tokens: 614746156 CTMC 48720920 513332 7/3/1999 12:00:00 AM Discharge Summary Signed DIS Admission Date : 07/03/1999 Report Status : Signed Discharge Date : EHC9 HISTORY OF PRESENT ILLNESS : The patient is a 71-year-old police chief who presents with painless jaundice x1 day . The patient was generally in excellent health with a past medical history significant only for noninsulin dependent diabetes mellitus who was presented with painless jaundice x2 days . He also noted a 23 pound weight loss in the past 11 months despite having an increased appetite . The patient also complained of fatigue and &quot; feeling down &quot; . His wife noted personality changes with increased irritability . Patient denies night sweats in the past month . The patient denies melena , hematochezia , nausea , and abdominal pain . The patient states that he is occasionally constipated . Also denies tenesmus . On the day prior to admission , the patient &apos;s family noted that &quot; he looked yellow &quot; and presented to the Lorough Medical Center &apos;s Emergency Department this after noon . PAST MEDICAL HISTORY : 1. Type II diabetes mellitus diagnosed 06/94 , well-controlled with last hemoglobin A1C 6.2 2. Vocal cord polyps 3. Question of history of AVN or osseous necrosis 4. History of hyperkalemia . Question RTA type 4 MEDICATIONS : Glucotrol 10 q.a.m. and vitamins ALLERGIES : The patient is allergic to MSG from which he gets hives . SOCIAL HISTORY : No ethanol use , remote pipe smoking use which he discontinued 20 years ago , no illicit drug use . FAMILY HISTORY : Noncontributory . The patient &apos;s father died at the age of 83 of CHF . The patient &apos;s mother is alive at the age of 114y . The patient has six children and 10 grandchildren , all in excellent health . HOSPITAL COURSE : The patient presented to the Emergency Department with a complaint of painless jaundice , weight loss , and fatigue . Abdominal CT while in the Emergency Department revealed likely primary colorectal adenocarcinoma with multiple liver metastases . Hematocrit was 24 in the Emergency Department . The patient received two units of packed red blood cells and the hematocrit rose to 30 the following day . The patient was seen by both Gastroenterology and Oncology . Biopsy was taken at colonoscopy on 7/5/99 . Head CT was done with final results pending on discharge . The patient was to follow-up with the Petersly Hospital And Medical Center as an outpatient for further treatment . The patient is discharged to home . His condition is stable and he was discharged with the following medications : Iron 300 mg p.o. t.i.d. , Glucotrol , Acel 10 mg p.o. q.d. , and Bactrim SS 1 tablet p.o. b.i.d. Dicatated By : STEPH ALEA , M.D. Attending : BREANA G. CORNEA , M.D. IS68 ON208/5303 Batch : 31863 Index No. MIEQVK9Q4Z D : 07/05/99 T : 07/05/99 CC : 1. BREANA G. CORNEA , M.D.* CONFORD GHACOLL HEALTHCARE