DISCHARGE SUMMARY
This was one of several admissions for this nearly 3-year-old boy for bilateral inguinal hernia repairs. Swelling in the left groin was noted several weeks prior to admission. He has had pains in the groins on and off. He was found to have bilateral inguinal hernia repairs. The child is also followed because of congenital Addison disease. He is on Cortef and Florinef Acetate.
Because of the Addison disease, he was treated with cortisone acetate IM, 50 mg on admission, and Solu-Cortef 50 mg IM 1 hour prior to surgery. Solu-Cortef 50 mg was run during the surgery. Four hours after completion of the surgery, he received 12.5 mg of Solu-Cortef IM.
LABORATORY DATA
Hemoglobin 12.1, WBC 5500, BUN 18, and electrolytes 140, 3.9, and 23.
DISCHARGE DIAGNOSES
1. Addison disease.
2. Bilateral inguinal hernias.
DISCHARGE MEDICATIONS
Discharge medication included only his usual medications for Addison disease.
FOOTNOTE
Lines 15-19. Alternative: I.M.
Line 17. To avoid beginning the sentence with a numeral, the sentence was rephrased.
Line 22. Alternative: BUN 18. Electrolytes: Sodium 140, potassium 3.9, and CO2 23.
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