Medical Report: Discharge Summary

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 Patient Name: Daniel Brown

Date of Admission: September 1, 2024
Date of Discharge: September 8, 2024
Provider: Dr. Susan Clark

Admission Diagnosis:

  • Community-acquired pneumonia

Hospital Course:

  • Patient was admitted with symptoms of fever, cough, and difficulty breathing. Received intravenous antibiotics and supportive care. Symptoms improved significantly with treatment.

Discharge Diagnosis:

  • Community-acquired pneumonia, resolved

Discharge Medications:

  • Amoxicillin 500 mg orally three times daily for 5 days
  • Continue acetaminophen as needed for fever

Instructions:

  • Complete the full course of antibiotics.
  • Follow up with primary care provider in 1 week.
  • Monitor for any signs of worsening symptoms such as increased fever, persistent cough, or shortness of breath.

Follow-Up:

  • Primary care appointment scheduled for September 15, 2024.

Provider’s Signature: Dr. Susan Clark

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