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DMHReport (12)

Useless3

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Pravin Kakde
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22 views2 pages

DMHReport (12)

Useless3

Uploaded by

Pravin Kakde
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Printed Date:07/12/2024 22:37:55

Patient Name: Mr. KAKDE PRAVIN TUKARAM MRD#: 478851


Date of Birth: 18/08/1979 Sex: Male
Visit Code: IP0001
Ward/Bed No. :SS12C-4238
Speciality :UROLOGY Consultant :Dr. VALSANGKAR ROHAN SATISH
Date of Admission :17/11/2017 Date of Procedure :18/11/2017
Date of Discharge :20/11/2017
Discharging Status :FOLLOW UP DISCHARGE SUMMARY
Primary Diagnosis
Diag. Desc Diag. Type Date Classific. Status Comments IcdCode IcdDesc
--- Provisional 22/11/2017 Primary Active N13.2 Hydronephrosis with
16:44 renal and ureteral
calculous obstruction
--- Provisional 22/11/2017 Primary Active N20.1 Calculus of ureter
16:44
--- Provisional 22/11/2017 Primary Active N13.4 Hydroureter
16:44

DIAGNOSIS :
Rt ureteric stone
PROCEDURE DONE :
RT URS+ rt dj stenting

SURGEON:
Dr. VALSANGKAR ROHAN SATISH
ASSISTANT: Dr Akshay
ANAESTHESIA:
SA
Position:
lithotomy
HISTORY :
38yr male NO CO- MORBIDITIES
c/o pain in rt flank pain , minimal burning micturition
MEDICINE ON ADMISSION :
PANTOCID IV 40MG~ 1-0-0.
MONOCEF INJ 1GM 1-0-1.
MONOCEF INJ 1GM 1-0-1.
PERFALGAN INJ 1GM/100ML If Required.
CLINICAL EXAMINATION :
a/p-stable.afebrile
no cardiac symptoms.u/w-routine checkup-stress test positive

o/e-b.p-130/80mmhg p-80/min
P/A SOFT TENDERNESS RT FLANK

MRD No:478851 Name:Mr. KAKDE PRAVIN TUKARAM

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INVESTIGATIONS :

COURSE IN THE HOSPITAL AND DISCUSSION :


post op course uneventful ,catheter removed ,voided well,discharge in stable condition
OPERATIVE FINDINGS :
Procedure:
under antibiotic prophylaxis ( moncef and amikasin) cystoscopy - urethra normal. rt uo cannulated teremo
passed across, urs 6/7.5 fr passed rt midureteric stone fragmented iusing laser holmium, fragements
removed
and retrived uneventful procedure, 5/26 dj stent placed 16 fr foleys
ADVICE ON DISCHARGE :
f/up in uro opd with dr valsangkar sir with prior appointment friday
call 020-40151100
DISCHARGE MEDICATION :
Tab Alfoo 10 mg 0--0--1 for 10 days
Tab Levoflx 500 mg 1--0--0 for 5 days
Tab Pan d 1--0--0 for 5 days
Tab Meftal spas 1--0--1 for 5 days
syp cital 2tsf 1--1--1 for 1 week with half cup of water
PLAN ON DISCHARGE :
DJ Stent removal after 4-6 weeks
stent symtoms explained
Signed By:Dr. VALSANGKAR ROHAN SATISH
Approved By:DR.NATHANI AKSHAY SHYAMLAL

MRD No:478851 Name:Mr. KAKDE PRAVIN TUKARAM

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