Discharge Summary
Last modified by Hussein Abdallah on 2025/04/20 19:54
Contents
D/c Summary Template
Attending: x
Dates of Admission: x
Diagnosis: x
Procedures: x
Disposition: x
Follow-up: x (details above)
Pertinent Rx: None (+bowel reg/anti-emetics/pain meds as above).
Pt is a
who presented to
and underwent the above procedure w/o complication
Pt had an uneventful postoperative course, remained hemodynamically and neurologically stable, and recovered well. Pt was evaluated by PT/OT and deemed appropriate for home and wished to be discharged home. On day of discharge the patient was ambulating, tolerating PO, and voiding spontaneously. Pt was discharged on appropriate pain, bowel regimen, antiemetic medications as delineated above.
The patient was discharged safely with the final neurological exam: