Mr Paul Feeris
Summerseat Nursing Home
16 June 2018
Dear Mr Ferris,
Re: Mrs Bome Ellis, DOB: 06 January 1942
I am writing to update you the current health status of Mrs Anne Ellis who requires ongoing care and management. She has been diagnosed with a 4mm obstructing pelviuretuc junction calculus. She us being discharged back into your care today.
On 12 June 2018, Mrs Ellis was admitted with the symptoms suggestive of renal calculi. Subsequently, a CT scan revealed bilateral multiple renal calculi along with moderate bilateral hydronephrosis. Initially, pain was managed with 2 doses of injection diclofenac. Followed by paracetamol 500mg every 4 to 6 hours which needs to be continued IV fluids and infection metaclapramide were administered to manage dehydration and vomiting respectively .
On the very next day, lamsolution 8mg twice per day was commenced to enhance. He spontaneous passage of calcli within 1 to 2 weeks. Therefore, kindly use a seive to observe the expulsion of stones after that to be send for lab analysis. Two to three litee of fluid per day was recommended. Hence, monitor her complaince with the same as eell as urine output.
Based on the aforementioned citcumstances monitoring of pain and provide medications would be profoundly beneficial for Mrs Ellis. It is imperative to reduce the intake of salt upto 3 grams daily as well as protein 1.0 g/kg body weight. Kindly, avoid excessive intake of oxalate rich foods. She has a follow-up with urologist on 20 July 2018.
In case of any additional information is required, please do not hesitate to contact me.
In case of any additional information is required, please do not hesitate to contact me .
Berry town Public Hospital
24 Beach Road