DISCHARGE PLANNING

Medications:
The Doctor prescribed to continue taking her medicines such as :

Exercise:
To help Iacilitate the recovery process. The patient is encouraged to have a mild
to moderate exercises such as walking and low impact aerobics Ior the Iirst Iew
weeks so she can resume her physical activity to promote Ieeling oI well being.
The patient must avoid exercise with same limbs and waist stretch, squat or
sudden movements and carrying oI heavy materials or objects.
%reatment:
Health %eachings:
ealth teachings were done such as:
4 ncrease Iluid intake oI water at least 2000-2500nl per day.
4 mprove proper ventilation and physical activity to promote blood
circulation.
4 Take Ioods rich in Iiber such as vegetables,apples, banana.
4 dvised to avoid Ioods that are rich in Uric acid such as meat and dairy
products such as milk, eggs and cheese.
4 !romote proper wound dressings to avoid inIection.
PD Follow Up:

Diet:
void Ioods that are rich in Uric acid such as meat and dairy products such as
milk, eggs and cheese.
ncrease intake oI Ioods rich in vitamin C, such as oranges, pine apple and
tomatoes to promote Iaster repair oI wound healing.





SEP%
Procedure: Whole bdominal Ultrasound
Right Kidney: 119.6 mm x 52.72 mm
Cortical thickness: 11.88mm
LeIt Kidney : 108.3 mm x 53.54 mm
Cortical thickness: 16.43 mm
oth kidneys are normal in size with intact corticomedullary diIIerentiatim, there is mild-
moderate separation oI the central echocomplex in the Right kidney, mild in the LeIt
kidney.
The visualized proximal right ureter is dilated.
Wall is not thickened.
Impression
ydronephrosis, both kidneys, as described, due to inIlammatory process or distal uretral
obstruction in the Right kidney.
S!T.22
Clinical Dx: bdominal pain
%pe of exam: arium enema
Impression: normal barium enema
Findings:
There is a obstructed Ilow oI barium Irom the rectum up to the cecum with reIlux into the
terminal ileum. o area oI abnormal narrowing mucosal irregularity or mass, lesions are
noted.
S!T 22
CC: Flank pain
Type oI exam: '!
Findings;
KU shows calciIic density in the right pelvic area measuring about 1.5 cm -0 .7cm.
Serial Iilms aIter injection oI contrast material shows evidence oI excretion by both
kidneys.
The right pelcio calyceal complex are silated down the distal ureter at the level oI
calciIication.
The leIt pelvo calyceal complex and ureter are normal.
!RSS:
Right ureteral caliculus distal 3
rd
with signs oI obstructions
Follow up check up ctober 3, 2011