Fridaday HF, December 20, 2024.ppsghjstx

educational purpose

1. HARAMAYA UNIVERSITY DEPARTMENT OF SURGERY HF MORNING REPORT Friday December 20-2024 GC

2. HIWOT FANA MORNING REPORT - MONDAY DUTY TEAM SENIORS RESIDENTS AND INTERNS GENERAL SURGERY EOPD DR. Girma SENIOR RESIDENT DR. Sultan Ward D R, Eyobel NEURO SURGERY DR. MOHAMMEDNUR JUNIOR RESIDENT DR. Bisrat PEDIATRIC SURGERY DR. ZINEDIN WARD INTERNS DR..Simegn Dr.Afomia UROLOGY D R. Wondosen DR,

3. 24 HOURS DUTY ACTIVITY N o. ACTIVITIES COUNT REMARK 1. Total Number of Admission 2. Consultation 3. № of Procedures 01 4. № of newly kept patients 01 5. Previously kept patients 6. № of patients in the ICU 7. № of Critical Patients in the ward 8. Death

4. Name Abduletif Mohammed Age 25/M MRN 717983 Presented after he sustanied stone injury to his left side head of 08 hr duration associated to this he has history of significant bleeding from the site of injury,has vomiting of injested matter of 03 episode. Other wise he has no hx of ABM, LOC or other body site injury. P/E BP 126/76 PR 98 RR 20 T SPO2 96 HEENT…There is 2 × 1 cm lacerate wound with palpable bone depression on the left parietal area. RS…Clear chest with good air entry CNS..GCS 14/15 ( E 4 V 4 M6) pupil …mid sized and reactive bilaterally.

5. CBC. Wbc..5.6k Hct 10.8% Hgb 4mg/dl PLt 56K BG and RH A +ve. Repeated Wbc 14,000 N 84% Hgb 15g/dl Hct 43% plt 149,000 Brain CT was done.

6. P1. Moderate TBI + left parieto temporal CPD DSF with underlying hemorrhagic contusion P2…pneumocephalus Kept NPO on MF Put on face mask 10L/ minute. Phenytoin 1g po loading then 100mg po TID Pcm 1 g po qid Cefteriaxone 1 g Iv bid

7. Pt prepared for OR and taken to OR after informed written consent was taken Pt put on supine position under GA and ETT head tilted to right side hair shaved,lidocaine infiltrated cleaned with alcohol and iodine drapoed. Lazy S incision made over trauma wound IOF- There is fronto-parieto-temporal communited DSF with one fragment deep into brain parenchyma. There is also 4cm dural tear with contused brain oozing through it and minimal EDH Done- wound washed with H2O2 and antibiotic solution, depressed segment elevated, hematoma evacuated,duraplasty done,hemostasis secured,bone replaced and fixed, scalp closed in layers and pt transferred to recovery with stable vital sign. Post op order Ceftraxone 1gm IV BID diclofenac 75mg IM BID, PCM 1gm PO QID, phenytoin continued

8. Name Mohamed Hayderus Age 8yr MRN 799939 P1-3rd week PO after lap + Lavage was done for hemoperitoneum 2° to blunt abdominal trauma P2-Biliary peritonitis 2 to ?bile duct injury 2 to blunt abdominal trauma 2to camel kick This is 8yrs old male pt kept with above dx after he was presented with progressive abdominal distension of 10days duration after the drainage tube dislodged accidentally.Ass with abdominal pain and anorexia.He sustained trauma to his abdomen 25days back after he was kicked by a camel, then 5 days later lap and lavage was done (at jijiga hospital) and its output was billious.

9. P/E G/A acute on chronic sick looking V/S PR 132 RR 36 T 38 Spo2 96% off O2 HEENT PC and NIS LGS NSLAP R/S clear and good air entry bilaterally CVS S1 and S2 well heard no murmur Abd distended abdomen, moves with respiration NABS, has tenderness all over the abdomen with gurding and +ve sign of fluid collection there is all midline vertical dry surgical wound CNS COTTP

10. Cbc 10.26x103 N 77% Hgb 11.3g/dl Hct 34.7% Plt 243,000 Bg&rh A+

11. Plan kept NPO Resuscitaed and on MF cefepime 750mg IV BID Vancomycin 380mg IV BID and metronidazole 10mg/kg iv TID