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26 September 2010
Nikolaev, Kosmonavtov st., 97 tel. 23-30-68.
Municipal hospital № 3
Proctology and Contaminated Surgery Department
Epicrisis on moment of discharge № 9177/1161.
Patient (Family name, name and patronymic): Kutuzaki Natalya Olegovna
Age: 29. Hospital room №9.
Home address: Dekabristov street, 35, ap.15.
Inpatient treatment: from 19.10.09 till 26.11.09.
Diagnosis: Permanently recurrent phlegmon of right-side tempo-frontal region of head. Persistant sepsis (Хрониосепсис).
Intoxication. Discirculatory encephalopathy (ДЭ) of mixed genesis with epileptic attacks. Neurocirculatory dystonia (вегетососудистая дистония) on base of fundamental illness.
Surgical procedure that was carried out:
Surgical wound exploration, lancing of purulent leakage (20.10.09)
Lancing of phlegmon in right-hand temporal region of head (05.11.09). Surgical wound exploration, lancing of purulent leakage (11.11.09).
Venesection. Excision of skin graft. Autotransplantation( 16.11.09).
Lancing of abscess on shoulder(22.11.09).
Treatment: Meronem 1,0 intravenously∙3 times №7, Reamberin 400, Rheosorbilactum, Latren, Compound solution of sodium chloride (рингер), Spasmalgon, L-Lysine, Tavegyl, Analginum, Dimedrolum, Prednisolone, bandaging with Wocadine (вакадин) solution.
Еlectrocardiogram: Sinus tachycardia. Disorder of depolarization processes in posterior diaphragmatic parts (задне-диафрагм отделах). Predominance of ventriculus sinister potentials. Myocardosis(23.11.09).
Therapist: Discirculatory encephalopathy (ДЭ) of mixed genesis with epileptic attacks. Neurocirculatory dystonia (вегетососудистая дистония) on base of fundamental illness.
Neurologist: Acute disorder of cerebral circulation in right medial cerebral artery (undifferentiated) with left-side hemiparesis.
Recommended: computed tomography of brain
Treatment in Cerebrovascular Pathology Department. Endocrinologist: Hypothalamic syndrome with neuroendocrine obesity of 3rd degree.
Blood count: (25.11.09 ): red blood cells — ∙1012 /L; Hemoglobin 94 g/L; white blood cells 6,5/∙109/L; erythrocyte sedimentation rate 6 mm/hr.
Blood glucose level: 4,6 mmol/L (19.10.09)
Urinalysis: color – yellow; transparence – transparent; specific gravity - mg/mL (мм), protein - 0; glucose - 0; reaction – slightly subacid; epithelium - big amount; white blood cells 4-6; red blood cells —.
Photofluorogram (organs of chest) of 01.08.09. Effective equivalent dose 0,4 mSv. Conclusion - normal.
Cancer survey: without patalogy.
Helminth eggs test of stool: negative.
Wassermann test of 14.09.09 - negative.
Information about tetanus immunization: immunized according to schedule.
Histology № 14548-0 Conclusion: Hypodermic phlegmon. Big amount of giant multinucleate cells of foreign body type.
Blood inoculation for sterility test of 20.11.09, 10.11.09, 16.11.09. Conclusion: sterile.
Recommendations: Computed tomography of brain.
Treatment in Cerebrovascular Pathology Department (the patient was shifted according to agreement).
Bandaging of frontal and temporal region of head with Wocadin (вакадин)solution, bandaging of shoulder with Levomecol ointment.
Removal of sutures in 5 days.
.Head of department: Vidyapin V.A.
^ Attending medical doctor: Plaminsky A.V.
Выделенное - я не уверена в точности переводов
Меня часто спрашивают: "Как ты все успеваешь с двумя детьми. В чем секрет?". Мой секрет прост - я нихрена не успеваю.