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QQ-3139. Mrs Anitha Ramamurthy - Nursing – Pavani Thupakula – Appendicular Lump


Ms Prabha

Srishti Nursing Home Care Agency


23 June 2017

Dear Ms Prabha,

Re: Mrs Anitha Ramamurthy, aged 59

Mrs Anitha Ramamurthy, who has been provided conservative management for acute appendicitis with appendicular lump, requires hone visit for providing instructions on how to monitor and administer blood glucose and insulin injections following the discharge today.

On 18 June 2017, Mrs Ramamurthy was admitted to hospital with complaints of pain abdomen in right iliacfotra and fever. Investigations ultrasonography and computed tomography revealed acute appendicitis with suggestive of hypodonic area in the region of base of appendix at its attachement with calcum which was managed effectively with combination of treatments.

Mrs Ramamurthy lives with husband and BMI 33 is noticed. She prefers eating whole milk, ice cream shakes, doughnuts, pizzas, Caiten fries, hash brown. She has had the history hypertension and diabetes type2 since 2014 and 2010 respectively and non complaince with DM medications.

Refraining from strenous physical labour and travel is advised. Post operatively exercise program for losing weight is advised. Low fat and normal diabetic diet is prescribed. Regular monitoring of fasting and postprondial blond sugar and which has to be recorded in a chart and chart should he showed during followup visit is advised. Husband was advised to contact emergency department immediately if he notice persistent pain or fever at 03492250. Advice regarding preparation of simple recipies is required. A followup visit in 30 June 2017 at 3 pm has been scheduled.

Based on the aforementioned circumstances, providing guidance regarding monitoring glucose levels and administration of Insulin injection is extremely beneficial to improve Mrs Ramamurthy’s condition. Incase , any additional information is required, please do jot hesitate to contact me.

Yours Sincerely,

Charge Nurse

Sydne Woman’s Hospital .


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