Medications

Perindopril 5mg PO mane

Atorvastatin 40mg nocte

Ferrous Fumarate 200mg PO mane

HPC

The patient had his colonoscopy where a large polypoid lesion was found. This was found to be a malignant polypoid lesion which had high grade dysplasia and was suggestive of invasive adenocarcinoma on histopathology.  Due to the patient’s low iron, he remained an inpatient for an iron transfusion while pending the results of the colonoscopy. He has been advised by the surgical consultant that he will require a low anterior resection in the next few days and need to remain in hospital.

PSxHx

Cholecystectomy

PMHx

Hypertension

Dyslipidaemia

Allergies

Penicillin

FHx

Mother died from myocardial infarction 15 years ago. Father died 50 years ago from a farm accident with no relevant medical history. Patient believes his maternal grandfather had bowel cancer, as did a maternal aunty.  

SHx

Patient and his wife recently sold their farm and moved into town for retirement. They have the support of a local daughter and son-in-law.

Has a 25-pack-per-year smoking history but stopped 35 years ago. Has about 4-5 schooners of beer a week.

Last modified: Monday, 20 April 2020, 2:03 PM