| ^~\& MILLENIUM.HEALTHLINK.5 St.James's Hospital (Dublin) 904 L McCrea, Siobhan 023781 Medical Council No 20100514142700 REF I12 49789 P 2.4 9999999000 St.James's Hospital (Dublin) MRN 9999999000 MRN - GMS 1020714 OTH ANON ANON - L 19010101 M ADD1 ADD2 ADD3 - 1 Cholecystectomy Cholecystectomy Working I 4547 COOKE MR FIACHRA 1 201003100716 201003191125 ADMISSION REASON: Admit with acute abdominal pain, deranged LFTs, normal amylase DIAGNOSIS: Cholecystectomy PROBLEMS: Abdominal pain PROBLEMS: Gallstones THEATRE PROCS: Lap Chole NON THEATRE PROCS: None LAB INVESTIGATIONS: As attached - FBC, UE, LFTs, Amylase RAD INVESTIGATIONS: As attached - USS Abdomen, MRCP OTHER INVESTIGATIONS: None PROGRESS DURING STAY: Uncomplicated post operative recovery. Full diet tolerated, wound sites dry and intact, no oozing. Vital signs normal, apyrexial. Mobilising/teds/clexane. No c/o abdominal pain. C/O right shoulder tip pain - advised post operative complication and should resolve within several days. Normal MRCP pre-op. Dx = acute cholecystitis with transiemt choledocholithiasis. ALLERGIES: NKDA DISCHARGE MEDICATION: MEDICATION:Refused analgesia on d/c INFO GIVEN TO PATIENT: All results and surgery as above explained. For removal of clips in 10/7 in dressing clinic - appt given. Avoid constipation OPD FOLLOW UP: 6/52 GP ACTIONS: Routine follow up