Patient records (2005) - English

 

 

EXTRACTS

from Medical Records No.1262

of a stationary patient.

To: Local residential Clinics

 

 

       Sorokina Olga Artemievna, 31 years old, remained hospitalized at the Orthopedic Division from March 1 to March 18, 2005, diagnosed with neurogenic deformation of the left wrist.

        From anamnesis: multiple traumas as a result of hit-and-run accident in 1999; serious cranio-cerebral trauma, multipla bone fractures; the patiens suffers from post-traumatic paresis of heap nerves, post-traumatic neurogenic deformation of arms; in 2002 total heap replacement was performed because of heap pathological fracture (due to ostheoporosis); in 2004 Prof. Golubev performed correction of neurogenic deformation of left elbow joint, he recommended surgical correction of neurogenic deformations in both wrists; the patient was hospitalized as scheduled for operation.

        On March 2, 2004, surgical correcton of left wrist was performed (Zakelli's method). The followind post-operational period proceeded without complications. Anti-bacterial therapy was applied, the patient was administered analgesics. The patient received a course of physiotherapy. The operation wound was healed by primary expansion, the stitches were taken out on March 14, 2005; points of insertion of fixing braces did not show accute inflammation, hard bandage was applied to fix the arm. On March 17, 2005 the patient was examined by Prof. Golubev, who recommended to continue physical therapy. The braces are to be removed in 6 weeks, until them the arm is to remain immobilized.

        The patient was released from the hospital in satisfactory condition.

        No antibodies were found for HIV, HBS, HCV (exams performed on February 21, 2005); RW-negativ (exam performed on February 21, 2005); 0(I), Rh(+).

        Recommendations: physical therapy; braces removal in 6 weeks after operation; observation by a traumathologist-orthopedist in a local residential clinics.

 

        Doctor                                 Dadaev M.H.       (signature)

        Head of Division                Devis A.E.           (signature)

 

        (Official Stamp of the Clinics)