case 8 DISCHARGE SUMMARY sunnie jing shen.docx - DISCHARGE...

DISCHARGE SUMMARY
Patient Name : Chapman Robert Kinsey
Patient ID : 110589 DOB : 04/07 Age : 87 Sex : Male
Room No. : 322B
Date of Admission : 02/23
Date of Discharge : 03/07
Admitting Physician : Martha C. Eaton, MD, Geriatrics
Consultations : Trevor Jordan, MD, Nephrology
Tomas Burgos, MD, Vascular
Beth Bryan, MD, Infectious Disease
Max L. Hirsch, MD, Orthopedic Surgery
Procedures Performed : Left popliteal arterial tibial inside saphenous vein bypass graft.
Complications : Acute renal failure, resolved.
Discharge Diagnosis :
1. Status post popliteal arterial bypass to left lower extremity, secondary to sever peripheral
vascular disease and necrotic ulcer to great toe.
2. Necrotic ulcer to great toe.
3. Status post-acute renal failure on chronic renal failure.
4. Chronic arterial fibrillation.
(continued)

Page 2
Mr. Kinsey is an 87-year-old deaf white male with the past history of the following.
1.Severe peripheral vascular disease. Status post right great toe amputation secondary to
gangrenous ulcer.