IRH IDL (QIP)

IRH IDL (QIP) Presenting Complaint: Acute onset abdominal pain Past Medical History: Hypertension, Type 2 Diabetes Mellitus, Dyslipidaemia, GORD Brief Summary of Admission: * Patient admitted with acute cholecystitis, confirmed by abdominal ultrasound. * Laparoscopic cholecystectomy performed due to persistent pain and inflammation. * Post-operative recovery was uncomplicated, patient tolerated oral intake well. * Discharged with advice on wound care and pain management. Investigations: * Full Blood Count: WBC 14.5 x 10^9/L (elevated), Neutrophils 12.1 x 10^9/L (elevated) * Liver Function Tests: ALT 120 U/L (elevated), AST 105 U/L (elevated), ALP 180 U/L (elevated), GGT 210 U/L (elevated), Bilirubin Total 2.5 mg/dL (elevated) * Abdominal Ultrasound: Gallbladder wall thickening (4mm), pericholecystic fluid, gallstones present (largest 1.5 cm) * ECG: Normal Sinus Rhythm Medication Changes and Reason: * Ceftriaxone 1g IV daily: Started for treatment of acute cholecystitis. * Metronidazole 500mg IV three times daily: Started for treatment of acute cholecystitis. * Paracetamol 1g oral four times daily: Started for post-operative pain relief. * Diclofenac 50mg oral three times daily: Started for post-operative pain relief. * Omeprazole 20mg oral daily: Continued for GORD management. * Lisinopril 10mg oral daily: Continued for hypertension management. * Metformin 500mg oral twice daily: Continued for Type 2 Diabetes Mellitus management. GP to Follow Up: * Remove sutures in 7-10 days. * Monitor blood pressure and blood glucose levels. * Review post-operative pain control and wound healing. * Continue current medications as prescribed. * Advise on dietary modifications post-cholecystectomy.