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Breast & Endocrine

Surgery
Discharge summary

Summary
A 20yo female that had
appendicectomy o/a acute
appendicitis
DOA 2/3/16
DOD 8/3/16

Biodata

NC
20yo
F
Nupe
Muslim
Single
Student
Gwagwalada

History
RIF pain x 3/7
Associated anorexia, nausea,
vomiting
No fever, urinary symptoms or
diarrhoea

Examination
General Exam calm, not pale,
afebrile
Vitals WNL
Abd Flat, MWR, soft, tenderness in
RIF with rebound, BS present &
normoactive

Investigations
PCV 36%
Urinalysis NAD
Abdpelvic USS no pelvic pathology

Intra-op
10cm inflamed retrocaecal appendix

Post-op
Uneventful
Discharged on POD6

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