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  • Nakul

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    Ram Kumar
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    1) Nakul, a 22-year-old male, was admitted to S.S. Hospital on February 23, 2023 after falling from an e-rickshaw and briefly losing consciousness with vomiting and a headache. 2) His physical examination found him conscious with normal vital signs. Laboratory tests including bloodwork were normal. 3) Imaging including a CT scan found a basifontale contusion on the right and left sides with hemorrhage in the sinus.

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    1) Nakul, a 22-year-old male, was admitted to S.S. Hospital on February 23, 2023 after falling from an e-rickshaw and briefly losing consciousness with vomiting and a headache. 2) His physical examination found him conscious with normal vital signs. Laboratory tests including bloodwork were normal. 3) Imaging including a CT scan found a basifontale contusion on the right and left sides with hemorrhage in the sinus.

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    6 views3 pages

    Nakul

    Uploaded by

    Ram Kumar
    1) Nakul, a 22-year-old male, was admitted to S.S. Hospital on February 23, 2023 after falling from an e-rickshaw and briefly losing consciousness with vomiting and a headache. 2) His physical examination found him conscious with normal vital signs. Laboratory tests including bloodwork were normal. 3) Imaging including a CT scan found a basifontale contusion on the right and left sides with hemorrhage in the sinus.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    of 3

    S.S.

    Hospital
    Near Universal petrol pump Hari-Parvat Agra U.P, PIN: 282002

    LANDLINE :(0562)2527070, MOB:9258893955, Email:sshospitalagra@gmail.com

    ROHINI ID: 890008033235 HOSPITAL REGN NO:AL-2224 NABH PESHCO -2021-3999

    DISCHARGE SUMMARY
    NAME:Nakul S/o Sanjay

    AGE/SEX:22yrs Male

    IP NO: AL2224/2023

    ADDRESS: Mohallah Satta Etmadpur Distt-.Agra

    MOBILE :8273207348

    DATE OF ADMISSION:23/02/2023

    DATE OF DISCHARGE:

    TPA / INSURANCE:

    CONSULTANT :Dr Namit Singhal (M.S.M.C.H.)

    PRINCIPAL DIAGNOSIS:

    OPERATIVE PROCEDURE:

    CHIEF COMPLAINTS:Fall from E.Rickshaw ,Brief LOC ,3 episodes of vomitting, Headache

    HISTORY OF PRESENT ILLNESS: Since 1 day

    PAST MEDICAL HISTORY:No Any such past medical history

    HISTORY OF DRUG ALLERGY:No any Drug allergy noted.

    PHYSICAL EXAMINATION :.GC Conscious GCS-E4V5M6 BP-110/70mmHg P- 78/min SPo2- 98% on R.A. Temp-98°F
    GRBS-124mg/dl

    INVESTIGATIONS:

    1. BLOOD REPORTS:Hb-13.6 TLC-8700 Pl.Count-1.59 lakh Bl.Urea-26.23 Sr Creat-0.72 Na-136.65 K-3.80 & All viral
    markers NEGATIVE
    2. ECHO/HOLTER:

    3. CAROITD DOPPLER:

    4. CT:Basifontale contusion R>L with Hemosinus

    5.MRI:

    SUMMARY OF TREATMENT:

    TREATMENT ADVISED:

    SPECIAL INSTRUCTIONS:
    DR NAMIT SINGHAL

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