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DISCHARGE SUMMARY
UHID NO.: EHC_00156897
IpID NO.: Ip_60702
PATIENT NAME: MR. RAJEEV UDAIWAL
AGE/SEX: 47ylM
CONSULTANT: DT.LOKESH JAIN
DEPARTM ENT: GASTROENTEROLOGY
CONSULTANT 1:
CONSULTANT 2:
DATE OF ADMISSION: 24/07/20L9
TIME OF ADMISSION: 10:45AM
DATE OF DISCHARGE: 26/07/2OL9
TIME OF DISCHARGE= 2:43pM
DISCHARGE WARD: SEMI DELUXE RooM
LOCATION: FIFTH FLOOR _C
WING/517-B
Final Diagnosis:
Acute Pancreatitis (KS5.90)
k/c/o Hypertension
Chief Complaints:
Mr' Rajeev Udaiwal a 47 yrs' old gentleman presented with complaints
has been admitted here
of pain in abdomen for 2-3days. He
for evaruatlon and further managernent.
General Examination :
On evaluation patient was found to be conscious
cooperative, oriented to time, place and person. patient
was afebrile. Per Abdomen tenderness present.
Liver and spreen not palpable, bowel sound present.
Systemic Examination :
His Heart Rate was Regular at 78/min' with Blood
Pressure of 110/g0 mmHg. Heart Sounds
normal. B/L Air Entry equal. 51, 52 were
Past History :
Medical - He is hypertensive and non_diabetic.
lurgical - No significant history of any surgery in the past.
Family - Patient has no family history of caq
aiuu"tes, hypertension.
Allergy:
No significant allergy to any food material or drugs.
Personal Habits :
Patient is a non-smoker and he does not consume
tobacco or alcohol.
Course in the Hospital :
Mr' Rajeev Udaiwal, was admitted and evaluated. on investigation
his cBC showed Low Hb (11.6). And
his SGOT & SGPT were raised' along with raised Sr.
Amylase and Lipase. His usG abdomen and cr
abdomen showed Bulky pancreas with fat stranding.
He wsus managed with I.v antibiotic, ppl, IV fluids,
analgesic and other supportive treatment. After
stabil izationhe is now being discharged on medication.
X'ollow-up:
Review after 7 days.
fn case of Emergency:
ln case of emergency you may contact 014l-5174000 or approach EMERGENCY
DR LOKESH JAIN
Director (Gastroenterolory)
*ov A?: s
EHCC HOSPITAL, JAIPUR ?3r8
I / we have been explained the medications and precautions require for my patient in detail by the attending
nursing staff and I have been handed over all my old and new investigati,on and procedure reports along
with my belongings.
fffiffi3::,v
Staff
Signature of Nursing Signature of Attendant
All the pending / in-process Lab. reports at the time of discharge can be collected from O.p.D. Report
Collection counter at Ground Floor. Kindly confirm availability of report(s) on number 0141-5174000
(Ext.2029) prior arrival to avoid inconvenience.
NOTE:
6'IPD Record/BHT pertaining
to this IPD admission will be stored tilt 3 years from the date of discharge. Thereafter this
shall be destroyed as per. the hospital policy. and other regulatory norms. Any patienyrelative of thJpatient desires
to
preserve the Indoor Patient Medical Record for future reference you are requested to contact
the medical record
department of the hospital within 3 years from date of discharge.,'
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