“Wakuru County Government PROVINCIAL GENERAL HOSPITAL: NAKURU | PROVINCIAL GENERAL C= Sane BO Box TT NAKURU Tel 051-2215580-90, Email: ypannakuructscan@amail.com NAKURU, KENYA i | RADIOLOGIST REPORT Name : MR. MUHIDRI*ABDI OSMAN Pat. ID: 4499 Pat. Age Pat. Sex M Date : 01/09/2021 Clinical Information: Acute abdomen MULTISLICE _TRIPHASIC C.T. SCAN OF THE ABDOMEN AND PELVIS:- Multislice axial contiguous cuts were taken through the abdomen and pelvis with peroral gastrografin, and after IV. non- ionic contrast injection, in a triphasic fashion (arterial, portovenous and delayed phases). FINDINGS: — Massive free peritoneal fluid and air seen.Stomach and Bowel is unremarkable . Normal CT density of the liver parenchyma, with no focal lesions. _ No intra or extrahepatic biliary dilatation The portal vein is patent with no thrombosis. _ Normal CT appearance of the spleen and pancreas. Both kidneys are functioning and normal. . Normal filling of the urinary bladder with normal wall thickness and no calculi The prostate and both seminal vesicles are of normal C.T. appearance. No abdominal or pelvic lymphadenopathy. _ Bilateral pleural effusions seen IMPRESSIO| Free peritoneal fluid and air suggests ruptured viscous.Urgent surgical consult advised. Verified By Da. PANANGWeE a fore OS CONSULTANT RADIOLOGIST 2 iti.Covoo]}~e @,\ 34 NAKURU LEVEL HOsPITAL@e Sno. st sags eA P.O. BOX 71-20100 NAKURU MEDICAL IMAGING REQUEST FORM PeeON f ‘ pate (6709/24 Sastre Mbida oko 5 Patient's Name : PAR tO Be 88 en LY sou LMP. «EDD Referring Department Examination Modality [X- ray]Ultrasound]CT Scan] MRI [Mammogram|Dentall EEG|ECG] Echo ZI Investigation Requested Zed Brief clinical history History of allergy IHyes Specity Radiologist / Radiographer ... . Date .. Patient's preparation; /U/ sound, - Abdomen, starve for six hours, Pelvic, full urinary bladder during exam. = CT scan, MRI, Ba Meal, starve for six hours and empty bowels 1 hour before exam,& REPUBLIC OF KENYA UPd, = DEPARTMENT OF HEALTH SERVICES NAKURU COUNTY Email:rypghnakuru@yahoo.com NAKURU PROVINCIAL GENERAL HOSPITAL, +254721750460 P.O BOX 71-20100 When replying please quote: NAKURU REF: OP/NO- 835345 16" SEPTEMBER, 2021 TO WHOM IT MAY CONCERN Dear Sir/Madam, RE: MEDICAL REPORT FOR ABDI MUHADIN OSMA! EARS Mz ‘The above named patient who is a known deaf and dumb presented with a diagnosis of an acute abdominal pain for one day and urgent surgical attention was taken where he underwent an emergency exploratory laparotomy and the intra- operation findings of a perforated disorder ulcer was made. Post operatively the patient had a permanent discharge on the incision site, sutures are released 2 then cleaning and dressing of the wound done then closed primarily and the patient was discharged. Upon discharge and considering the sound history of the patient, it is necessary to facilitate less distressful means of transport that is by air rather than by road. If by road it would be by an ambulance but not for distance longer than 150km, : Other discharge instructions are on the discharge summary. Your assistance will be highly appreciated. Thank you in advance. DR. LUDIA — Es CONSULTANT GENERAL SURGEON I FOR: MEDICAL SUPERINTENDENT NAKURU PROVINCIAL GENERAL HOSPITAL