Discharge summary Case 1
Hillcrest Medical Centre
DISCHARGE SUMMARY
Patient Name: Brenda C. Seggerman
Hospital No: 903321
Date of Admission: 03/27/2014
Date of Discharge: 03/30/2014
Admitting Diagnosis: Ectopic pregnancy
Surgical Procedures: Exploratory laparotomy, Partial salpingectomy, evacuation of hemoperitoneum, lysis of adhesions.
Complications: blood loss requiring transfusion x2.
History: This 35 year old white female, gravida 3, para 1-0-2-1. Had her last menstrual period in early January, prior menstrual cycles have been regular. She reported using no contraception but not attempting pregnancy.
Patient presented to the emergency room, complaining of vaginal bleeding with pain in the lower pelvic area. Ultrasound preformed in the emergency room showed a 13.8 cm left adnexal mass with positive cardiac activity, Compatible with ectopic pregnancy.
Hospital course: On March 27, the patient underwent exploratory laparotomy, left partial salpingectomy, evacuation of hemoperitoneum, and lysis of adhesions. Blood loss was approximately 1000cc, was replaced with transfusion of two units of red blood cells. Her blood type was noted to be O RH- and RhoGAM was provided.
(Continued)
Discharge summary
Patient Name: Brenda C. Seggerman
Hospital No: 903321
Date of Admission: 03/27/2014
Date of Discharge: 03/30/2014
The patient was discharged on post-operative day number three, after having had a normal bowel movement. She was discharged without complaints, on no medications. She understood her instructions regarding: follow-up, incision care and limitation of activities.
_________________________
Rosemary Bumback M.D.
LB/PJG
D: 03/30/2014
T: 12/11/2014
CC: Linda L. Kingston D.O.
DISCHARGE SUMMARY
Patient Name: Brenda C. Seggerman
Hospital No: 903321
Date of Admission: 03/27/2014
Date of Discharge: 03/30/2014
Admitting Diagnosis: Ectopic pregnancy
Surgical Procedures: Exploratory laparotomy, Partial salpingectomy, evacuation of hemoperitoneum, lysis of adhesions.
Complications: blood loss requiring transfusion x2.
History: This 35 year old white female, gravida 3, para 1-0-2-1. Had her last menstrual period in early January, prior menstrual cycles have been regular. She reported using no contraception but not attempting pregnancy.
Patient presented to the emergency room, complaining of vaginal bleeding with pain in the lower pelvic area. Ultrasound preformed in the emergency room showed a 13.8 cm left adnexal mass with positive cardiac activity, Compatible with ectopic pregnancy.
Hospital course: On March 27, the patient underwent exploratory laparotomy, left partial salpingectomy, evacuation of hemoperitoneum, and lysis of adhesions. Blood loss was approximately 1000cc, was replaced with transfusion of two units of red blood cells. Her blood type was noted to be O RH- and RhoGAM was provided.
(Continued)
Discharge summary
Patient Name: Brenda C. Seggerman
Hospital No: 903321
Date of Admission: 03/27/2014
Date of Discharge: 03/30/2014
The patient was discharged on post-operative day number three, after having had a normal bowel movement. She was discharged without complaints, on no medications. She understood her instructions regarding: follow-up, incision care and limitation of activities.
_________________________
Rosemary Bumback M.D.
LB/PJG
D: 03/30/2014
T: 12/11/2014
CC: Linda L. Kingston D.O.