DEPARTMENT OF GASTROENTEROLOGY

DISCHARGE SUMMARY

Patient Name : UHID No :

Age/Gender : Years / Male IP NO :
Address : Ward :
Admitted Date:
Date of Discharge:
Mobile No :

PRIMARY CONSULTANT:

DIAGNOSIS:

HISTORY:
A years old male/female presented with history of cough with expectoration since__________ days,
History of high grade fever with generalised body pains, weakness, Shortness of breath. History of
nausea, vomiting, sore throat, loss of smell and taste, diarrhea since few days.
History of contact with covid positive family members. He/She is known case of
_HTN/DM/Thyroid/Asthma/COPD/______________________. Now admitted for further evaluation.

CLINICAL FINDINGS: Patient was conscious & coherent.

0
Temp: F
BP: mm of Hg. PR: /bpm
RR: /minute CVS: S1, S2 Present,
RS: BAE +.
P/A: Bowel sounds audible.

COURSE IN THE HOSPITAL:

Patient was admitted with above mentioned complaints and all necessary investigations were done.
SARS COVID 2 RTPCR for Covid 19 was ___________. Patient was started with Inj Remdesvir,
antibiotics, steroids, LMW heparin, analgesics, antacids, multi vitamins and other supportive
medications. Patient improved symptomatically with above treatment and is being discharged in
hemodynamically stable condition with advice of strict 10 days of home quarantine.
Patient Name : UHID NO :

Discharge Advice:
Sl No Drug Name Dosage Timing Remark

1 Tab LIMCEE 500mg Twice daily After food for 14 days

2 Tab. ZINC 50mg Once daily After food for 14 days

3 CAP Tayo 60K Once weekly For 6 weeks

4 Tab. GUDCEF 200mg Twice daily After food for 7 days

5 Tab. FAMOTIDINE 40mg Twice daily Before food for 10 days

6 TAB. DEXA 6mg Once daily After food for 5 days
4 mg Once daily After food for 5 days
2mg Once daily After food for 5 days
1 mg Once daily After food for 5 days
9 Tab. MUCINAC 600mg Once daily After food for 14 days
10 Syp Grillintus 10ml Thrice daily After food for 2 weeks
11 Tab Eliquis 2.5 mg Once Daily After food for 1 month.
12
13
14
15

FOLLOWUP: Continue anti-diabetic and anti-hypertensive, thyroid medications as earlier.

Advice: Strict 10 days of home quarantine.
Review after 2 weeks with LFT, RFT, CBP, IL6, D dimer, Serum Feriitin and LDH.

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