Discharge Letter to GP

Dear Doctor, Thank you for your ongoing care of Mr. John Smith, who presented on 1 November 2024 with sudden onset of severe abdominal pain, nausea, and vomiting, leading to his admission for further investigation of suspected appendicitis. Upon initial investigations, their admission diagnosis was acute appendicitis. They are being discharged today 1 November 2024 with a finalised/working diagnosis of: 1. Acute unruptured appendicitis Relevant investigations have been included in this discharge summary for your records, and are also available on the Viewer/iEMR. While an inpatient, the following medication changes occurred. Commenced: 1. Metronidazole: 500mg, three times daily, orally, for 7 days. 2. Cefazolin: 1g, eight-hourly, intravenously, for 3 days. Withheld: 1. Aspirin: 75mg, once daily, orally, Reason: Pre-operative bleeding risk, Duration: 3 days. Ceased: 1. Paracetamol: 1g, four times daily, orally, Reason: Pain controlled with other analgesics. Dose Changes: 1. Oxycodone: Previous dose 5mg, New dose 2.5mg, four-hourly, orally, Reason: Improved pain control post-operatively. While an inpatient, Mr. John Smith has been referred to/for: 1. Surgical follow-up: For post-operative review in 2 weeks. Upon discharge, Mr. John Smith requires follow up as below: 1. General Practitioner review: In 7-10 days for wound check and general recovery assessment. 2. Post-operative physiotherapy (outpatient): Referral pending for core strengthening exercises in 4 weeks. We ask that you kindly: 1. Monitor wound healing and signs of infection. 2. Review pain management as required. 3. Discuss return to normal activities and exercise. If you have any questions, please do not hesitate to contact the St. Elsewhere Hospital. Kind Regards, Dr. Emily White St. Elsewhere Hospital 1234567 Clinician Specialty: Registrar