KARNATAKA INSTITUTE OF MEDICAL SCIENCES HUBLI KARNATAKA  

Govt of Karnataka
hubballikims.karnataka.gov.in

    DISCHARGE SUMMARY    

   
  UHID : 20230173450  
Patient Name: Mr. MAULALI SAYYADAGUS RAYACHUR Department: SURGICAL GASTROENTEROLOGY
Age /Sex: 34 Years 0 Months 10 Days 0 Hours / Male Unit:: UNIT A
PMSSY SURGICAL GASTROENTROLOGY
S/O : SAYYADAGUS Ward::
WARD
Billing Type : BPL CARD MLC Patient: NO
IPD Admission ID :: 202334101 Discharge Type: Normal Discharge
Treating Doctor: Dr. Arvind K, Bed No: F

   Drug Allergy :-  
Mobile No:
   
Date of Admission: 20/06/2023 02:52:55 PM
Operation Date:    
Date of Discharge : 30/06/2023 09:09:00 PM
Address : HUBLI , 7760827877, KARNATAKA, INDIA
Surgeon : Asst.Surgeon :

Procedure : Operative Findings :

Consulting Doctor : Dr. Arvind K

  Diagnosis : CARCINOMA COLON  

ICD Code: C18.9

Admitted For: C/O Pain abdomen x 4 months C/O loose stool x 4 months C/O weight loss

CONCIOUS BP: 120/80 MMHG PR: 86 BPM RR: 18 CPM SPO2: 98% NO PICCLE Systematic Exam :- CVS: S1S2 + RS:
Physical Findings:
B/L NVBS+ P/A: SOFT, NON TENDER BS+

Condition During Patient general condition fair

Discharge : vitals stable

  Patient came with above complaints and diagnosed as carcinoma colon and patient  
Brief Summary of the Case:
was managed conservatively.

Category Test Name Observation

Blood Group: B +ve, HB: 14.7, WBC: 7.04cell/ul, PLT: 280000, HIV: Negative, HBsAG: Negative, HCV: Negative,
LFT: Bilirubin (Total)0.5, Bilirubin (Direct)0.2, Albumin: 3.7, Alk phosphatase: 128, S. Creatinine: 1.0, AST: 14,
Note :      0
ALT: 8 Colonoscopy on 8/6/23: large ulcerative lesion obstructing the lumen of transverse colon 50-70 cm
from anal verge. Biopsy on 13/6/23 : mucinous adenocarcinoma    

Treatment Given :

Note : Conservative Management

Advice on Discharge: Tab: Pantop 40mg 1-0-1 for 5 days,

Tab: Ciplox 500mg 1-0-1 for 5 days,
Tab: PCT 500mg 1-1-1 for 5 days,
 Tab: Metrogyl 400mg 1-1-1 for 5 days,
Tab: BC 0-1-0 for 1 month,
Tab: Tramadol 100mg SOS pain,
Tab: Emeset 4mg SOS vomiting,

To come For follow up in Routine OPD on & Time

In specialist Clinics on    & Time

Senior Resident             

Signature Treating Doctor

Dr. Arvind K

30/06/2023 09:09:00 PM
Date & Time