Mr Paul Ferris
Manager of Summerseat Nursing Home
16 June 2018
Dear Mr Ferris,
Re: Mrs Anne Ellis, DOB: 06 January 1942
I am writing to update you the current health status of Mrs Annie Ellis who has been diagnosed with renal colic. She requires continuing care following a distance today.
On 12 June 2018, Mrs Ellis was admitted to hospital with sudden onset of intense, unilateral left loin and groin pain which was relating to lower back and vomiting. Urine test revealed hematuria and x-rays shows bilateral multiple renal calculi, moderate bilateral hydronephrosis, dilation of the left collecting system along with 0.44 mm of calculus obstructing pelviureteric junction. Her vital signs where is dearranged with bloodpressure of 140/90 mmhg which is unremarkable at present.
During hospitalisation, dehydration was noted, for which increased intake of fluid to two to three litre per day has been recommended. Paracetamol 500 mg every four to six hours and tomsolusin 8mg twice daily for spontaneous passing of calculus is required. On Urological assessment, stone will be passed spontaneously within one to two weeks.
Based on the above mentioned circumstances, regular monitoring for medication. Complaince and urine output would be profoundly beneficial. Kindly use a seive for monitor a stone passage and sent it for labouratory analysis. Dietary management need to be reviewed by dietician. Please note, her dietary regimen is enclosed with this letter for your perusal.
If you have any queries regarding Mrs Ellis, please do not hesitate to contact me.