LETTER FROM STARSHIP TO GP ON RELEASE
Starship Children's Hospital
Private Bag 92924
Ph: 09 307 4949
To: Dr ***** *********
16 August 2004
Re: Charlotte Cleverley-Bisman
Charlotte was admitted to Ward 24A,
Starship, under the care of Prof *** **** on 17-Jun-2004 at 12:12pm and
discharged on 9-Aug-2004 at 4:08pm.
The following is a summary of the admission.
Reason for Admission:
Additional Diagnoses (if any)
Other musculoskeletal disorder
Other gastro-intestinal disorder
Significant Abnormal results:
Wound swab grew Pseudomanas and Enterococcus
Medications prescribed at time of discharge:
Lactulose (5ml od)
Admitted to PICU on 17/06/2004, intubated, ventilated and on inotropes.
Extubated on 23 June. While in PICU had 2 very brief generalised seizures
and was loaded with phenytoin. CT showed 2 small ischaemic lesions in
left frontal lobe. No further seizures since, phenytoin stopped on 11/07/2004.
Transferred to ward on 24 June. Acute drop in Haemoglobin on 29/06/2004,
gastroscopy performed next day, linear ulcer in oesophagus and clot in
gastric cardia found.
Started on Omeprazole and Sucralfate. No further bleeding noted since.
Was on TPN feeding from 30 June to 26 July to improve malnutrition. Was
tolerating full feeds by time of discharge. Also had multiple procedures
for debridement of necrotic tissue and skin grafting of limbs. As a result,
has had left below knee amputation, right above knee amputation, right
through forearm amputation and left above elbow amputation. Discharged
to Wilson Home. Dr ******* ********** will follow-up from general paediatric
point of view.
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