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Patient Discharge Summary
Demographic Information
Name: AHMED FATHELDIN Current Date: 14/01/2020 20:06:47
DOB: 6/10/1941 Gender: Male
Emirates ID: 784-1941-4384241-0 MRN: 10086538
Patient Address: Dubai Phone: (055)221-3469
Reason for Visit/Chief complaint

breathing difficulty,cough and fever for 1 day
Admitting diagnosis:
Medical Summary Information

Dr.Mohammed Rajaa
Physician Name: Admission Date: 01/08/2019 09:37:00
Abdulraheem
08/01/2020 12:00:00
Specialty: ICU Discharge Date:
1:Respiratory difficulty; 2:Aspiration pneumonitis; 3:Respiratory failure; 4:Bronchospasm;
5:CRP elevated; 6:Fever; 7:Laryngeal dystonia; 8:Hypotension; 9:Dehydration; Abnormal
LFTs; Agitation requiring sedation protocol; Anemia; Aspiration pneumonitis; Bedbound;
Bloating; Cachexia; Central venous line infection; Central venous catheter in place;
Cholestasis; Congested nose; Constipation; Copious oral secretions; Decreased urine
output; Dehydration; Diarrhea; Dry eyes; Dry skin; Ear infection; Eye dryness; Eye problem;
Fluid loss; Fluid overload; Gastric acidity; Gastroparesis; Head ache; High alkaline
Discharge diagnosis:
phosphatase; Hyperkalemia; Hypoalbuminemia; Hypokalemia; Hypomagnesemia;
Hypotension; Infection; Infection of chest; Insomnia; Irritable bowel; Loose stools;
Malnutrition; Metabolic alkalosis; Mouth sore; Neutropenia; Nutrition disorder; Nutritional
problems; Occluded PICC line; Pain; Pain in back; Pain in the abdomen; Pleural effusion,
bilateral; Pneumonia; Pyrexia; Respiratory difficulty; Sepsis; Septic shock; Serratia infection;
Sialorrhea; Thick sputum; Thrush, oral; Tracheostomy care; Urinary catheter
insertion/adjustment/removal; Ventilator dependent; Vomiting
Vitals/Allergies Information
Allergies No Known Allergies
Blood Pressure / 59 mmHg Temperature
Respiratory Rate 20 br/min Pulse
BMI Weight
Smoking Status
Never smoker
Laboratory or Other Results This Visit (last charted value for your 01/08/2019 visit)
Hematology
26/12/2019 5:56 PM
Name: AHMED FATHELDIN 1 of 35 14/01/2020 20:06:53
MRN: 10086538
White Blood Cell: 8.2 x10^3/uL -- Normal range between ( 3.4 and 10.8 )
Red Blood Cell: 3.15 x10^6/uL -- Normal range between ( 4.14 and 5.80 )
Neutrophil Automated Percentage: 71 %
Mean Cell Volume: 91 fL -- Normal range between ( 79 and 97 )
MCHC: 32 g/dL -- Normal range between ( 32 and 36 )
Hematocrit: 28.6 % -- Normal range between ( 37.5 and 51.0 )
Mean Cell Hemoglobin: 29 pg -- Normal range between ( 27 and 33 )
Hemoglobin: 9.1 g/dL -- Normal range between ( 12.6 and 17.7 )
Platelet Count: 257 x10^3/uL -- Normal range between ( 150 and 379 )
RDW: 15.7 % -- Normal range between ( 12.3 and 15.4 )
Lymphocyte Automated Percentage: 18 %
Monocyte Automated Percentage: 6 %
Eosinophil Automated Percentage: 5 %
Basophil Automated Percentage: 0 %
Neutrophil Automated Absolute: 5.82 x10^3/uL -- Normal range between ( 1.40 and
7.00 )
Lymphocyte Automated Absolute: 1.5 x10^3/uL -- Normal range between ( 0.7 and
3.1 )
Monocytes Automated Absolute: 0.47 x10^3/uL -- Normal range between ( 0.10 and
0.90 )
Eosinophils Automated Absolute: 0.4 x10^3/uL -- Normal range between ( 0.0 and
0.4 )
Basophils Automated Absolute: 0.0 x10^3/uL -- Normal range between ( 0.0 and 0.2 )
07/12/2019 1:08 PM
International Normalization Ratio: 1.02 -- Normal range between ( 0.80 and 1.20 )
PTT: 31.5 seconds -- Normal range between ( 24.0 and 33.0 )
Protime: 10.9 seconds -- Normal range between ( 9.5 and 12.0 )
02/11/2019 6:56 AM
Scan Review: Scan Review
08/10/2019 6:18 PM
Retic %: 1.3 % -- Normal range between ( 0.6 and 2.6 )
29/09/2019 5:34 AM
Peripheral Blood Smear: RBCs :Show moderate normocytic normochromic
anemia\.br\WBC: Marked total leukocytosis and absolute neutophilia with shift to the left(18%
band cells,2% metamyelocytes and 1% myelocytes).Mild reactive monocytosis and eosinophilia
are also seen\.br\Plate...
Urinalysis
01/08/2019 1:46 PM
UA Color: YELLOW
UA Urobilinogen: 1.0 EU/dL -- Normal range between ( 0.0 and 1.0 )
UA Bili: Negative
UA Ketones: Trace
UA Bacteria: None Seen
UA Yeast: None Seen
UA pH: 7.5 -- Normal range between ( 5.0 and 7.5 )
UA Specific Gravity: 1.015 -- Normal range between ( 1.005 and 1.030 )
UA Protein: Trace
UA Glucose: Trace
UA Nitrite: Negative
UA Blood: Negative

MRN: 10086538
UA RBCs: 0-1 /HPF -- Normal range between ( 0 and 3 )
UA WBCs: 2-4 /HPF -- Normal range between ( 0 and 5 )
UA Casts: None Seen
UA Crystals: Amorphous Phos
UA Epithelial Cells: 0-1 /HPF -- Normal range between ( 0 and 10 )
UA Appearance: CLEAR
UA Renal Cells: None Seen
UA Trichomonas: None Seen
WBC Esterase: Negative
Chemistry
26/12/2019 5:56 PM
Bicarbonate.: 27 mmol/L -- Normal range between ( 18 and 29 )
General Chemistry
26/12/2019 5:56 PM
BUN: 31 mg/dL -- Normal range between ( 8 and 27 )
Protein Total: 5.2 g/dL -- Normal range between ( 6.0 and 8.5 )
Gamma Glutamyl Transferase: 24 unit/L -- Normal range between ( 0 and 65 )
CRP (C-Reactive Protein): 151.17 mg/L -- Normal range between ( 0.00 and 4.90 )
Thyroid
18/09/2019 4:00 PM
T4 Free: 1.06 ng/dL -- Normal range between ( 0.82 and 1.77 )
T3 Free: 2.2 pg/mL -- Normal range between ( 2.0 and 4.4 )
Immunology
01/08/2019 3:58 PM
Influenza A Ag: Negative
Influenza B Ag: Negative
Microbiology
25/12/2019 7:24 PM
Urine Culture: Urine Culture
Lower Respiratory Culture: Lower Respiratory Culture
25/12/2019 6:25 PM
C Blood: C Blood
24/12/2019 9:03 PM
Stool Culture: Stool Culture
30/09/2019 4:44 PM
Body Fluid Culture: Body Fluid Culture
30/08/2019 6:57 AM
Wound Culture: Wound Culture
15/08/2019 2:54 PM
C MRSA: C MRSA
Transfusion Medicine
02/11/2019 2:46 PM
Product Ready: Done
22/09/2019 7:49 AM
TRANSFUSED: TRANSFUSED

MRN: 10086538
Misc Send Outs
24/12/2019 9:03 PM
Miscellaneous Test: Miscellaneous Test
Biochemistry
26/12/2019 5:56 PM
Creatinine: 0.34 mg/dL -- Normal range between ( 0.76 and 1.27 )
Potassium: 3.7 mmol/L -- Normal range between ( 3.5 and 5.2 )
Sodium: 141 mmol/L -- Normal range between ( 134 and 144 )
Calcium: 8.4 mg/dL -- Normal range between ( 8.6 and 10.2 )
Phosphorus: 4.1 mg/dL -- Normal range between ( 2.5 and 4.5 )
Albumin: 2.9 g/dL -- Normal range between ( 3.5 and 4.8 )
Chloride: 99 mmol/L -- Normal range between ( 97 and 108 )
eGFR: 122 mL/min/1.73 mE2
Globulin: 2.3 g/dL -- Normal range between ( 2.3 and 3.5 )
A/G Ratio: 1.3 -- Normal range between ( 1.1 and 2.5 )
Alk Phos: 82 IntlUnit/L -- Normal range between ( 39 and 117 )
ALT (Alanine Aminotransferase): 10 IntlUnit/L -- Normal range between ( 0 and 44 )
AST (Aspartate Aminotransferase ): 12 IntlUnit/L -- Normal range between ( 0 and 40
)
Indirect Bilirubin: 0.1 mg/dL -- Normal range between ( 0.1 and 0.8 )
BUN/Creat Ratio: 91 -- Normal range between ( 10 and 22 )
Glucose, Fasting: 107 mg/dL -- Normal range between ( 65 and 99 )
Bilirubin Dir: 0.16 mg/dL -- Normal range between ( 0.00 and 0.40 )
Bilirubin Tot: 0.28 mg/dL -- Normal range between ( 0.00 and 1.20 )
18/12/2019 11:00 PM
CK-MB: 1.7 ng/mL -- Normal range between ( 0.0 and 10.4 )
26/11/2019 10:36 AM
Lipase: 37 U/L -- Normal range between ( 0 and 59 )
Amylase Total: 187 unit/L -- Normal range between ( 31 and 124 )
11/11/2019 6:17 AM
Magnesium: 1.8 mg/dL -- Normal range between ( 1.6 and 2.3 )
Endocrinology
18/09/2019 4:00 PM
Cortisol: 4.87 ug/dL
TSH (Thyroid Stimulating Hormone): 5.840 uIU/mL -- Normal range between ( 0.450
and 4.500 )
18/09/2019 5:45 AM
SHBG: 67.6 nmol/L -- Normal range between ( 19.3 and 76.4 )
Testosterone: 174 ng/dL -- Normal range between ( 348 and 1197 )
FSH: 6.9 mIU/mL -- Normal range between ( 1.5 and 12.4 )
LH ( Lutenising Hormone ): 17.4 mIU/mL -- Normal range between ( 1.7 and 8.6 )
Cytopathology
29/12/2019 2:14 PM
Report: Report
Reference Lab Reports

19/12/2019 5:17 AM
Potassium Level: 3.4
31/10/2019 1:12 PM

MRN: 10086538
Clostridium Difficile Toxin.: see attached
Blood Bank
02/11/2019 3:54 PM
ABO/Rh: AB Rh(D) Negative
Antibody Screen: Negative ABSC
06/09/2019 1:58 PM
Save Sample: Yes
29/08/2019 6:25 PM
ABORh Retype: AB Rh(D) Negative
ABO/Rh Retype: ABO/Rh Retype
LCA
18/09/2019 4:00 PM
Free Testosterone(Direct): 2.5 pg/mL -- Normal range between ( 6.6 and 18.1 )
Micro GL
26/12/2019 5:00 AM
ST Color: Yellowish Brown
ST Consistency: Loose
ST WBC (Pus Cells): Few
ST RBCs: Nil
ST Comments: No ova, cysts, or parasites seen.
ST Mucus: Nil
Interpretative Data: See Comment
24/12/2019 9:03 PM
Clos. difficile: NOT DETECTED
30/08/2019 9:19 PM
Ova: None seen
Cyst: None seen
ST Trophozoites: None seen
Occult Blood: Positive
Larvae: None seen
NRL ORDERS
26/12/2019 5:00 AM
Stool Routine & Microscopy.: Stool Routine & Microscopy.
24/12/2019 9:03 PM
Clostridium Difficile Toxin A & B (Stool: Clostridium Difficile Toxin A & B (Stool
26/11/2019 10:36 AM
Lipase (Serum): Lipase (Serum)
11/11/2019 6:17 AM
Magnesium: Magnesium
08/10/2019 6:18 PM
Reticulocyte %, Blood: Reticulocyte %, Blood
18/09/2019 4:00 PM
Free T4 (Free Thyroxine): Free T4 (Free Thyroxine)
Free T3 (Free Triiodothyronine): Free T3 (Free Triiodothyronine)
TSH (Thyroid Stimulating Hormone): TSH (Thyroid Stimulating Hormone)
Free Testosterone: Free Testosterone
18/09/2019 5:45 AM
LH (Luteinising Hormone): LH (Luteinising Hormone)

MRN: 10086538
30/08/2019 9:19 PM
Stool Occult Blood: Stool Occult Blood
Diagnostic Radiology
25/12/2019 10:13 PM
XR Abdomen Portable: XR Abdomen Portable
03/11/2019 9:44 AM
XR Chest Portable: XR Chest Portable
Ultrasound
26/11/2019 3:52 PM
US Abdomen Complete: US Abdomen Complete
Procedures
Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); each
additional hour (List separately in addition to code for primary procedure) (10/09/2019)
Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous
or intramuscular (09/09/2019)
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and
automated differential WBC count (28/08/2019)
Electrolyte panel This panel must include the following: Carbon dioxide (bicarbonate)
(82374) Chloride (82435) Potassium (84132) Sodium (84295) (28/08/2019)
Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total
(82247) Bilirubin, direct (82248) Phosphatase, alkaline (84075) Protein, total (84155)
Transferase, alanine amino (ALT) (SGPT) (84460) Transferase, aspartate am (28/08/2019)
Calcium; total (28/08/2019)
C-reactive protein; (28/08/2019)
Phosphorus inorganic (phosphate); (28/08/2019)
Glucose; quantitative, blood (except reagent strip) (28/08/2019)
Urea nitrogen; quantitative (28/08/2019)
Glutamyltransferase, gamma (GGT) (28/08/2019)
Creatinine; blood (28/08/2019)

MRN: 10086538
Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop
strength and endurance, range of motion and flexibility (24/08/2019)
Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional
sequential intravenous push of the same substance/drug provided in a facility (List separately
in addition to code for primary procedure) (24/08/2019)
Culture, bacterial; any other source except urine, blood or stool, aerobic, with isolation and
presumptive identification of isolates (24/08/2019)
Culture, bacterial; any source, except blood, anaerobic with isolation and presumptive
identification of isolates (24/08/2019)

MRN: 10086538
Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage,
petrissage and/or tapotement (stroking, compression, percussion) (24/08/2019)
Ventilation assist and management, initiation of pressure or volume preset ventilators for
assisted or controlled breathing; hospital inpatient/observation, each subsequent day
(24/08/2019)
(23/08/2019)

MRN: 10086538
(22/08/2019)
Prothrombin time; (21/08/2019)

MRN: 10086538
Transfusion, blood or blood components (21/08/2019)
Radiologic examination, chest; single view, frontal (21/08/2019)
(21/08/2019)
Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2
saturation); with O2 saturation, by direct measurement, except pulse oximetry (21/08/2019)
Blood bank physician services; difficult cross match and/or evaluation of irregular
antibody(s), interpretation and written report (21/08/2019)
Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug);
additional sequential infusion of a new drug/substance, up to 1 hour (List separately in addition
to code for primary procedure) (20/08/2019)
Antibody screen, RBC, each serum technique (20/08/2019)

MRN: 10086538
Tracheostomy, planned (separate procedure); (20/08/2019)
(20/08/2019)
saturation); with O2 saturation, by direct measurement, except pulse oximetry (20/08/2019)
Blood smear, peripheral, interpretation by physician with written report (20/08/2019)
Blood typing, serologic; ABO (20/08/2019)
Blood typing, serologic; Rh (D) (20/08/2019)
in addition to code for primary procedure)
(19/08/2019)

MRN: 10086538
(19/08/2019)
Thromboplastin time, partial (PTT); plasma or whole blood (19/08/2019)
Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates
(includes anaerobic culture, if appropriate) (18/08/2019)
(18/08/2019)

MRN: 10086538
Insertion of non-tunneled centrally inserted central venous catheter; age 5 years or older
(18/08/2019)
(17/08/2019)

MRN: 10086538
(16/08/2019)
(16/08/2019)

MRN: 10086538
Culture, bacterial; quantitative colony count, urine (15/08/2019)
Culture, presumptive, pathogenic organisms, screening only; (15/08/2019)
Culture, presumptive, pathogenic organisms, screening only; (15/08/2019)
Infectious agent antigen detection by enzyme immunoassay technique, qualitative or
semiquantitative, multiple-step method; Clostridium difficile toxin(s) (15/08/2019)
(15/08/2019)

MRN: 10086538
(82374) Chloride (82435) Potassium (84132) Sodium (84295)
(14/08/2019)
(14/08/2019)

MRN: 10086538
Magnesium (13/08/2019)

MRN: 10086538
(13/08/2019)
(12/08/2019)

MRN: 10086538
(11/08/2019)
(11/08/2019)

MRN: 10086538
sequential intravenous push of a new substance/drug (List separately in addition to code for
primary procedure) (11/08/2019)

MRN: 10086538
(10/08/2019)
(10/08/2019)
Culture, bacterial; stool, aerobic, with isolation and preliminary examination (eg, KIA, LIA),
Salmonella and Shigella species (10/08/2019)

MRN: 10086538
Intravenous infusion, hydration; each additional hour (List separately in addition to code for
Pressurized or nonpressurized inhalation treatment for acute airway obstruction or for
sputum induction for diagnostic purposes (eg, with an aerosol generator, nebulizer, metered
dose inhaler or intermittent positive pressure breathing [IPPB] device) (10/08/2019)

MRN: 10086538
(09/08/2019)

MRN: 10086538
dose inhaler or intermittent positive pressure breathing [IPPB] device)
(08/08/2019)
(08/08/2019)
Arterial catheterization or cannulation for sampling, monitoring or transfusion (separate
procedure); percutaneous (08/08/2019)

MRN: 10086538
(07/08/2019)

MRN: 10086538
primary procedure)
(06/08/2019)

MRN: 10086538
(06/08/2019)

MRN: 10086538
(05/08/2019)

MRN: 10086538
Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with
bronchial alveolar lavage (04/08/2019)
Potassium; serum, plasma or whole blood (04/08/2019)
primary procedure)
(04/08/2019)

MRN: 10086538
Intubation, endotracheal, emergency procedure (04/08/2019)
assisted or controlled breathing; hospital inpatient/observation, initial day (04/08/2019)
Potassium; serum, plasma or whole blood (04/08/2019)
Insertion of non-tunneled centrally inserted central venous catheter; age 5 years or older
(04/08/2019)

MRN: 10086538
Continuous positive airway pressure ventilation (CPAP), initiation and management
(03/08/2019)

MRN: 10086538
(02/08/2019)
Physical therapy evaluation (02/08/2019)
(02/08/2019)
Arterial catheterization or cannulation for sampling, monitoring or transfusion (separate
procedure); percutaneous (01/08/2019)
Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones,
leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents;
automated, with microscopy (01/08/2019)
Transferase; aspartate amino (AST) (SGOT) (01/08/2019)
Transferase; alanine amino (ALT) (SGPT) (01/08/2019)
Infectious agent antigen detection by immunoassay with direct optical observation; Influenza
(01/08/2019)
Infectious agent antigen detection by immunoassay with direct optical observation; Influenza
(01/08/2019)
saturation); (01/08/2019)
saturation); (01/08/2019)
(01/08/2019)

MRN: 10086538
initial, up to 1 hour (01/08/2019)
Final Active Medications

cosmetic (CETAPHIL MOISTURIZING LOTION 200ml) Topical as directed as needed dry skin.
enoxaparin (enoxaparin 60 mg/0.6 mL,) 60 Milligrams SubCutaneous daily (morning) for 28 Days. Refills: 0.
enoxaparin (enoxaparin 60 mg/0.6 mL,) SubCutaneous daily (evening).
esomeprazole (esomeprazole 10mg Oral Powder Sachets ,(28's),) 1 Each Gastrostomy Tube/PE TWICE a day for 120
Days. Refills: 0.
esomeprazole (esomeprazole 10mg Oral Powder Sachets ,(28's),) Gastrostomy Tube/PE TWICE a day.
glycerin (Artificial Tears Naturale eye drops,) 1 Drops Both eyes FOUR times a day for 28 Days. Refills: 0.
glycopyrrolate (glycopyrrolate 0.2 mg/mL injectable solution,) 0.5 Milliliters SubCutaneous TWICE a day.
hyoscine butylbromide (Hyoscine butylbromide 10 mg Tab,,) Gastrostomy Tube/PE as directed as needed irritable
bowel symptoms.
hyoscine butylbromide (Hyoscine butylbromide 10 mg Tab,,) 10 Milligrams Gastrostomy Tube/PE as directed as

needed spasm for 28 Days. 10mg tds prn. Refills: 0.
lactobacillus (Lactobacillus (Enterogermina) Susp Oral Vials,) Gastrostomy Tube/PE TWICE a day.
lactobacillus (Lactobacillus (Enterogermina) Susp Oral Vials,) 5 Milliliters Oral daily for 30 Days. Refills: 0.
lactulose (Lactulose 667mg/mL Syrup 15mL sachets,) 15 mls Gastrostomy Tube/PE TWICE a day for 30 Days.
Refills: 0.

MRN: 10086538
lactulose (Lactulose 667mg/mL Syrup 15mL sachets,) Gastrostomy Tube/PE TWICE a day as needed irritable bowel
symptoms.
metoclopramide (Metoclopramide 10 mg Tab,) Gastrostomy Tube/PE THREE times a day.
metoclopramide (Metoclopramide 10 mg Tab,) 10 Milligrams Gastrostomy Tube/PE THREE times a day for 30 Days.
Refills: 0.
mouth wash (Chlorhexidine-Digluconate 0.20% Mouth Wash (Curasept 200mL),) Swish and Spit as directed as
needed mouth sore pain.
mouth wash (Chlorhexidine-Digluconate 0.20% Mouth Wash (Curasept 200mL),) Oral mouth care. Swish and spit..
Refills: 0.
nutritional supplement (Nestle Modulen IBD Powder (Modulen 400g),) Gastrostomy Tube/PE daily.
nutritional supplement (Nestle Modulen IBD Powder (Modulen 400g),) 300 Gram Gastrostomy Tube/PE daily for 4
weeks. Refills: 0.
ocular lubricant (Artificial Tears)
paracetamol (Paracetamol 120mg/5ml Syrup, Fruit Falvor,) Oral Gastric Tube every 6 hours as needed fever, temp
greater than 37.6 C.
paracetamol (Paracetamol 500mg Tab, Panadol Advance,) 2 tabs Gastrostomy Tube/PE as directed as needed pain,
breakthrough for 10 Days. prn 2 tablets 6 hourly. Refills: 0.
rifaximin (Rifaximin 200 mg oral tablet,) 1 tabs Gastrostomy Tube/PE every 8 hours.
rifaximin (Rifaximin 200 mg oral tablet,) 2 tabs Oral THREE times a day for 10 Days. Refills: 0.
Topical Lotion (Cetaphil Moisturizing Lotion 200ml,) Topical prn as directed for dry skin; as needed dry skin. Refills:
0.
ursodiol (Ursodeoxycholic Acid 250 mg Cap,) Gastrostomy Tube/PE TWICE a day.
ursodiol (Ursodeoxycholic Acid 250 mg Cap,) 250 Milligrams Oral TWICE a day for 30 Days. Refills: 0.
zopiclone (zopiclone 7.5 mg oral tablet,) 1 tabs Gastrostomy Tube/PE daily (bedtime).
zopiclone (zopiclone 7.5 mg oral tablet,) 1 tab Gastrostomy Tube/PE as directed as needed insomnia for 4 weeks. 1
tablet at 20:00 prn. Refills: 0.
Take only the medications listed above. Contact your doctor prior to taking any medications not on
this list.
Discharge Instructions:
Current Addendums
Follow-up Instructions
I, AHMED FATHELDIN, have received the required patient education materials/instructions and have

MRN: 10086538
verbalized understanding.
____________________________ ____________________________
Patient/Guardian Name Patient/Guardian Signature

MRN: 10086538

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Patient Discharge Summary

Reason for Visit/Chief complaint

Medical Summary Information

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Reference Lab Reports

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Final Active Medications

enoxaparin (enoxaparin 60 mg/0.6 mL,) SubCutaneous daily (evening).

hyoscine butylbromide (Hyoscine butylbromide 10 mg Tab,,) 10 Milligrams Gastrostomy Tube/PE as directed as

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metoclopramide (Metoclopramide 10 mg Tab,) Gastrostomy Tube/PE THREE times a day.

ocular lubricant (Artificial Tears)

ursodiol (Ursodeoxycholic Acid 250 mg Cap,) Gastrostomy Tube/PE TWICE a day.

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