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    Wa0063.

    Uploaded by

    Nivritha Reddy Nimma

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    © All Rights Reserved
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    Wa0063.

    Uploaded by

    Nivritha Reddy Nimma
    5 views5 pages

    Original Title

    DOC-20240726-WA0063.

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    © © All Rights Reserved

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    Copyright:

    © All Rights Reserved
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    Download as docx, pdf, or txt
    5 views5 pages

    Wa0063.

    Uploaded by

    Nivritha Reddy Nimma

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 5

    DISCHARGE SUMMARY

    DEPARTMENT OF GENERAL MEDICINE


    VISWABHARATI MEDICAL COLLEGE & GENERAL HOSPITAL RT NAGAR,PENCHIKALAPADU,KURNOOL.

    NAME OF THE PATIENT: AGE/SEX:

    VMCH NUMBER: ADRESS :

    DATE OF ADMISSION : DATE OF DISCHARGE

    UNIT/CHIEF:DR. SHAIFULLA

    FINAL DIAGNOSIS

    CHIEF COMPLAINTs:

    HISTORY OF PRESENTING ILLNESS:

    COURSE IN THE HOSPITAL :

    INVESTIGATIONS:
    16/7/24 18/7/24 21/7/24

    CBP: HB(g/dl) 8.9

    WBC 9100

    PLATELET (Lakhs) 2.4

    RBC 3.7
    HCT 28.3

    MCV 75.1

    MCH 23.6

    MCHC 31

    LFT TB 0.3

    DB 0.1

    SGOT 10

    SGPT 29

    ALP 78

    TP 6.3

    Albumin 3.4

    A/G 1.2

    RFT RBS(mg/dl) 136

    UREA(mg/dl) 4.1

    CREATININE(mg/dl) 98

    Lipid TC 156
    profile

    Triglycerides 179

    HDL 44

    LDL 81

    VLDL 31

    Serum Na+
    Electrol
    ytes

    K+

    Cl-

    CUE PH
    Albumin Nil

    Glucose Nil

    Ketone bodies Nil

    Leucocytes Nil

    Nitrite Nil

    Specific gravity

    Urobilinogen Nil

    Rbc Nil

    Bilirubin Nil

    Urine Pus cells


    microsc
    opy

    Epithelial cells 0-1

    Rbc Nil

    Casts Nil

    Crystals Nil

    Others Nil

    Serolog Hiv Non Non reactive


    y reactive

    Hcv Negative Negative

    Hbsag Negative Negative


    CRP

    Thyroid T3
    profile

    T4

    TSH

    Negative

    Ultrasound abdomen:

    2D ECHO:

    CT BRAIN :

    Peripheral smear : dimorphic anemia (predominantly microcytic hypochromic type)


    TREATMENT GIVEN: ADVICE ON DISCHARGE

    REVIEW TO GM OPD IN 3 Weeks. IN EMERGENCY REPORT TO CASUALTY VISWABHARATI GENERAL


    HOSPITAL, PENCHIKALAPADU.

    DR INDHU (JR 3) DR. Saifulla PROFESSOR/UNIT CHIEF


    DR HITESH (JR 2 )
    DR RANI(JR1)

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