result Methodology Units Bio. Ref. Range LIVER FUNCTION TEST TOTAL BILIRUBIN 0.4 Jendrassic-GROF/Diazo mg/dL 0.2-1.3 Method DPD DIRECT BILIRUBIN 0.1 Calculated mg/dL 0.0 - 0.3 INDIRECT BILIRUBIN 0.3 mg/dL TOTAL PROTEIN 5.6 Biuret g/d 6.3- 8.2 SERUM ALBUMIN 2.2 Bromocresol Green g/dl 3.5-5.0 GLOBULIN 3.4 Calculated g/dt 2.0-3.5 A/G RATIO 0.6 Calculated 4:1 - 1:7 AST OR SGOT (ASPARTATE AMINO... 37 Enzymatic U/L <59 ALT OR SGPT (ALANINE TRANSAM... 18 IFCC Kinetic U/L <59 ALKALINE PHOSPHATASE (ALP) 99 IFCC Kinetic U/L 35-105 »*** End of Report *** Verified By Certified manjulac Dr. JAYARA G G Clinical BiochSapthagiri Hospital Central Clinical Laboratory : Mr. G KUMBHARESH MR No : SH0002251378 75 Y/M Visit No : IP2402030206 Dr. SRIVATSA A Report Date : 04-02-2024 17:12 FLUORIDE Sample No : FLURD357392 : 04-02-2024 16:11 Ward/Bed : NEPHROLOGY MALE UNIT 1 / GENERAL/IP2 04-02-2024 16:21 Report Print Date : 04-02-2024 BIOCHEMISTRY , Test Description Result Methodology Units Bio. Ref. Range ; RANDOM BLOOD SUGAR ( RBS ) RANDOM BLOOD SUGAR (RBS) 140 GOD-POD mg/dL 70 - 140 *** End of Report *** Verified By Certified By manjulac Dr. JAYARAJ G GUDI Clinical BlochemistSapthagiri Hospital Central Clinical Laboratory ‘gent Name : Mr. G KUMBHARESH MR No + $H0002251378 ge/SEX 1 75Y/M Visit No : 1P2402030206 Consultant Name : Dr. SRIVATSA A Report Date + 04-02-2024 17:15 A [specimen : PLASMA-CITRATE © Sample No : GPLM241581 pres. Date : 04-02-2024 16:11 Ward/Bed + NEPHROLOGY MALE UNIT 1/ GENERAL/IP2 sample Collection Date : 04-02-2024 16:21 __ Report Print Date : 04-02-2024 HEMATOLOGY , { Test Description Result Methodology Units Bio. Ref. Range PROTHROMBIN TIME ( PT) | PATIENT PT 15.8 12.9 - 16.4 CONTROL 14.7 INR 1,09 1.0-1.3 RATIO. 1.08 APTT { PATIENT APTT 28.3 25.03 - 32.33 | 4 End of Report *** ! Verified By Certified By Dr. Ganraj Bhat srilakshmi757 Clinical Pathologista 6 BRNO Teeeod saoagye SAPTHAGIRI INSTITUTE OF MEDICAL SCIENCES & RESEARCH CENTRE No. 15, Chikkasandra, Hesaraghatta R-MED-01 oip soay Bodnerinn Seog Main Road, Bangalore - 90 GD Group Tel :080-28393392, Fax : 28393403, 04,05 Web : www. sapthagirihospital.com : NAME Low DATE AND TIME : al leu, (arp. AGE / GENDER: Dy ON V2US21E - OCCUPATION : unit cnuer/ FACULTY: Or frh na MARRIED -: YES / NO REF. FROM: Dr Tat Aa IN PATIENT - INITIAL ASSESSMENT FORM Med, Surg, Ortho, Ent, Opthal, Tb & Chest, Psychiatry v. CHIEF COMPLAINT: HISTORY OF PRESENTING ILLNESS: ospital b}clo cep om Mnp 3/9, PAST HISTORY: = + HYPERTENSION . Gyno SINCE C hp + DIABETES MELLITUS 7NO SINCE + IHD Yes/ Nj SINCE + BRONCHIAL ASTHMA/ COPD yes / NI SINCE + THYROID DISORDERS ves / SINCE + EPILEPSY Yes/N} SINCE + PULMONARY T.B Yes /N SINCE + ALLERGIES Yes /N SINCE + ON BLOOD THINNERS yes /N SINCE + BLOOD TRANSFUSION Yes / N DURATION + SURGERY YES / N DURATION + OTHER - SPECIFY Yes / Ni SINCE SIMILAR COMPLAINTS IN THE PAST: Yes / HISTORY OF PREVIOUS HOSPITALIZATION Yes / NI IF YES, DETAILS:ate me Nae MEDICATION ORDER AND ApMI (To be written in cal 'SI.No| Date: Medications iluti ‘DOCS SIGN NURSES) L Dose | Route | Frequency A pe See = {| DNT.TT- OF Iq . ce | M INT XYLOCAING O.1| TID | eT [Rs 7 LNT. COPOMby | 1 1M | oT; 4 TIN] THR LEMAGLP! 8-9] Plo | ¢ TAR .Puposerare | Fem Plo em t 6 [1eG. Fesoxesim liom) Plo é 4 +Yo vais = Ee = a Ne. JmeattONn OL saenne ‘tobe RC RNON aD = ~ : SMHINISERATION SHEET aitals ‘NOTES “ENOTES Tee Limo doar 3+] 1 Pom dyer INS Futer 667 Jee a \ © | Tb FC Bug - [eon 0 | B | Wyelaseg- {-e-6 6. | Tee Lingactprin Peo OG eae 20S t \ tb. OTRECET {30%\_| _ QIC1O QeL | —-FKirbaresh - Qaz late ce Sapthagiri Super Speciality Hospital oy No. 15, Chikkasandra, Hesaraghatta Main Road, Bengaluru - 560 090. Ce Tel : 080-22188999, Fax : 080-22188900 GD Gro TRP & BP CHART TO BE RECORDED BY NURSES INCHARGE Date Time Temp. Pulse | Resp. BP | Others Name Signature 3\> |S | Qs't| ete | 22 [toflmy | ae7. & ut fea | ge @5 [oe [etm | ag - ews} OR |. 1 SO ; Qa - a Spo leSHIe | teho[olzjoralag/ - Dept Qe. a) ‘ : + + }— }. “a 09 barvrerh Qasl34e BAN apiweod shweaoyvod shey covwedae seoy SAPTHAGIRI INSTITUTE OF MEDICAL SCIENCES & RESEARCH CENTRE BRNO Bs SAPTHAGIRI HOSPITAL a No. 15, Chikkasandra, Hesaraghatta Main Road, Bangalore - 90 GRBS CHART DATE TIME GRBS TREATMENT REMARKS, aI Tal 1 So cald/ . ‘ mes éaeh | tos Ww 1 4k sSgen_| Se : | ene mer (| t Nous _ Ieee gry | 14 erg bh _ Be L if I L | —| am _| — 4 —- | —+ — —- 7 + —+oT Oho vgy ——_ 7% Blefo Cre Plows Ay fie &' . hte Ling Bry bey (TY ! 2 4 Cary wey [-]-0 | 3. TL (ONO 1-0 —0 Tb pnss@ b 67. 1-1-0 gs eeR eI BT Levagirn Fy 127% y . Sapthagiri Médical College & Hospital Bangalore, KMC -'16448 « 5cis by Lrolog £ TT ot DV Fistula ko or liniy borg TPP ye, ah 2l.¢ “fan.-p boy oP (~—»d ) Ts yyny -E* UT - FCG iy =? Q) > linagipsn pp =? By 7+. photos (6% (Aesamc BRBE Baowew sys HAGIRI SUPER SPECIALITY HOSPITAL ¢ p orc : roup DOCTOR’S NOTES Name ? ameNcyobaves) Age: “SY — Gender: MF Ward:

ey ——___—_—_— pe uset as ce WHH®) ple - bw Ar owkorw Pre RO Bee We (to wary * Guat © oT mm ot ” Dr. Nagaraj H.K. MBBS, MS, MCh, FICS Professor & HoD, Urology edical College & Hospital Sapthagiri MSapthagiri Super Speciality Hospital Creating Healthcare G & TAB LASIX 40MG 1-1-0 TO CONTINUE 7 TAB PAN D 1-0-0 FOR 5 DAYS a AB PHOSTAT 667 1-1-0 WITH FOOD To CONTINUE (AB FEBUGET 40 1-0-0 TO CONTINUE x - INJ CRESP 40MCG (S/C) ONCE A WEEK TAB LINAGLIPTIN 5 MG 1-0-0 AFTER FOOD) “~ INJ LARINJECT (FCM) 500MG IV IN 100ML NS IV OVER 2-3 HRS (ATD) MONTHLY ONCE - POST DIALYSIS TAB LINAGLIPTIN 5 MG 1-0-0 TO CONTINUE 4 TO CONTINUE RENAL DIET When to Obtain Urgent Care BREATHLESSNESS How to Obtain Urgent Care CONTACT : 080-28393392/93, 080-22188777, 8884439132 Remarks REVIEW IN UROLOGY OPD WITH UPPER LIMB DOPPLER FOR AV FISTULA MAINTENANCE HEMODIALYSIS (3/7) Doctor's Signature Dr. SRIVATSA A\ Assistant Professo AA, MBBS., MD., DM (Nephrology) Assistant Professor , Department of Nephrology & Renal Transplar Bangalore-560 090 SIMS & RC. B uC e314Sapthagiri Hospital Central Clinical Laboratory : Mr. G KUMBHARESH MR No : $HO002251378 : 75 Y/M Visit No : TP2401250006 tant Name + Dr. SRIVATSA A Report Date } 26-01-2024 06:56 imen : SERUM Sample No + GSRS?72651 » Date 26-01-2024 06:07 Ward/Bed + Sth SEMI PRIVATE WARD MALE imple Collection Date : 26-01-2024 06:26 Report Print Date : 01-02-2024 SEROLOGY Test Description rT —-w Test Description Result Methodology Units Bio. Ref. R CRP- C REACTIVE PROTEIN ( QUANTITATIVE ) C - REACTIVE PROTEIN 27.46 ma/t New born lday: < 1 week: < 1 Adults < 6.0 ** End of Report *** Verified By manu6720Sapthagiri Hospital Central Clinical Laboratory it Name > Mn G KUMBHARESH MR No + SHO002251378 : 75 Y/M Visit No + 1P2401250006 sultant Name Dr. SRIVATSA A Report Date ? 29-01-2024 07:36 + SERUM Sample No + GSR573534 Pres. Date 29-01-2024 06:19 Ward/Bed : Sth SEMI PRIVATE WARD MAL [Sample Collection Date i 29-01-2024 06:40 Report Print Date : 01-02-2024 SEROLOGY Test Description Result Methodology Units Bio. Ref. F CRP- C REACTIVE PROTEIN ( QUANTITATIVE ) C - REACTIVE PROTEIN 58.50 mg/L New born: 1 day: < 3. 1 Week: < Adults < 6, BIOLOGICAL REFERENCE LIMIT *** End of Report *** Verified By manu6720Sapthagiri Hospital Central Clinical Laboratory : Mr. G KUMBHARESH MR No. + $H0002251378 : 75 Y/M Visit No : 1P2401250006 + Dr. SRIVATSA A Report Date 29-01-2024 07:36 : SERUM Sample No + GSR573534 + 29-01-2024 06:19 Ward/Bed : Sth SEMI PRIVATE WARD MALE C / SEMI-?\- ample Collection Date : 29-01-2024 06:40 Report Print Date : 01-02-2024 SEROLOGY Test Description Result Methodology Units Bio. Ref. Range CRP- C REACTIVE PROTEIN ( QUANTITATIVE ) C - REACTIVE PROTEIN 58.50 mg/L New born: < 0.6 1 day: < 3.2 1 week: < 1.6 Adults < 6.0 BIOLOGICAL REFERENCE LIMIT *** End of Report *** Verified By Certifie manu6720 Or. Pooja Sar MicrobioSapthagiri Hospital Central Clinical Laboratory : Mr. G KUMBHARESH MR No : $H0002251378 : 75Y/M Visit No + 1P2401250006 : Dr. SRIVATSAA Report Date 3 01-02-2024 07:29 | : SERUM Sample No 1 GSRS575115 1 01-02-2024 05:36 Ward/Bed : Sth SEMI PRIVATE WARD MALE C / SEMI-PVTS le Collection Date : 01-02-2024 05:55 Report Print Date :_ 01-02-2024 J SEROLOGY Test Description Result Methodology Units Bio. Ref. Range CRP- C REACTIVE PROTEIN ( QUANTITATIVE ) C - REACTIVE PROTEIN 61.62 mg/L New born: < 0.6 1 day: < 3.2 1 week: < 1.6 Adults < 6.0 BIOLOGICAL REFERENCE LIMIT *#* End of Report *** Certified By Verified By pr. Pooja Sarmah manu6720 MicrobiologistSapthagiri Hospital Central Clinical Laboratory me + Mr. G KUMBHARESH MR No : $HO002251378 : 75Y/M Visit No : 1P2401250006 int Name : Dr. SRIVATSA A Report Date + 25-01-2024 05:03 : EDTA : Sample No : GEDTA371418 + 25-01-2024 03:11 Ward/Bed + MEDICAL ICU / MICU1S ple Collection Date +_ 25-01-2024 03:36 Report Print Date 1 25-01-2024 HEMATOLOGY Test Description Result Methodology Units Bio, Ref. Range cBc HAEMOGLOBIN 11.0 SLS-HB METHOD g/dL. 13.0-17.0 RBC COUNT 3.75 Electrical Impendence Million/cumm HAEMATOCRIT or PCV 32.3 Calculated % PLATELET COUNT 1.26 Electrical Impendence Lakhs/cumm 1.5 - 4.1 TOTAL WBC COUNT 9310 Flow Cytometry cells/cumm 4000 - 10000 NEUTROPHILS 54 Flow Cytometry % 40-75 LYMPHOCYTES 31 Flow Cytometry % 20-40 MONOCYTES 13 Flow Cytometry % 2-10 EOSINOPHILS 02 Flow Cytometry % 1-6 BASOPHILS 00 Flow Cytometry % o-1 *** End of Report *** Verified By oo Pavithra7443 Certified By Dr. KOMALA HM PathologistSapthagiri Hospital Central Clinical Laboratory : Oe RUNBRARESH ane + SHOO02251378 ] : isl lo 1P2401250001 jpecimen 3 ee coe A Report Date + 25-01-2024 est [eret: Date + 25-01-2024 03:11 pcre 5 ASRS72104 am : - 3 Ward/Bed : le Collection Date 25-01-2024 03:36 Report Print Date _: ronabes abel BIOCHEMISTRY Test D escription Result Methodology Units Bio. Ref, Range RENAL FUNCTION TEsT 7 UREA (SERUM) 47 Urease GLDH mg/dL 10-40 SERUM CREATININE 6.6 Enzymatic mg/dl 06-14 SERUM SODIUM 134 ISE Indirect mmol/L 136-144 SERUM POTASSIUM 5.5 ISE DIRECT mmol/L 3.6 + 5.1 SERUM CHLORIDE 108 ——_ISE DIRECT mmol/L 93 = 105 Comments: Sample Is hemolyzed .Suggesting to repeat the test with fresh sample if required, Kindly correlate clinically, LIVER FUNCTION TEST 0.3 Jendrasslc-GROF/Diazo mg/dl. . TOTAL BILIRUBIN 0.3 Jendrasses o2-1s DIRECT BILIRUBIN o.4 Calculated mg/d. 0.0-0.3 INDIRECT BILIRUBIN 0.2 mg/dl \L PROTEIN 6.4 Bluret g/d. es \LBUMIN 2.3 Bromocresol Green g/dL. SRO 3.8 Calculated g/d Cones 0.6 Calculated wer i BG Enzymatic ul Bee ae OE NINE THANSAM. 28 IFCC Kinetic ul Pe SS OSPHATASE (ALP) 151 IFC Kinetic uk ALKALINE PI »#* End of Report *** Certified By Or. Kalaivanam . mane 7 Clinical Biochemist Page | of | 45, Chikkasandra, Hesaraghatta Main Road, Bengaluru - 560 090 No, 15, 5 : }+28393405 : 92, 03, 22188700, Fax : 080-21 Te oO aa [email protected]\ : Sapthagiri Hospital JB Central Clinical Laboratory some : Mr. G KUMBHARESH MR No ~~; $H0002251378 x : 75 Y/M Visit No 3 172401250006 pitant Name : Dr. SRIVATSA A Report Date 3 25-01-2024 06:15 jmen : SERUM Sample No 3 GSR572104 ses Date : 25-01-2024 03:11 Ward/Bed : MEDICAL ICU / MICULS sample Collection Date 1 25-01-2024 03:36 Report Print Date 25-01-2024 BIOCHEMISTRY Test Description Result Methodology Units Bio. Ref. Range Ascorbic Acid g/dl 5 IRON “4 Reduction Method ae 4x End of Report *** Certified Verified BY Or. Kalaivanar Clinical Biochen manjulacSapthagiri Hospital central Clinical Laboratory : Mr. G KUMBHARESH 4 75 Y/M aera + $H0002251378 antane Dr. SRIVATSA A Rare : 1P2401250006 | fe SERUM Sample No + 25-01-2024 06:15 fr ection Dat 25-01-2024 03:11 Ward/Bed : nearer /Micuis je CO! e 1 25-01-2024 03:36 Report Print Date 1 25-01-2024 BIOCHEMISTRY fest Description Result Methodology Units Bio. Ref. Range URIC ACID ( SERUM ) 7A Uricase/peroxidase mg/dL aace colorimetric a URIC ACID (SERUM) verified BY manjulac se End of Report *** Certified By Dr. Kalaivanam Clinical BiochemistSapthagiri Hospital central Clinical Laboratory J Mr. G KUMBHARESH MR No + 75 Y/M + SHo00225137 Visit 8 ye : Dr. SRIVATSA A Repor bat ; jPad012s0006 yam SERUM Sample fe 25-01-2024 06:15 fi . : GSRS7; acti : fe pero Ward/Bed : MEDICAL eu /mteuss Byection Date + 25-01-2024 03:36 Report Print Date: 25-01-2024 BIOCHEMISTRY ja Description Result Methodology Units Bio. Ref. Range 7.3 Arsenazo III mg/dl 8.4- 10.2 5ERUM CALCIUM Verified By manjulac we End of Report *** Certified By Or. Kalaivanam Clinical BiochemistSapthagiri Hospital central Clinical Laboratory 7 : =6 KUMBHARESH MR No + $H000225137g ‘ > 75M Visit No 2 1P2401250006 joe ame > Or SRIVATSA A Report Date + 25-01-2024 06:16 = SUM Sample No 2 GSR572104 | pete 2 25-01-2024 03:12 Ward/Bed + MEDICAL Icu / Micuis _saaila Collection Date = 25-01-2024 03:36 Report Print Date. 25-01-2024 y BIOCHEMISTRY a Methodology Units Bio. Ref. Range Test Description Result 25-45 38 Molybdate UV mo/dt SERUM PHOSPHORUS — ar Certified By Or, Kalaivanam . Verified By manjufec Clinical Biochemist