ORTHOPAEDICS

DIAGNOSIS: LEFT KNEE ACL TEAR + MEDIAL MENISCUS TEAR

PROCEDURE:  LEFT KNEE ARTHROSCOPIC ACL RECONSTRUCTION + MENISECTOMY   WAS DONE.

PRESENTING COMPLAINTS:  ALLEGED H/O SKID AND FALL. NO H/O FEVER/COUGH. GOT ADMITTED HERE FOR FURTHER MANAGEMENT.

PHYSICAL EXAMINATION: PATIENT CONSCIOUS, COHERENT.

Vitals: PR:87BPM              BP:110/60MMHG             Temp:98.6F            Spo2:98%           RR:20/MIN

            Heart:S1S2 +           Lungs:BLAE +                  P/A:SOFT              CNS:E4V5M6     Others:

COURSE IN THE HOSPITAL: PATIENT ADMITTED WITH ABOVE COMPLAINTS. AFTER ALL NECESSARY INVESTIGATION WERE DONE. PATIENT DIAGNOSED AS  LEFT KNEE ACL TEAR + MEDIAL MENISCUS TEAR .PAC WAS DONE. HENCE POSTED FOR SURGERY, UNDER SPINAL ANAESTHESIA  LEFT KNEE ARTHROSCOPIC ACL RECONSTRUCTION + MENISECTOMY   WAS DONE ON 15-03-2024. PROCEDURE  WAS UNEVENTFUL. POST OP PATIENT WAS  TREATED WITH IV ANTIBIOTICS, ANALGESICS, ANTACIDS, IV FLUIDS AND OTHER SUPPORTIVE MEDICATIONS.

ADVISE AT THE TIME OF DISCHARGE: NOW, PATIENT IS BEING DISCHARGED IN HEMODYNAMICALLY STABLE CONDITION WITH FOLLOWING MEDICATIONS.

DIET: NORMAL DIET

MEDICATION ADVICE:

1.TAB CETIL 500MG TWICE DAILY FOR 12DAYS (8AM-8PM)

2.TAB UGESIC TWICE DAILY FOR 5DAYS (8AM-8PM)

3.TAB PAN 40MG ONCE DAILY BBF FOR 5 DAYS (7AM) 

4.TAB SUPRADYN ONCE DAILY FOR 1 MONTH (2PM)

5.TAB FOLIFIED HD ONCE DAILY FOR 1 MONTH (2PM)

6.TAB DIFFUZYME THRICE DAILY BEFORE FOOD FOR 3 DAYS (7AM-1PM-7PM)

7.TAB TENDFIT TWICE DAILY FOR 1 MONTH (8AM-8PM)