Postoperative Follow-up Correspondence Template

Diagnosis: Acute Appendicitis
CT Scan: Confirmed inflamed appendix
Blood Tests: Elevated white blood cell count, increased C-reactive protein, normal liver function tests.
Plan: Laparoscopic appendectomy. Post-operative antibiotics.
It was a pleasure to meet you this morning in the Emergency Surgery Ambulatory Care (ESAC) clinic. You were accompanied by your spouse. You present with a 2-day history of severe abdominal pain. You report the pain began around your navel and then shifted to the lower right side of your abdomen. It was associated with nausea but has not affected your appetite. You also mention experiencing a mild fever.
Your past medical history includes hypertension, and you currently take Lisinopril for this. You're also on Metformin for type 2 diabetes.
On examination today, you appeared in moderate distress and were ambulatory with difficulty. Your BMI was approximately 28 (85 kg). The abdominal examination revealed tenderness in the right lower quadrant with rebound tenderness.
I see that recent blood tests have shown leukocytosis. It also indicated elevated C-reactive protein. An abdominal ultrasound scan today was inconclusive and specifically showed no gallstones.
We are awaiting surgical clearance. In the meantime, I have reassured you that the surgery is routine and typically has a quick recovery. You may benefit from a follow-up ultrasound to ensure no complications post-surgery. We'll keep you updated regarding your surgery schedule.