INPATIENT HOSPITAL Gender: M Age: 15 Preprocedure assessment: Presented to ED with vomiting, acute abdominal pain, RLQ...

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Medical Sciences

INPATIENT HOSPITAL Gender: M Age: 15

Preprocedure assessment: Presented to ED with vomiting, acuteabdominal pain, RLQ tenderness, T 101 degrees

Procedure description: Appendectomy. Made three smallumbilical incisions and placed laparoscope. Expanded abdominalcavity with carbon dioxide to aid visualization. Grasped appendixand divided with stapler. Cauterized appendiceal stump. Removedappendix, irrigated and suctioned abdominal cavity. Removedinstruments and closed incision. Patient tolerated procedure well,no complications.

Postprocedure diagnosis: Acute appendicitis with rupture

1. What is the stated procedure?
  
2. What organ or body part is involved?
  
3. Is the procedure description what you would expect based onthe name of the procedure?
  
4. Was more than one procedure, or a combined procedure,performed?
  
5.Review the Key Criteria for Abstracting Root Operations. Towhich question did you answer yes?
  
6.Review the definitions of the root operations that answerthis question. Which root operation correctly describes thisprocedure?
  
7. Review the Key Criteria for Abstracting the Approach. Whatsurgical approach is used?

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Ans 1 Stated procedure Appendectomy Made three small umbilical incisions and placed laparoscope Expanded abdominal cavity with carbon dioxide to aid visualization Grasped appendix and divided with stapler Cauterized appendiceal stump Removed appendix irrigated and suctioned abdominal cavity Removed instruments and closed incision Patient tolerated procedure well no complications 2 Body part involved    See Answer
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