tokens: 337702516 WGH 9387380 310695 271735 9/15/2000 12:00:00 AM Discharge Summary Signed DIS Report Status : Signed DISCHARGE SUMMARY NAME : FREIERMLINKENEIGHCAABLINFARST , ANEA UNIT NUMBER : 008-08-33 ADMISSION DATE : 09/15/2000 DISCHARGE DATE : The patient was admitted to the hospital on July 12th for a chole with a principle diagnosis of recurrent biliary colic . HISTORY OF PRESENT ILLNESS : The patient is a 42 year old with recurrent biliary colic . She has had ultrasound proven gallstones for ten years , seen on an earlier obstetric ultrasound . The patient has had no symptoms until approximately two years ago when she began having classic biliary colic pain with right upper quadrant epigastric pain radiating to midback with nausea , but without vomiting . Onset was an hour to 1 hour after meals , worse with greasy meals , lasting five minutes to two hours . Episodes have been increasing in frequency over the last few months . She has had no fevers , chills , respiratory symptoms , diarrhea , bright red blood per rectum or melena . She has not found any relieve with any over the counter medications . She has no family history of gallbladder or pancreatic disease . She has had no significant weight loss . No anorexia . An ultrasound on 1/25/00 showed six gallstones without cholecystitis . She has no history of liver disease , hepatitis . The patient is from 45 Sidewonly Blvd , Fresa Loharanleah , Maryland . Has lived in 896 Lokatspur Pkwy , Ingrich Vepobuffh , Indiana for 25 years and works as a teaching assistant in a second grade in Satlnonew Rollglend Pabridrham . PAST MEDICAL HISTORY : Significant for a left ear operation approximately 30 years ago with left TM reconstruction in December 1999 at Hitch Hospital . MEDS ON ADMISSION : Only multivitamins . ALLERGIES : No known drug allergies SOCIAL HISTORY : The patient denies tobacco and / or alcohol use . REVIEW OF SYSTEMS : Noncontributory . PHYSICAL EXAMINATION : The patient is a healthy appearing female looking her stated age in no apparent distress . She is anicteric without rash or HEENT . Significant for left TM scarring without acute inflammation or drainage . Oropharynx is moist . No lymphadenopathy is noted . Thyroid is nonpalpable . She is without bruits or JVD . Lungs are bilaterally clear to auscultation . Cardiac exam ; she has positive S1 , S2 without murmur , rub or gallop . Rate was 75 . Abdomen is soft and nontender without hepatosplenomegaly or mass . She has no rebound or guarding . Her rectal exam is guaiac negative . Her extremities are without normal limits with +2 pulses throughout . She is neurologically intact . HOSPITAL COURSE : The patient was admitted for the lap coli with an intraoperative cholangiogram by Dr. Sterp under general anesthesia . A separate operative note has been dictated . Operative course and recovery were without complication . The patient was admitted to floor . The patient was afebrile , vital signs were stable . She is taking po &apos;s . She is ambulatory . The patient will be discharged to home in stable condition with a follow up appointment with Dr. Sterp . DISCHARGE MEDICATIONS : Percocet 5 mg in 325 mg one to two tabs po q4 to 6 prn pain . The patient will be discharged in stable condition . Follow up as mentioned will be with Dr. Sterp . ______________________ SANTDEL GLOTZRHALT , M.D. TR : sxu DD : 09/15/2000 TD : 09/21/2000 10:58 P cc : MINAQUEENALT MASHINEUSSHA STERP , M.D.