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MR Paul Ferris

This letter introduces Mrs. Anne Ellis, a 76-year-old patient diagnosed with renal colic and requiring continued care after her discharge. She has been treated for severe pain and is advised to monitor her medications, fluid intake, and diet while awaiting a follow-up appointment with a urologist. The letter emphasizes the importance of compliance with medical advice and monitoring for the passage of a kidney stone.

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Maureen Alvarado
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11 views1 page

MR Paul Ferris

This letter introduces Mrs. Anne Ellis, a 76-year-old patient diagnosed with renal colic and requiring continued care after her discharge. She has been treated for severe pain and is advised to monitor her medications, fluid intake, and diet while awaiting a follow-up appointment with a urologist. The letter emphasizes the importance of compliance with medical advice and monitoring for the passage of a kidney stone.

Uploaded by

Maureen Alvarado
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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MR PAUL FERRIS

MANAGER
SUMMERSEAT NURSING HOME
GARDEN STREET
BERRYTOWN

16 JUNE 2018

DEAR MR FERRIS

RE: MRS ANNE ELLIS, AGED 76

I AM WRITING TO INTRODUCE MRS ANNE ELLIS, WHO WAS DIAGNOSED WITH RENAL COLIC-DILATION
OF THE LEFT COLLECTING SYSTEM AND OBSTRUCTING PELVIC URETERIC JUNCTION. SHE IS SET TO BE
DISCHARGED AND REQUIRES CONTINUED CARE AND MANAGEMENT.

ON 12 JUNE, MRS ELLIS WAS ADMITTED AND PRESENTED WITH SEVERE PAIN IN THE LEFT LOIN AND
GROIN RADIATING TO THE LOWER BACK, ACCOMPANIED BY VOMITING, RESTLESSNESS, AND SWEATING.
A CT SCAN REVEALED THE ABOVE-MENTION DIAGNOSIS. SHE WAS GIVEN DICLOFENAC,
METOCLOPRAMIDE, AND AN IV FOR HYDRATION. SHE WAS ADVISED TO INCREASE FLUID INTAKE. IN
ADDITION, SHE WAS COMMENCED ON TAMSOLUSIN, FOR WHICH HELPED HER TO PASS THE STONE;
AND PARACETAMOL, FOR WHICH ALLEVIATED HER PAIN, RESPECTIVELY.

MEDICALLY, MRS ELLIS HAS STABLE VITAL SIGNS AND MINIMAL PAIN. SHE WAS ASSESSED BY
UROLOGIST AND ADVISED THAT THE STONE WILL SPONTANEOUSLY PASS WITHIN A WEEK OR TWO.

IT WOULD BE APPRECIATED IF YOU COULD ENSURE TO MONITOR HER MEDICATIONS AND PAIN RELIEF.
KINDLY ENCOURAGE HER TO COMPLY WITH MONITORING HER FLUID INTAKE AND URINE OUTPUT. IN
ADDITION, PLEASE EMPHASISE TO HER TO USE A SIEVE TO CHECK THE PASSAGE OF STONE, WHICH WILL
BE SENT TO THE LABORATORY FOR ANALYSIS. IT WOULD BE BENEFICIAL FOR HER IF YOU COULD
ENCOURAGE HER TO ADHERE TO THE DIET AS ADVISED BY THE DIETICIAN: SLAT-INTAKE, MAXIMUM OF
3G DAILY; AVOID EXCESSIVE INTAKE OF OXALATE-RICH FOODS SUCH AS NUTS, SOY PRODUCTS, WHEAT
BRAN; AND LIMIT PROTEIN INTAKE TO 1.0G/KG BODY WEIGHT. PLEASE NOTE, SHE WILL BE HAVING AN
APPOINTMENT WITH A UROLOGIST ON 20 JULY.

IF YOU HAVE ANY QUERIES, PLEASE DO NOT HESITATE TO CONTACT ME.

YOURS SINCERELY,

CHARGE NURSE

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