Dr Ceawlin Jones
68, Riverside Clinic
Dear Dr Jones,
Re:Mr Craig Hemsworth, aged 52
I am referring Mr Craig Hemsworth, who has been diagnosed with tonic clonic seizures, requires on going care and thorough management at your service following his discharge today.
Mr Hemsworth was presented to the hospital with the complainants of sudden fainting attack and loss of consciousness. Additionally ,his breathing stopped for 20 seconds as well as jerking movements of both upper and lower limbs were noticed.Apart from that, his face turned to blue and incontinence of urine also was detected. Eventually, he regained consciousness after two minutes.
On examination, some bruises were found on his left hand and left leg.During hospitalization, he was treated with Mannitol 20mg,Phenytoin 10mg,ceftriaxone 1.5 gm,clipidogrel 75 mg twice daily along with Amlodipine 5 mg daily. His electro encephalogram revealed focal epileptic variants whereas, CT scan showed right subdural haematoma. Subsequently ,ophthalmical and neurological consultations were performed. On 20 August 2019,he has been shifted to the ward.
In view of the above details, it would be profoundly beneficial for mr. Hemsworth to refrain from driving and strenuous activities. Please note, the use of safety alert band,regular sleep, healthy diet and adherence to anticonvulsant drug Phenytoin 10 mg daily is pivotal for him. A follow-up appointment has been scheduled for him after a fortnight. A detailed discharge education has been provided to both him and his wife regarding monitoring of the condition.
If you require further information regarding Mr Hemsworth, please do not hesitate to contact me.