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Discharge Summary Template
Discharge Summary Template
DISCHARGE SUMMARY
ADMISSION DIAGNOSIS(ES): Lumber spine fusion, L3, L4, and L5, following
extraction of nerve sheath tumor.
COURSE IN HOSPITAL: This patient was admitted for lumber spine surgery. This was
an L3, L4, and L5 fusion and fixation. The patient had an uncomplicated immediate
intra-operative and post-operative recovery. The patient had some issues with residual
leg pain and instability, and a short course of Decadron was given with good results.
The patient was on an obesity protocol during the surgery.
DISCHARGE PLAN: He was discharged today and will be seen by his family doctor in two
weeks. He will see me in six weeks time.
TW/ag
DD: YYYY/MM/DD
DT: YYYY/MM/DD