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Ministry of Education lMAM ABDULRAHMAN B:N FA:SAL UNIVERSrrY Klngdom of Saudi Araba

043

King Fahd Hospita:● fthe University Aikhobar l,コ Lψ りI。喘│`ll^11υ こ出し


Medical Report

NAME OF PAT工 ENT= Amri′ Haithan Mohd― Ali ACE825Y


MEDo RECORD NO : ■■03790 SEX:male
ADMISS工 ON DATE 30 」un 20 0334800 NAT:Saudi
Visit Ъ ″ e : 工nPatient(Discharged On3 04 August 2020)
Report Date: 2 Aug 20 ■345

MEDICAL REPORT :

x Admi88iOn Date : 30ヽ 6ヽ 2020


× Discharge Date: 2ヽ 8ヽ 2020
x Status in digcharge: improved
24 years o■ d saud Male, admitted through ER after Fall fron the 4th
floor
HosPita■ Courge:
Patient underwent
x Subdura■ Hematoma Evacuation 30 」une 2020
× Decompregsion and fixation fro● T■ ■ ― L■ 4TH 」u■ y 2020
x Left i■ iac fracture ORIF ■3 」u■ y. 2020
× Right sacral Fix screw fixation ■3 」uly′ 2020
Patient is seen today and evaluated′ doing fine no active issues.
Ex: Patient i3 vitally stable : T(37.3) P(■ 07) RR(20)
Pu■ se(■ 07)BP(■ 37/79) ′On Right tr shape back-3■ ap.
D■ sta■ Neurovascular intact No c■ inica■ sign of colnpartnent gyndrome
or DVT.
Labs :Hgb (9.4) BUN (■ 5) cr( 0,49)

Discharge PIan:
x Dischargelnatruction:
o Keep wou[d dry and clean
o Regular die!
o OPD afler 2 weeka in orthopedic clinic with Dr. saad
o OPD with Psychiatry clinic on Wedneaday after Eid.
x Disctrarge Medications 3

o Paraceta.Dol 19 PO Q 5 hr for 1{ days .


o Claxane 40 Dg SQ OD for 25 days
o Risperidone I mg HS daily
o Risperidone 1Dg PRN in case of agiEation

PACE ■ OF 2 :β 。メ

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Ministry of Education lMAM ABDULRAHMAN B:N FA:SAL UNiVERS:TY Kingdorn of Saudi Arabia
043

King Fahd Hosptal ofthe Unive“ ityAlkhobar iルコ l tJ‐ LJIュ゛ `1:^llぃ 置 L“

NAME OF PAT工 ENT= Amri′ Haithan Mohd― Ali


MED. RECORD NO : ■■03790

.f,ehani, Yasser Mahir


DirecEor of Irtedical Services

‖e轟」ReportS

PACE 2 oF 2
Alkhobar 31952■ PO Box 2208
:esll
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中 。O wwW iau edu sa / :;ut l.:i.l
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Fax +966138966770 にう Tel +966138966666 /+966138966877 ● │


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