QQ-3315. Mr Mark A.Nelson - Nursing – Adari Prashanthi – Total Hip Arthroplasty

Orthopaedic Surgeon

Shepton Mallet NHS Treatment Centre

Balaclava Rd

St Kilda East VIC 3183

05 March 2018

Dear Mr Nelson,

Re: Mark A.Nelson, aged 60

Mr A. Nelson, who is recuperating from Total hip arthroplasty requires, urgent assessment and further management as he is suspected to have Deep Vein Thrombosis.

On 11 February 2018, he was admitted with severe left groin pain and diagnosed with Osteoarthritis for which Total hip arthroplasty was done. Postoperatively nonsteroidal anti-inflammatory drugs were commenced and education was also given to his wife on medication regimen as well as incision care. Instructions were also given to wear support stockings for 3 to 4 weeks.

Postoperatively his condition improved gradually and discharged on 17 February 2018. During follow up after 2 weeks the staples were removed. On the next visit after 6 weeks he was completely out of pain and also the Trendelenburg test showed negative along with satisfactory X-ray .

Upon Mr A. Nelson’s wife request, home visits were arranged with local community nursing service, so on 05 March 2018 during home visit he exhibited symptoms of severe pain, swelling , tenderness and redness in the calf. The vitals signs showed increase in blood pressure,heart rate, respiratory rate along with temperature suspecting Deep vein thrombosis.

Based on the above mentioned details, it is very emergency to assess Mr A. Nelson’s condition and provide further management.

If you have any queries, please do not hesitate to contact me.

Yours sincerely

Registered nurse

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