The Aga Khan University Hospital
3rd Parklands Avenue
P.O. Box 30270 - 00100 GPO, Nairobi, Kenya
Tel: + 254 2- 366 2000 / 0711 092 000
The only Hospital in East Africa Accredited by
Joint Commission International, USA Email:
[email protected] Hospital Discharge Summary
Patient Information:
Name: Resah Wanabisi Nyabuto
Date of Birth: 1st January 1968
Medical Record Number: AKUH/1875/20/06/2022
Admission Date: 20.06.2022
Discharge Date: 26.08.2022
Primary Diagnosis: Closed fracture of the left femur (S72.402A)
Secondary Diagnosis: Contusion of the left lower limb (S80.12XA)
Paraplegia (G82.20)
Reason for Admission: The patient was admitted to Aga Khan Hospital, Nairobi, following a motorcycle accident that resulted in a closed fracture of the left femur.
Course of Treatment: Upon admission, the patient underwent a comprehensive evaluation including radiographic imaging, which confirmed a displaced fracture of the
left femur. An emergency surgery was performed for open reduction and internal fixation (ORIF) to stabilize the fracture. The patient was then admitted to the orthopedic
ward for postoperative care. Over the course of her hospital stay, Ms. Nyabuto received the following treatments and interventions:
Postoperative pain management with analgesics and anti-inflammatory medications
Physical therapy and rehabilitation to regain strength and mobility in the left leg
Regular wound care and monitoring for signs of infection
Psychological support and counseling for post-traumatic stress symptoms
Comprehensive evaluation and support for paraplegia
Hospital Course: The patient's recovery progressed as expected. Initial postoperative pain and limited mobility gradually improved with ongoing physical therapy. The
patient demonstrated steady progress in regaining range of motion and weight-bearing capacity in the left leg. No signs of infection or other complications were noted
during the hospital stay.
Discharge Plan: The patient is being discharged in stable condition with the following instructions:
Continue physical therapy on an outpatient basis as prescribed, Follow up with the orthopedic surgeon in 4 weeks for reevaluation
Take prescribed medications as directed, Maintain a balanced diet and adequate hydration to support healing Avoid high-impact activities and follow weight-bearing
restrictions as advised Continue to receive support and rehabilitation for paraplegia management
Follow-up Appointments:
Orthopedic surgeon: 20.09.2022 10.00 AM
Physical therapy: 20.10.2022 9.00AM
Discharge Medications:
Paracetamol 500 mg tablets, every 6 hours as needed for pain
Ibuprofen 400 mg tablets, every 8 hours with food for inflammation and pain
Amoxicillin 500 mg capsules, every 8 hours for 7 days to prevent infection
Calcium Supplements 500 mg tablets, once daily to support bone healing
Vitamin D3 1000 IU capsules, once daily to aid in calcium absorption and bone health
Laxatives and stool softeners as needed to prevent constipation due to limited mobility
Emergency Contact Information: In case of any emergency or concerns, contact Aga Khan Hospital at 0711 092000 or visit the nearest emergency department.
