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IP No : 0000012550
| DISCHARGE SUMMARY |
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| DEPARTMENT OF ENDOCRINOLOGY |
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| Hospital No | 0000083990 | Gender / Age | Male / 28 Years |
| Name | MR. UNNIKRISHNAN T | Mobile No | 7034830383 |
| Address | Choorakkattu House | Date of Admission | 26/07/2023 |
| Karichal Payi[Pad P O,Haripad | Date of Discharge | 27/07/2023 | |
| Ward/Bed No | Nursing Station Two/S 303 | Consultant | Dr. Dr Sunil Joseph |
| Surgery Date | 26/07/2023 03:9:26 PM |
History And Examination
Fistula in Ano
Clinical Examination
conscious and orineted
cvs-s1s2 heard
rs-aebe,chest-clear
pa/-soft and non tender
cns-nfnd
ADVICE ON DISCHARGE TIME
| Sl# | Medicine | Dosage | Frequency | Route | Period | Quantity | Remarks |
| 1 | Cefuroxime Axetil (Wakcef 500Mg Tab) | 1NO | 1-0-1 | Oral | 5 Days | 10 | After Food |
| 2 | Metronidazole (Metrogyl Er Tab) | 1NO | 1-0-1 | Oral | 5 Days | 10 | After Food |
| 3 | Chymotrypsin (Chymoral Forte Tab 20 S) | 1NO | 1-0- 1 | Oral | 5 Days | 10 | After Food |
Tab hifenac p 1-0-1 * 5 days Tab Razo OD * 5 days mega heal ointment for local application syp.cremaffin plus 15ml HS sitz bath BD * 2 weeks
Operative Findings
Laser ablation of fistula tract -complex tract .single external opening at 6'o clock position ,which splits into two tract 6'o clock/8 'o clock
Operative Procedure
Fistula in Ano
Laser ablation of fistula tract under SA done on 26-07-2023-
complex tract .single external opening at 6'o clock position ,which splits into two tract 6'o clock/8 'o clock . Partial fistulectomy of tract done. Laser ablation of fistula tract done. Curratage done. Hemostasis achieved. Pack kept. Dressing done.
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