Saturday, August 22, 2020

Operative Report

Employable REPORT Patient Name: Benjamin Engelhart Patient ID: 112592DOB: 10/5Age: 46Sex: M Date of Admission: 11/15 Date of Procedure: 11/15 Admitting Physician: Bernard Caster, MD Surgeon: Bernard Caster, MD Assistant: Jason Wagner, PAC Circulating Nurse: Jimmy Dale Jet, RN Preoperative Diagnosis: Acute Appendicitis Postoperative Diagnosis: Perforated Appendicitis Operative Procedure: Laparoscopic Appendectomy Placement of right lower quadrant channel Anesthesia: General Endotracheal tube sedation Specimen Removed: One lacrotic informative supplement IV Fluids: 1700 ml Chrystaloid Estimated Blood Loss: 10 ml Urine Output: 300 mlComplications: None INDICATIONS: This men of their word is 46 years of age Caucasian male with 3 days history of stomach torment, anyway over recent hours his torment has situated to the correct lower quadrant and caused a lot of anorexia, he introduced to the crisis dept. CT output of midsection and levis uncovered intense an infected appendix, lab demonstr ated a WBC tally of 13, the laparoscopic appendectomy was clarified alongside the dangers, advantages and potential intricacies. Patients voiced his longing to continue. Tolerant was begun on pre-operation gentamicin. Depiction OF PROCEDURE: The patient was recognized x2 in the preoperative holding region. Proceed) OPERATIVE REPORT Patient Name: Benjamin Engelhart Patient ID: 112592 Date of Procedure: 11/15 Page 2 The last break was held with the nursing, sedation, and the careful assistance during which the patient ID was affirmed and his careful sight was initialed. He was given preoperative anti-microbials. He was reclaimed to the working room and put in prostrate position. General ET sedation was initiated. SED’s were set on his lower furthest points. His left arm was tucked next to him. A Foley catheter was set. His mid-region was shaved, prepared with betadine arrangement and hung in the typical standard design.

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