tokens: 105732749 FIH 7017973 715894 55714 9/10/1999 12:00:00 AM Discharge Summary Unsigned DIS Report Status : Unsigned DISCHARGE SUMMARY NAME : STERPKOTENEISH , LYDELL A UNIT NUMBER : 712-67-96 ADMISSION DATE : 09/10/1999 DISCHARGE DATE : 09/14/1999 PRINCIPAL DIAGNOSIS : Pancreatic carcinoma . PRINCIPAL PROCEDURE : Laparoscopy with biopsy for diagnosis . HISTORY OF PRESENT ILLNESS : Ms. Sterpkoteneish is a 69-year-old woman , who over the past six months has noted increasing pain in her left upper quadrant radiating to the back . She described the pain as being exacerbated by eating and described an associated weight loss . She presented to her primary care physician , Dr. Tlandtaze , in Aersing Rocuch Sun , who obtained a CT scan , which demonstrated a mass in the tail of the pancreas . She was then referred to the Fairm of Ijordcompmac Hospital under the El Memorial and was seen by Dr. Blinjesc , who scheduled her for an exploratory laparoscopy . PAST MEDICAL HISTORY : Is significant for spinal stenosis and a series of operations including repair of a ureteral stricture ; cataract implants ; two partial hysterectomies ; and an appendectomy . MEDICATIONS ON ADMISSION : Oxycontin 10 mg PO q.day . Darvocet . Estratab . Aspirin 325 mg PO q.day . ALLERGIES : No known drug allergies . PHYSICAL EXAMINATION : The blood pressure was 150/86 ; pulse 82 ; respirations 16 . Lungs were clear to auscultation bilaterally . Heart : regular S1 and S2 ; no murmurs . Abdomen : soft ; nontender ; no palpable masses . HOSPITAL COURSE AND TREATMENT : The patient was admitted through same day surgery and taken to the operating room where Dr. Blinjesc , assisted by Dr. Zockbeathe , performed a diagnostic laparoscopy with peritoneal washings . Findings included no gross evidence seating in the abdominal wall ; one nodule on the posterior surface of the right lobe of the liver ; one nodule in the inferior edge of the falciform ligament . Specimens sent to pathology included peritoneal washings and permanent specimens from the liver and falciform nodules . There were no complications , and the patient tolerated the procedure well . Postoperatively , the patient had some abdominal bloating with evidence of subcutaneous emphysema over the abdomen . She was uncomfortable and slow to have bowel movements , although she did have flatus . She tolerated a full diet well , but continued to have abdominal cramping and a mild ileus for the following three days . She was treated with repeated Fleet &apos;s enemas , and on postoperative day three , she had a number of bowel movements , was considerably more comfortable , and deemed ready for discharge . CONDITION ON DISCHARGE : Was excellent . MEDICATIONS ON DISCHARGE : Included aspirin 325 mg PO q.day . Percocet one to two whenever necessary q. four to six hours for pain . Estratab one PO q.day . At the time of discharge , cytopathology specimens had been negative , and surgical pathology specimens were still pending . She was instructed to call Dr. Blinjesc for the results of these tests and to follow up with him for further management if necessary . STA BODEJOVE , M.D. DICTATING FOR : ______________________________ LONSHI OCK , M.D. TR : hjr DD : 09/14/1999 TD : 09/17/1999 2:26 P cc : LONSHI OCK , M.D. cc : Telshey K. Swatlleebtik , M.D. Rinime Hawnspantkote Arkansas