Mr Paul Farris
Manager
Summersed Nursing Home
Garden Street
Berry town
16 June 2018
Dear mr ferris
Re: Mrs Anne Ellis , aged 76
Mrs Anne ellis who has been diagnosed with bilateral renal caleuli and moderate bilateral hydronephrosis . she requires continuing care and management is being discharged today.
On 12 June , mrs ellis was presented to hospital with the camplain ts of abrupt onset of intense, unlateral left Joint and groin pain radiating to lower back. Vomiting , restless, sweating , grimace and hae maturia were observed . subsequently , intravenous diclofen ac 75 mg for pain management , metaclopramide 10 mg and intravenous rehydration were administered . compuerised tomography scan performed . it revealed bilateral multiple renal calculai and moderate dilation of left collecting system and measuring 4 mm calculas obstructing pelviureteric junction.
On the next day , tamsolusing 8mg twice daily and paracsetamol 500 mg every 4-6 hours were commencel , gradually pain reduction has been reported. Urologist assessment performed which revealed to pass stone spontaniously fortnight , strict compliance of oral fluid intake of two to three liters daily recomended . Dietary restriction regarding salt, oxalaterich foods and animal prote in were adviced. A dietition service is recommened to monitor her dietary habits.
Based on above mentioned circumstances , regular checking of passage of stone and to be sent to laboratory for analysis is highly recommended . please note the follow up appointment for the urologist is scheduled on 20 july.
If you required any additional information , please do not hesitate to contact me.
Yours sincerly,
Charge Nurse
Medical ward
Berrytown public hospital
24 Beech Road
Berrytown
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