SUNSHINE

HOSPITALS DISCHARGE SUMMARY

Patient No: S$21007765
UMROT31354
HID:
Mr.NARESH KUMAR BEJJANKY Age (Gender ): 44Y ( Male
Tatient Name:

28/04/2021 11:07
Admission Date: 17/04/2021 16:50 DischargeOn
2306(DR SHAILENDER WING SINGLE ROOMS) Discharge Type: NORMAL
Bed No:
Pr..Cons Dr: K. PRASHANT KUMAR
covID CASH
Sponsor Phone: 9010080800
GENERAL MEDICINE
Clinical Dept:
H-NO:5-11/114/252,, PRANEETH PRANAV PANORAMA,. SANGAREDDY. TELANGANA. INDIA.
Address:

DR.K.PRASHANT KUMAR
CONSULTANT MBBBS, MD
Consultant Internal Medicine

ICD CODE - R05

DIAGNOSIS

Atypical pneumonia(SARS-COV 2), SEVERE DISEASE ( HFNC NIVV)

STEROID DYSGLYCEMIA.

CHIEF COMPLAINT Patient presented with fever ,cough and body pains since 5 days

CONDITION AT Patient conscious,oriented

ADMISSION BP: 120/70mmHg
HR: 110
Spo2: 80% RA
RR: 26/min

INVESTIGATIONS Units Biological Reference Intervals

Observed Values
Test Name

CRP (C-REACTIVE PROTEINS) ( 17-04-2021 17:11) <5 mg/L NEGATIVE

CRP
98.8 mg/L > 5mg/L: POSITIVE

IMPRESSION
1) It is serum protein which is synthesized in liver
be
tissue injury; it is recommended that results of the test should
2)CRP production is a non-specific response to
correlated with clinical findings to arrive at the final diagnosis.

HIVIANDI ( 17-04-2021 17:09)

Hie SHINE Superintendent 1.0 1.0
1-7-201 to HOFRGABcae:<
ANTI HIV I& I ANTIBODY
205, P.
METHOD CMIA
Bside Paradise ad
Note : 1
Above test is a screening test only SECUNDERABEA J
2
to infection with HIV1/2
A non-reactive result does not exclude the possibility of exposure
3
Western Blot HIV PCR
All reactive specimens should be further confimed by HIV
or

HBSAG (17-04-2021 17:09)

HBSAG Negative (0.19) NEGATIVE EHO

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Phone: 040-4455 0000 Emergency: 8008 108 108 E-mail: [email protected]
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 SUNSHINE
HOSPITALS DISCHARGE SUMMARY
Patient No: ss21007765
UMRO731354
HID: Mr.NARESH KUMAR BEJJANKY Age (Gender ): 44Y (Male)
atient Name:
POSITIVE:>1.0

CMIA
METHOD

Note -1
Above assay is a screening test only

2 substances In patients serum, cap

Rheumatold factors and other non-analyte
Interference due to heterophile antibodies, detected
analyte detection In immunoassays has been
multivalently and proving erroneous
able of blnding antlbodies
3
should be further confirmed by HBV DNA PCR
All positive samples
ANTI HCV (HEPATITIS C) ANTIBODY ( 17-04-2021 17:09) <1.0: Non reactive
ANTI HCV ANTIBODY
Non-Reactive (0.08)
1.0: Reactive
CMIA
METHOD

Note1
Above test is a screening test only
2
infection with HCV
non-reactive result does not
exclude the possibility of exposure to or

3
diseases may show falsely reactive results
Patients with auto-immune liver

4
further confimed by RIBA OR HCV RNA PCR
All reactive specimens should be

CRP (C-REACTIVE PROTEINS) ( 18-04-2021 06:16) 5 mg/L NEGATIVE

CRP
91.3 mg/L > 5mg/L: POSITIVE

IMPRESSION
in liver.
1) It is serum protein which is synthesized test should be
to tissue injury; it is recommended that results of the
2) CRP production is a non-specific response
correlated with clinical findings to arrive at the final diagnosis.

CRP(C-REACTIVE PROTEINS) ( 19-04-2021 00:48) < 5mg/L NEGATIVE

CRP
54.1 mg/L
> 5 mg/L: POSITIVE

IMPRESSION
in liver.
1) It is serum protein which is synthesized be
to tissue injury; it is recommended that results of the test should
2) CRP production is a non-specific response
corelated with clinical findings to arrive at the final diagnosis.

CRP(C-REACTIVE PROTEINS) (20-04-2021 01:08) 5 mg/L:NI TIVE

CRP
24.4 mg/L
>5 mg/L : POSITIVE

IMPRESSIOON
in liver.
1) It is serum protein which is synthesized is recommended that results of the test should be
to tissue injury; it
2) CRP production is a non-specific response
the final diagnosis.
correlated with clinical findings to arrive at

(C-REACTIVE PROTEINS)
CRPCRP (21-04-2021 01:22) < 5mg/L NEGATIVE
13.0 mg/L
>5mg/L POSITIVE

IMPRESSION
1) It is serum protein which is synthesized in liver
it is recommended that results of the test should
be
CRP production is non-specific response to tissue injury;
2) a

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 SUNSHINE
HOSPITALS DISsCHARGE SUMMARY EXCELIENc

FARSO*

Patient No: ss21007765

UHID: UMRO731354
Patient Name: Mr.NARESH KUMAR BEJJANKY Age (Gender) 44Y (Male)

correlated with clinical findings to arrive at the final diagnosis.

CRP (C-REACTIVE PROTEINS) (22-04-2021 01:26)

CRP 8.2 mg/L <5 mg/L: NEGATIVE
>5 mg/L: POSITIVE
IMPRESSION
1) It is serum protein which is synthesized in liver.
2) CRP production is a non-specific response to tissue injury; it is recommended that results of the test should be
correlated with clinical findings to arrive at the final diagnosis.

CRP (C-REACTIVE PROTEINS) (23-04-2021 01:47)

4.8 mg/L <5 mg/L : NEGATIVE
CRP
>5mg/L POSITIVE
IMPRESSION
1) It is serum protein which is synthesized in liver.
response to tissue injury; it is recommended that results of the test should
be
2) CRP production is a non-specific
corelated with clinical findings to arrive at the final diagnosis.

CRP (C-REACTIVE PROTEINS) (24-04-2021 02:00

3.8 mg/L <5 mg/L: NEGATIVE
CRP
5 mg/L:POSITIVE
IMPRESSION
1) It is senum protein which is synthesized in liver.

2) CRP production is a non-specific response to tissue injury; it is recommended that results of the test should be
correlated with clinical findings to arrive at the final diagnosis.
CT SCAN CHEST (PLAIN) HRCT CHEST (17-04-2021 17:18)
FINDINGS
Trachea and major bronchi are normal in course and calibre. No evidence of any luminal filling defects.

Mediastinal vascular structures are normal.

No evidence of any obvious mediastinal adenopathy.

Multi-focal ground glass opacities with septal thickening noted in both lungs.

Rest of the lung parenchyma is showing normal attenuation.

No evidence of pleural effusion / thickening.

Visualised sections of Liver and Spleen are normal in attenuation. No evidence of any focal lesions.

IMPRESSION
CT findings are consistent with Covid-19.

CT severity score: 12/25

BED SIDE 2D ECHO (18-04-2021 12:09)
MITRAL VALVE NORMAL

AORTIC VALVE NORMAL

TRICUSPID VALVE NORMAL

PULMONARY VALVE NORMAL

RIGHT ATRIUM NORMAL

RIGHT VENTRICLE NORMAL

LEFT ATRIUM 3.3 cm

LEFT VENTRICLE NO RWMA

EDD:4.6 cm VSD:1.0 cm EF: 62%

UNSH H
ESD: 2.7cm PWD:0.9 cm FS:31 %

Padsot12,

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 SUNSHINE sUH

HOSPITALS DISCHARGE SUMMARY

UHID: UMRO731354 Patient No: S$21007765

atient Name: Mr.NARESH KUMAR BEJJANKY Age ( Gender) 44Y ( Male)

AS INTACT
VS INTACT
AORTA 2.8 cm
PULMONARY ARTERY NORMAL
PERICARDIUM NORMAL
INTRACARDIAC MASSES NIL
IVC/SVICSs NORMAL
PULMONARY VEINS NORMAL
COLOUR FLOW MAPPING DOPPLER NO MR/ NO AR/ 1TR/ NO PR
MITRAL E A
AORTIC V MAX 1.4m/sec
PULMONARY V MAX =0.9 m/sec
TRICUSPIDD TRIVIAL TR
ECHO DIAGNOSIS NO RWMA
NORMAL CHAMBERS
NORMAL LV IRV FUNCTION
TRIVIAL TR/NO PAH
NO PERICARDIAL EFFUSION/ NO CLOTS

TECHNICIAN:E.KALYAN

DR GURU CHAITANYA MD,DM

CARDIOLOGIST

cUE(COMPLETE URINE EXAMINATION) ( 17-04-2021 17:09)

QUANTITY 18 m
COLOUR Light yellow Pale YelloOw
APPEARANCE Slightly cloudy Clear
REACTION 6.5 4.6-8.0

SPECIFIC GRAVITY 1.025 1.001-1.035

CHEMICAL EXAMINATION
GLUCOSE 2+ Absent
PROTEIN Absent
KETONE BODIES Negative Negative
BILE SALTs Negative Absent
BILE PIGMENTS Negative Absent
BLOOD Negative Negative
Normal Normal
UROBILINOGEN
NITRITE Negative Negative
MICROSCOPIC EXAMINATION
PUS CELLS 2-3 hpf 1
EPITHELIAL CELLS 0-1 Ihpf 0-1
R.B.C. Nil hpf Nil
CASTS NIl hpf Absent
CRYSTALS Nil hpf Absent
OTHERS Budding Yeast: 3+ /hpf Absent

BLOODGROUPING AND RH (17-04-2021 17:09)

BLOOD GROUP O
Page 4 of 12

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CT
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 SUNSHINE
HOSPITALS DISCHARGE SUMMARY
UHID: UMRO731354 Patient No: ss21007765

atient Name: Mr.NARESH KUMAR BEJJANKY Age ( Gender ) 44Y (Male)

RH (D) TYPING Negative

Note Reconfim the Blood Group and Rh Typing along with eross matching before blood transfuslon
Recent blood transfusion, f any, Iinterferes wlth Interpretation of blood grouping

CBP(COMPLETE BLOOD PICTURE) (17-04-2021 17:09)

HAEMOGLOBIN 13.5 gldL 13.0 - 17.0

RBC 4.76 mill/ cumm 4.5-5.5

HAEMOTOCRIT(PCV) 41.3 vol% 40.0 50.00
MCV (MEAN CELL VOLUME) 86.7 83-101
MCH (Mean Cell Haemoglobin) 28.4 Pg 27 32
MCHC (MEAN CELL HAEMOGLOBIN CON- 32.7 g/dL 31.5-34.5
CENTRATION)
PLATELET COUNT (PLT) 3.56 Lakhs/Cumm 1.5 -4.0

RDW 13.5 % 11.6-14.0

MPV 8.0 7.5-11.5
WBC COUNT 13500 Cells/cumm 4,000 11,000
POLYMORPHS 35 40 80
LYMPHOCYTES 13 20-40
EOSINOPHILS 01 1-6
MONOCYTES 01 2-10
BASOPHILS 00 % 0-1
RBC. Normocytic normochromic.
WBC. Neutrophlic leukocytosis.
PLATELETS Adequate.
PT (PROTHROMBIN TEST) WITH INR (17-04-2021 17:09 )
PT TEST 13.4 secs 10.88 12.7 secs
PT CONTROL 11.5 secs
INR 1.164

APTT(ACTIVATED PARTIAL THROMBOPLASTIN TIME) ( 17-04-2021 17:09)

APTT TEST 23.7 sec 25.5-29.5

APTT CONTROL 26.7 secs

TC (TOTAL LEUCOCYTE COUNT) (18-04-2021 01:31)

WBC COUNT 12400 Cells/cumm 4,000 11.000
TC (TOTAL LEUCOCYTE COUNT) (19-04-2021 00:48)
WBC COUNT 11200 Cells/cumm 4,000 11,000

TC (TOTAL LEUCOCYTE COUNT) (20-04-2021 01:08)

WBC COUNT 8800 Cells/cumm 4,000-11,000

CBP(COMPLETE BLOOD PICTURE) (21-04-2021 01:22)

13.6 g/dL 13.0-17.00
HAEMOGLOBIN
4.84 mill/ cumm 4.5-5.5
RBC
42.1 vol% 40.0-50.0
HAEMOTOCRIT(PCV)
86.9 f 83- 101
MCV (MEAN CELL VOLUME)
MCH (Mean Cell Haemoglobin) 28.1 P9 27 32
MCHC (MEAN CELL HAEMOGLOBIN CON- 32.3 g/dL 31.5 34.55

CENTRATION)
PLATELET cOUNT (PLT) 4.37 Lakhs/Cumm 1.5-4.0
NSHINE

HOSPI
ts warm in here
SEO organization Accredited by:

SUNSHINE HOSPITALS
PG Road, Paradise, Secunderabad 500003, Telangana, India 100
Phone: 040-4455 0000 Emergency: 8008 108 108 E-mail: [email protected]
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 SUNSHINE
HOSPITALS DISCHARGE SUMMARY
UHID: UMRO731354 Patient No: ss21007765
atient Name: Mr.NARESH KUMAR BEJANKY Age ( Gender ): 44Y (Male )

RDW 13.1 % 11.6-14.0

MPV 8.6 7.5-11.5
WBC COUNT 9600 Cells/cumm 4,000 11,000
POLYMORPHS 90 % 40 80
LYMPHOCYTES 07 20-40
EOSINOPHILS 01 1-6
MONOCYTES 02 2-10
BASOPHILS 00 % 0-1
RBC Normocytic normochromic.
WBC. Neutrophilic.
PLATELETS Mild thrombocytosis.
CBP(COMPLETE BLOOD PICTURE) (22-04-2021 01:26)
HAEMOGLOBIN 13.4
g/dL 13.0- 17.0
RBC 4.76 mill / cumm 4.5-5.5
HAEMOTOCRIT(PCV) 41.6 vol% 40.0- 50.0
MCV (MEAN CELL VOLUME) 87.3 83-101
MCH (Mean Cell Haemoglobin) 28.2 Pg 27-32
MCHC (MEAN CELL HAEMOGLOBIN CON- 32.3 g/dL 31.5-34.5
CENTRATION)
PLATELET cOUNT (PLT) 4.77 Lakhs/Cumm 1.5-4.0
RDW 13.4 % 11.6-14.0
MPV 8.3 f 7.5-11.5
WBC COUNT 11700 Cells/cumm 4,000 11,000
POLYMORPHS 40 80
LYMPHOCYTES 09 20-40
EOSINOPHILS 01 1-6
MONOCYTES 02 -10
BASOPHILS 00 % 0-1
RBC Normocytic normochromic.
WBC. Neutrophilic leukocytosis.
PLATELETS Mild thrombocytosis.
CBP(COMPLETE BLOoD PICTURE) (24-04-2021 02:00)
HAEMOGLOBIN 14.3 g/dL 13.0 17.0
RBC 5.03 mill/ cumm 4.5-5.5
HAEMOTOCRIT(PCV) 44.0 vol% 40.0 50.0
MCV (MEAN CELL VOLUME) 87.5 il 83 101
MCH (Mean Cell Haemoglobin) 28.4 P9 27-32
MCHC (MEAN CELL HAEMOGLOBIN CON- 32.4 g/dL 31.5-34.5
CENTRATION)
PLATELET COUNT (PLT) 4.66 Lakhs/Cumm 1.5-4.0
RDW 13.4 % 11.6-14.0
MPV 8.0 7.5-11.5
WBC COUNT 13600 Cells/cumm 4,000 11,000
POLYMORPHS 68 40 -80

LYMPHOCYTES 28 20-40
EOSINOPHILS 01 1-6
UNSHI

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 SUNSHINE
HOSPITALS DISCHARGE SUMMARY
UMRO731354 Patient No: ss21007765
UHID:
atient Name: Mr.NARESH KUMAR BEJJANKY Age (Gender): 44Y ( Male)

MONOCYTES 03 % 2-10
BASOPHILS 00 0-1

RBC Normocytic normochromic.

WBC. Leukocytosis.
PLATELETTS Mild thrombocytosis.

CBP(COMPLETE BLOOD PICTURE) (27-04-2021 03:04)

14.1 13.0-17.0
HAEMOGLOBIN g/dL
4.92 mill / cumm 4.5-5.5
RBC
43.5 vol% 40.0-50.0
HAEMOTOCRIT(PCV)
88.6 83- 101
MCV (MEAN CELL VOLUME)
28.8 27-32
MCH (Mean Cll Haemoglobin) Pg
31.5-34.5
MCHC (MEAN CELL HAEMOGLOBIN CON- 32.5 g/dL
CENTRATION)
PLATELET COUNT (PLT) 4.58 Lakhs/Cumm 1.5-4.0

13.4 % 11.6-14.0
RDW
8.5 7.5-11.5
MPV
WBC UN T 19200 Cells/cumm 4,000-11,000
84 40-80
POLYMORPHS
10 20-40
LYMPHOCYTES
00 6
EOSINOPHILS
06 2- 10
MONOCYTES
00 1
BASOPHILS
Normocytic normochromic
RBC
WBC Neutrophilic leukocytosis.
PLATELETS Thrombocytosis
CBP(COMPLETE BLOOD PICTURE) (28-04-2021 04:07 )
13.5 g/dL 13.0-17.0
HAEMOGLOBIN
4.60 mill / cumm 4.5-5.5
RBC
40.6 vol% 40.0-50.00
HAEMOTOCRIT(PCV)
MCV (MEAN CELL VOLUME) 88.2 fl 83- 101
29.2 pg 27-32
MCH (Mean Cell Haemoglobin)
g/dL 31.5-34.5
CELL HAEMOGLOBIN CON- 33.2
MCHC (MEAN
CENTRATION) Lakhs/Cumm 1.5- 4.0
3.94
PLATELET COUNT (PLT)
13.7 % 11.6-14.0
RDW
8.2 7.5-11.5
MPV
WBC COUNT 15700 Cells/cumm 4,000 11,000
POLYMORPHS 70 % 40-80
24 20-40
LYMPHOCYTES
00 1-6
EOSINOPHILS
06 2 -10
MONOCYTES
00 % 0-1
BASOPHILS
RBC. Normocytic normochromic
WBC. Leukocytosis.
PLATELETs Adequate
SERUM FERRITIN (17-04-2021 17:11) RD

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 SUNSHINE
HOSPITALS DISCHARGE SUMMARY
Patient No: ss21007765
UHID UMRO731354
Patient Name: Mr.NARESH KUMAR BEJJANKY Age (Gender ) 44Y (Male )

RESULT 706.03 Adult Male :20-250 ugL

Adult Female:10-120 ug/L
Children:
Up to 1 month:6-400 ug/L
1 to 6 months:6-410 ug/L
6 to 12 months: 6-80 ug/L
1 to 5 years:6 60 ug/L
6 to 19 years 6- 320 ug/L

LDH (17-04-2021 17:11)

297.0 UL <248 UL
RESULT

PCTQ(PROCALCITONIN) ( 17-04-2021 17:11)

High risk of severe sepsis:> 2.0 ng/
RESULT 0.051 ng/ml
ml
Low risk of severe sepsis or septic
shock < 0.5 ng/ml
Moderate risk of progression to
severe sepsis or septic shock: > 0.5

to<2.0 ng/ml
Normal range:0.025-0.065 ng/ml.

HBA1C (GLYCOSYLATED HAEMOGLOBIN) (17-04-2021 17:11) Non Diabetic: 5-6

HBA1C 6.8
Good Control:6 7
Fair Control:7 8 %
Poor Control:8 10
Very Poor Control:> 10

UREA (17-04-2021 17:09) 17.0-43.0 mg/dL

RESULT mg/d
SERUM CREATININE (17-04-2021 17:09) 0.84-1.25 mg/dL
CREATININE 0.82 mg/dL
108 mL/min 90-120
eGFR
Filtration Rate
eGFR Interpretation Stages of Kidney Disease for Glomerular
with normal GFR
Stage 1 Kidney damage (e.g., protein in the urine)
90 or above
GFR: 60 to 89
Stage 2 Kidney damage with mild decrease in
59
Stage 3a Moderate decrease in GFR : 45 to
Stage 3b Moderate decrease in GFR: 30 to 44
15 to 29
Stage4 Severe reduction in GFR:
Stage 5 Kidney failure: Less than 15
Acute kidney Injury (AKI)
Note This eGFR calculation not valid
in children, Pregnant women and patients with
Assume GFR less than 10 ml/min in AKI

SERUM MAGNESIUM (17-04-2021 17:09) 1.8-2.6 mg/dl

2.4 mg/dl
RESULT
SERUM ELECTROLYTES (17-04-2021 17:09 ) meq/L 135 150 mEq/L
138.5
SODIUM
3.93 meq/L 3.5-5.0 mEq/L
POTASSIUM
CHLORIDE
103.2 meq/l 94.0-110mEq/L
LFT(LIVER FUNCTION TEST) ( 17-04-2021 17:09) 0.3-1.2 mg/dL
JNIHS HOSA
0.7 mg/dL
TOTAL BILIRUBIN
0.2 mg/dL 0.0-0.2 mg/dL
DIRECT BILIRUBIN

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 SUNSHINE
HOSPITALS DISCHARGE SUMMARY
s$21007765
UHID: UMRO731354 Patient No:

Fatient Name: Mr.NARESH KUMAR BEJJANKY

Age(Gender) 44Y ( Male

INDIRECT BILIRUBIN 0.5 mg/dL

SERUM ALKALINE PHoSPHATASE 48 UL 30-120UL
SGPT/ALT 44 UL <50 U/L
SGOTIAST 22 UL <50 U/L
TOTAL PROTEIN 6.4 g/dL 6.6-8.3 g/dL
SERUM ALBUMIN 3.5 g/dL 3.5-5.2 g/dL
SERUM GLOBULIN 2.9 g/dL 1.80-3.60

A/G RATIO .2 1.2-1.5

SERUM PHOSPHOROUS ( 17-04-2021 17:09)

RESULT 1.5 mg/dl 2.5-4.5 mg/dL

SERUM CALCIUM ( 17-04-2021 17:09)

RESULT 8.7 mg/dl 8.8-10.6 mg/dL

TSH (THYROID STIMULATING HORMONE) (17-04-2021 17:09)

TSH 0.14 ulU/ml 0.34 5.60

D DIMER ( 17-04-2021 17:11)

RESULT 369.1 0-250 ng/m
RPG (RANDOM PLASMA GLUCOSE ) (17-04-2021 17:09)
RANDOM BLOOD GLUCOSE 284 mg/dl 80.0- 140.0 mg/dL
CLINICAL INTERPRETATION <140:Normal
140-199:Prediabetes
>200:Diabetes Mellitus
SERUM ELECTROLYTES (18-04-2021 01:31
SODIUM 138.2 meq/L 135 150 mEq/L
POTASSIUM 4.20 meq/L 3.5-5.0 mEq/L
CHLORIDE 103.3 meq/L 94.0-110 mEq/L

IL-6INTERLUEKIN-6) (18-04-2021 01:31)

RESULT 23.78 pg/ml 5.3-7.5 pg/mL
IL-6INTERLUEKIN-6) (19-04-2021 00:48)
RESULT 15.14 pg/mL 5.3-7.5 pg/mL.

SERUM CREATININE (19-04-2021 00:48)

CREATININE 0.60 mg/dL 0.84-1.25 mg/dL
eGFR 122 mL/min 90-120

eGFR Interpretation Stages of Kidney Disease for Glomerular Filtration Rate

Stage 1 Kidney damage (e.g., protein in the urine) with normal GFR:
90 or above
Stage 2 Kidney damage with mild decrease in GFR: 60 to 89
Stage 3a Moderate decrease in GFR : 45 to 59
Stage 3b Moderate decrease in GFR: 30 to 44
Stage 4 Severe reduction in GFR: 15 to 29
Stage 5 Kidney failure: Less than 15
1
Note :- This eGFR calculation not valid in children, Pregnant women and patients with Acute kidney injury (AK)
UNSH
Assume GFR less than 10 ml/min in AKl

SERUMELECTROLYTES (19-04-2021 00:48)138.7

HOSA
SODIUM meq/L 135- 150 mEq/L

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 SNTE
SUNSHINE
HOSPITALS DISCHARGE SUMMARY
Patient No: ss21007765
UHID: UMRO731354
Jatient Name: Mr.NARESH KUMAR BEJJANKY Age ( Gender): 44Y ( Male)

POTASSIUUM 4.11 meq/L 3.5-5.0 mEq/L

CHLORIDE 101.7 meq/L 94.0-110 mEq/L
UREA (19-04-2021 00:48)
RESULT 49 mg/dl 17.0-43.0 mg/dl
D DIMER (20-04-2021 01:08)
RESULT 342.9 0-250 ng/ml

D DIMER (21-04-2021 01:22)

RESULT 282.8 0-250 ng/ml

UREA (23-04-2021 01:47)

RESULT 38 mg/dl 17.0-43.0 mg/dL

SERUM CREATININE (23-04-2021 01:47)

CREATININE 0.81 mg/dL 0.84-1.25 mg/dL
eGFR 108 mL/min 120

eGFR Interpretation Stages of Kidnay Disease for Glomerular Filtration Rate

in the urine) with normal GFR

Stage 1 Kidney damage (e.g., protein
90 or above
60 to 89
Stage 2 Kidney damage with mild decrease in GFR:
Stage 3a Moderate decrease in GFR: 45 to 59
Stage 3b Moderate decrease in GFR:30 to 44
Stage 4 Severe reduction in GFR: 15 to 29
Stage 5 Kidney failure: Less than 15
Note This eGFR calculation not valid in chitdren, Pregnantwomen and patients with Acute kidney Injury (AKI)
Assume GFR less than 10 ml/min in AKI

SERUM POTASSIUM (23-04-2021 01:47)

RESULT 3.85 meq/L 3.5-5.0 mEq/L

SERUM SODIUM (23-04-2021 01:47)

RESULT 137.9 meq/L 135 150 mEq/L

CHLORIDES SERUM (23-04-2021 01:47)

CHLORIDE 100.8 meq/L 94.0-110.0 meq/l

RPG (RANDOM PLASMA GLUCOSE) ( 23-04-2021 01:47)

RANDOM BLOOD GLUCOSE 99 mg/dl 80.0-140.0 mg/dL
CLINICAL INTERPRETATION <140:Normal
140-199:Prediabetes
>=200:Diabetes Mellitus

D DIMER (23-04-2021 01:47)

RESULT 193.4 0-250 ng/ml

D DIMER ( 24-04-2021 02:00)

RESULT 0.30 <0.50 ug FEU/mL

CHLORIDES SERUM (27-04-2021 03:04)

CHLORIDE 104.5 meq/L 94.0-110.0 meq/l
UREA (27-04-2021 03:04)
RESULT 2 mg/dl 17.0-43.0 mg/dL

SERUM CREATININE (27-04-2021 03:04)

Page 10 of 12

ts warm in here VIHSN OSPIA organization Accredited by

SUNSHINE HOSPITALS DARD
PG Road, Paradise, Secunderabad 500003, Telangana, India IUU
Phone: 040-4455 0000 Emergency: 8008 108 108 E-mail: [email protected]
www.sunshinehospitals.com
SEdO NABH ISO
 SUNSHINE
HOSPITALS DIsCHARGE SUMMARY
UHID: UMRO731354 Patient No: S$21007765

atient Name Mr.NARESH KUMAR BEJJANKY Age ( Gender ) 44Y (Male )

CREATININE 0.68 mg/dl 0.84-1.25 mg/dL

eGFR 116 mL/min 90-120
eGFR Interpretation Stages of Kidney Disease for Glomerular Fltration Rate
Stage 1 Kidney damage (e.g, protein in the urine)with nomal GFR:
90 or above
Stage 2 Kidney damage with mild decrease in GFR : 60 to 89
Stage 3a Moderate decrease in GFR: 45 to 59
Stage 3b Moderate decrease in GFR 30 to 44
in GFR: 15 to 29
Stage 4 Severe reduction
Stage 5 Kidney failure: Less than 15
Note This eGFR calculation not valid in children, Pregnant women and patients with Acute kidney Injury (AKI)
Assume GFR less than 10 ml/min in AKI

SERUM POTASSIUM (27-04-2021 03:04)

RESULT 4.58 meq/l 3.5-5.0 mEq/L

SERUM SODIUM (27-04-2021 03:04)

RESULT 137.3 meq/L 135-150mEq/lL
RPG (RANDOM PLASMA GLUCOSE) (27-04-2021 03:04)
RANDOM BLOOD GLUcoSE 103 mg/d 80.0-140.0 mg/dL
CLINICAL INTERPRETATION <140:Normal
140-199:Prediabetes
>=200:Diabetes Mellitus

cOURSE IN Patient with above mentioned complaints, in view of present epidemiological settings.CT chest
HOSPITAL was done-showing peripheral ground glass opacities, patient was admitted to strictly isolated
rooms COVID-19 RT PCR was sent which came positive. Other labs reported elevated acute
phase reactants in hospital patient was having hypoxia , treated with anti virals ,azithromycin,
steroids and LMWH ,managed with supportive care.

In due coures patient was improved symptomaticly, oxygenation improved, afebrile for more
than 72 hours and hemodynamically stable, patient has being discharged from hospital with fol-
lowing advice

DISCHARGE 1.Tab. Limcee500mgtwice dailyx10days

MEDICATIONS {*
(advice on 2.Tab. ZIncovit once daily x 2 weeks
medication till next
review) 3.Tab. Ecosprin AV 75/10mg once daily at bedtime x 4weeks

Tab. Pantocid 40mg oncedailyx2 weeks efore Bztakfasf

5.Tab. Predmet 16mg twice daily x5 days

Followed by 16mg once daily x 5 days

Followed by 8mg once daily x 5 days and then stop

6.Tab. Mondeslor 10mg onpe daily at 10pm x 2 weeks

ANE
HOSP
J.Tab. Amaryi M2 once daily before breakfast x 14 days
M R D

MR

ECUND
ts warm in kere
Organization Accredited by:

SUNSHINE HOSPITALS
PG Road, Paradise, Secunderabad 500003, Telangana, India
100
Phone: 040-4455 0000 Emergency: 8008 108 108 E-mail: [email protected]
www.sunshinehospitals.com NABH ISO
 SUNSHINE
HOSPITALS DISCHARGE SUMMARY S$210077655
Patlent No:
UHID: UMRO731354
44Y ( Male)
atient Name: Mr.NARESH KUMAR BEJJANKY Age (Gender)
ADVISE AT 1.Home-quarentine for 2 weeks
DISCHARGE 2.Wear N95 mask
3.Follow hand sanitization measures strictly
4.incentive spirometry

EMERGENCY In case of emergencycontact this 8008108108,040 44550000

no
List ef Emergencies would include the following, but not limited toD
CONDITIONS
1. Recurrence of presenting complaints
2. Fever, vomitings, loose motions.
3. Severe pain abdomen, SOB, Chest pain
4. Giddiness, Altered consciouness

REVIEW Review after 14 days with FBS, PPBS o medical OPD.

bischarge summary 1.Nurse

explained by
hiassa
2.Discharge summary explained to /AlaLelh_ mel
UNSHI E HOS
3.Date and time 231u

Dr.PRASHANTKAMAR
CENERAL MEDICINE
ConsultaniInteinal_Medicine
MBBBS, MD

1.In case of Emergency contact:8008108108/040-44550000/040-43444546

2.Ambulance:-8008656565

Generated By $7451 on 28/04/2021 11:10 (0

28/04/2021 11:10 0
Generated By S7451 on

Medical Superintender
SUNSHINE HOSPITAVS
1-7-201 to 205, P.G. Rold Page 12 of 12
Beside Paradise Hotel,
sICUNDERABBAD-0?

ts warm in here Organization Accredited by:

SUNSHINE HOSPITALS
PG Road, Paradise, Secunderabad 500003, Telangana, India 00
Phone: 040-4455 0000 Emergency: 8008 108 108 E-mait: [email protected]
www.sunshinehospitals.com NABH ISO