Discharge Report (Vascular Surgery)

PATIENT John Smith DATE OF DISCHARGE 1 November 2024 DISCHARGE/TRANSFER/HANDOVER Discharged home PROBLEM LIST 68-year-old male * Severe peripheral artery disease, bilateral lower limbs, managed with endovascular revascularisation * Type 2 Diabetes Mellitus, controlled with oral medication, continued monitoring * Hypertension, controlled with medication, continued monitoring INTERVENTIONS * 25 October 2024: Right superficial femoral artery angioplasty and stenting * 27 October 2024: Left popliteal artery angioplasty POSTOPERATIVE COURSE Stable postoperative course, no major complications. Minor wound ooze right groin, managed with dressing changes. Patient ambulating with aid. Pain well-controlled with oral analgesia. No signs of infection. DISCHARGE NOTES * Follow-up with vascular surgery clinic in 2 weeks * Keep incision sites clean and dry, regular dressing changes as instructed * Elevate lower limbs when resting * Continue all usual medications * Monitor for signs of infection: redness, swelling, increased pain, fever * Attend to GP for wound check if concerns arise * Specific measures at follow-up: assessment of wound healing, arterial duplex scan bilateral lower limbs FOLLOW-UP DATE 2 weeks DOCTORS TO BE COPIED IN Dr Sarah Lee, GP Dr Mark Jones, Endocrinologist