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Hospital Discharge Report
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Synthesis
COVID-19, pneumonia, recovering
Hospital course note
Dear colleague, I am writing to inform you about the hospital course of your patient,
a 32-year-old male, admitted on 05/08/2020 due to confirmed SARS-CoV-2 infection.
On admission, the patient presented with fever, dry cough, dyspnoea, and reduced oxygen
saturation. PCR testing confirmed COVID-19. Chest X-ray and CT thorax demonstrated
bilateral ground-glass opacities consistent with COVID-19 pneumonia. The patient was
treated with supplemental oxygen therapy, dexamethasone, and supportive measures including
fluid management and antipyretics. Prone positioning was applied during periods of
desaturation. No mechanical ventilation was required. Inflammatory markers peaked
early and subsequently declined. The patient showed steady clinical improvement and
was discharged on 19/08/2020 in stable condition with oxygen saturation within normal
limits on room air. Please arrange follow-up including repeat chest imaging in 6 weeks.
Further pulmonary function testing may be warranted.
Diagnosis at Discharge
| COVID-19, virus identified | 19-Aug-2020 | active |
Significant procedures
| Plain X-ray of chest (procedure) | 05-Aug-2020 | - |
Vital Signs during Stay
| Body temperature | 20-Aug-2020 | - |