Patient Details
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Medications |
Seretide Accuhaler 500/50mcg 1 puff INH BD Salbutamol MDI 100mcg 1-2 puffs INH PRN Candesartan 16mg PO mane Pantoprazole 40mg PO mane Clexane 40mg S/C nocte Clexane 40mg S/C nocte Paracetamol 1g PO QID Endone 5-10mg PO Q4h PRN Ondansetron 4-8mg IV Q6h PRN |
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HPC |
Mr Tucker had a CT with IV contrast on the day of admission though ED showing a right inguinal hernia with incarcerated small bowel. There was no free air and no current concerns of preformation. Mr Tucker underwent a successful emergency Lichtenstein hernia mesh repair 4 days ago. All the bowel appeared viable and therefore no resection was required. He started passing wind 2 days ago and opened his bowels this morning. The patient has noticed some increased pain and oozing at the wound site. The wound was closed with subcuticular vicryl and had no post-op issues. Over the last few hours, there has been some new incision site pain. The wound spontaneously dehisced at the medial aspect with some purulent discharge. |
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PSxHx |
Appendicectomy – Nil complications |
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PMHx |
COAD Hypertension GORD Overweight |
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Allergies |
NKDA |
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FHx |
No relevant family history. |
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SHx |
Mr Tucker is a real-estate agent who lives in Uralla with his wife and son. They have 2 adult daughters that have moved out of home and 1 son who is currently completing his HSC and lives at home. He has a 40-year smoking history and has about 10 standard drinks a week. He is able to walk up 2 flights of stairs, but becomes extremely out of breath. |