UGI pt Flashcards
John Duffy
Issues: Oe Ca post neoadj
Progress: 3 stage oesophagectomy + jejunostomy
Wardable, chest drain removed
Plan: Cont CP, neck drain in situ, puree diet
Denise Macnamara
Issues: pancreatic head Ca, GJ for GOO, cholangitis + liver lesions
Progress: Liver abscess drained, ERCP + stent, IR guided PTC, HAP
Plan: Cont IV Abx, NGT vs PEG as vomiting
Joyce Mina
Issues: Gastric Ca, GOO distal to gastrojejunostomy
Progress: Dieticians
Plan: Slowly upgrade diet (dietician clearance Mon), NJ feeds as tolerated. F/u with Dr Yeo on d/c
Jean Mulligan
Issues: Recurrent PseudoMyxomaPeritonei with gastrocutaneous & duodenocutaneous fistula
Progress: IR guided fistula plug, drains ++
Plan: Monitor drain, monitor electrolytes
Sevasti Spilopoulos
Issues: Multimorbid, cholecystitis, percutaneous cholecystostomy
Progress: Cellulitis improved
Plan: Family discussing d/c options, aim this week. Bloods Mon
Damon Ward
Issues: recurrent gallstone pancreatitis, cirrhotic, SA bacteraemia
Progress: ID for bacteraemia
Plan: 2/52 Abx, Aim d/c next week with RFA and H@H Abx. Aim theatres 3/3
Patricia Holmes
Issues: Prev ventral hernia repair mesh infection, abdo wall abscess
Progress: Ventral hernia repair, ITU stay
Plan: Wardable, chestphysio, 2 subcut drain in, diet as tolerated. D/c planning
Shannon De Waard
Issues; Pancreatic head Ca + biliary obstruction,
Progress: MRCP ?pseudocyst + necrosis, distal CBD stricture
Plan: Culture, IV Abx for cholangitis, monitor bloods. Needs EUS, aim home after gastro plan
Nigel Berry
Issues: SB resection forGI Stromal tumour
Progress: Enlarged LN adjacemtn to SM primary, ITU stay
Plan: Warded, mobilise. Light diet.
Linda Ma
Issues: Acute pancreatitis,
Progress: Improving, dieticians involved
Plan: supportive care
Michael Harold
Issues: Partial SBO ?cause
Progress: MRE shows SBO picture, left VUJ stone
Plan: Gastro, NGT, colorectal informed. GG study Sunday
Dennis Brannigan
Issues: Pancreatitis
Progress: Await MRCP report
Plan: ERCP
Robert McGregor
Issues: appendicitis, ?bowel Ca
Progress: emergency appendicectomy
Plan: ?respite care/dc planning
Gregory Richardson
Issues: Stones in CBD
ERCP: Multiple stones taken
Plan: Lap chole Monday
Faye Gerassis
Issues: cholecystitis
Progress: MRCP no stones
Plan: lap chole Monday
Ibrahim Elmasri
Issues - cholecystitis
Progress - lap chole
Plan: D/c needs clinic referral
Dean Graff
Issues: incarcerated umbilical hernia
Progress: SB resection with primary repair
Plan: Extubated Sunday. NGT on free drainage + 4hly aspirates
Leonie Maunder
Issue: Duodenal perf
Progress: T for omental patch repair + drain
Plan: NG on free drainage, 4h aspirates. Sips only ?feeding jej + IV abx
Xin Qiu
Issue: Cholecystitis
Progress: Lap chole
Plan: IV Abx, monitor drain, monitor LFTs
Vida Kezic
Issue: cholecystitis vs cholangitis 3/52
Progress:
Plan: A/w US +/- MRCP
Ri Mian Tan
Issue: Yeo consult. Recurrent cholangitis ?fit for T
Progress: work up for T
Plan: Cardio/anaes r/v
Kiel Walter
Issue: Gallstone pancreatitis
Progress: MSSA bacteraemia
Plan: HITH, T 3/3
