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Post-operative history

:
There are some differences the methods the histories we

*Profile:
Name , age , marital state, address, career , special to gyna (gravida, para,
LMP).

*CC:
1-When was the patient operated?.
2-what was the procedure?.
3-why was the procedure done?.
E.g. (A.m is a 25 year-old married male works as manual worker , underwent
appendectomy yesterday because of highly subsection of appendicitis.)

*History of presenting illness:
-As usual ,but you have to add "course of hospitalization" (what is done to the
patient in the hospital from the time of admission tell now) + investigations
& results.

*post-operative course:
Your questions should be oriented to the case, and the day of operation.
Day one:
1-mobility.
2-urination.
3-vomiting.
4-oral feeding.
5-bowel motion.
6-atelectasis.
Day 2:
1-the same things.
2-chest infection.
3-UTI (urinary symptoms).
4-ileus. (Due to a- bowel manipulation, b-electrolytes imbalance
(hypokalemia)).

Day 4: -hematoma.difficult intubation. drug .excessive bleeding.mendelson's syndrome. 2-during operation complications. 3-Aspiration pneumonia .failed intubation. *during operation complications: 1. 5-Overdose. 2.Day 3: -UTI (urinary symptoms). . Complications of any surgery are divided into: 1-anesthesia complications. 4.bleeding. 2-Injury to bowel bladder or blood vessels( the three b's) 3. 2-urination. *Anesthesia complications : 1. 3-post operation complications: (early and late): Early: Day one: 1-mobility. Day five: -wound infection and DVT. 3-post operation complications. 4-oral feeding.allergy to anesthetic drugs. allergy family and social history and by this you end up post operative history. 3-vomiting. Then you mention past medical.

(Due to a. Fever causes post operativly: 5 w's 1. 2-adhesions. . 3-scars. 6-atelectasis. Day 3: -UTI (urinary symptoms). 2-chest infection. Day five: -wound infection and DVT. b-electrolytes imbalance (hypokalemia)). Day 4: -hematoma.(infection) 3-water (UTI) 4-wonderful drugs. 2-wound.bowel manipulation. (Chest infection). 5-walking (is it PE). Day 2: 1-the same things. 3-UTI (urinary symptoms). Late: 1-hernia. 4-ileus. 4-fistula.5-bowel motion.wind.