QQ 1100. Mrs. Anne Ellis - Letter - Sangita Devi

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Mr. Paul Ferris

Manager

Summerseat Nursing Home

Garden Street

Berrytown

16 June 2018

Dear Ms. Ferris

Re: Mrs. Anne Ellis, aged 76

Mrs. Anne Ellis who has been recuperating from bilateral renal calculi and moderate bilateral hydronephrasis. She requires continuing care and management following the discharged today.

On 12 June , Ms. Ellis was admitted to hospital with the complaintsof abrupt onset of intense pain, unilateral left joint and groin pain which is radiating to her lower back. Vomitting, sweating, dehydrating, restless, grimase and haematuria were observed. Subsequently, intravenous diclofenac 75 mg for pain management metoclopramide 10mg and intravenous rehydrating were adminiatered computerized tomography scan performed it revealed dilation of left collecting system and measuring 4mm calculus destructing pelviureteric junction.

On next day , Tamsolusin 8mg twice daily and paracetamol 500mg every 6 hours were commenced, gradually pain reduction has been reported. Urologist assessment performed and culminatedto pass stone within a fortnight. Strict complaince of fluid intake of two to three litres daily. A dietician service is recommended 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 followup appointment for the urologist is scheduled on 20 July.

If you require any additional information, please donot hesitate to contact me.

Yours sincerely,

Charge Nurse

Medical Ward

Berrytown Public Hospital

24 Beach Town

Berrytown.

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