Question

Gary I. Sanchez, M.D. PREOPERATIVE DIAGNOSIS: Necrotizing wound infection, one week status post Cesarean section. POSTOPERATIVE...

Gary I. Sanchez, M.D.

PREOPERATIVE DIAGNOSIS: Necrotizing wound infection, one week status post Cesarean section.

POSTOPERATIVE DIAGNOSIS: Same.

PROCEDURE PERFORMED: Wide wound exploration; excision of necrotic skin and subcutaneous tissue; debridement of abscesses. Frozen section obtained intraoperatively revealed a mixed picture of granulation tissue, inflammation, and necrotic tissue. The necrosis did not extend to the edge of resection. The edge of resection was viable.

PROCEDURE: After good general endotracheal anesthesia, the patient was prepped and draped in the usual sterile fashion. The entire previous C-section incision was opened from side-to-side, and the necrotic skin edges were trimmed away. Specifically, there was a 6 by 6 cm central portion of grossly necrotic tissue that was debrided away. The subcutaneous tissue beneath this was clearly necrotic, and this was also debrided away. Skin edges on both sides were debrided away until there was bleeding, viable tissue noted. The incision was extended laterally as there was infection that had tracked laterally on both sides, and abscess cavities were uncovered here. All clearly necrotic tissue was debrided away. Hemostasis was obtained with electrocautery. The wound was irrigated and then packed with some damp Kerlix. Plans were made to look at the wound again tomorrow in the operating room and debride away any other marginal tissue.
Pathology Report Later Indicated: Granulation tissue, inflammation, and necrotic tissue.

Needed ICD 10, CPT, HCPCS

0 0
Add a comment Improve this question Transcribed image text
Answer #1

Procedure-Wide wound exploration; excision of necrotic skin and subcutaneous tissue- CPT 11004

Dx- Abdominal wound infection - ICD S31.609S

Dx -S/P C section infection - O86.0- ICD

Add a comment
Know the answer?
Add Answer to:
Gary I. Sanchez, M.D. PREOPERATIVE DIAGNOSIS: Necrotizing wound infection, one week status post Cesarean section. POSTOPERATIVE...
Your Answer:

Post as a guest

Your Name:

What's your source?

Earn Coins

Coins can be redeemed for fabulous gifts.

Not the answer you're looking for? Ask your own homework help question. Our experts will answer your question WITHIN MINUTES for Free.
Similar Homework Help Questions
  • SURGEON: Gary Sanchez, M.D. PREOPERATIVE DIAGNOSIS: 10 cm lipoma, right thigh POSTOPERATIVE DIAGNOSIS: 10 cm lipoma,...

    SURGEON: Gary Sanchez, M.D. PREOPERATIVE DIAGNOSIS: 10 cm lipoma, right thigh POSTOPERATIVE DIAGNOSIS: 10 cm lipoma, right thigh PROCEDURE PERFORMED: Excision of 10 cm right thigh lipoma INDICATIONS: Tyra Olsen is a very pleasant 32-year-old female, who presented with a large lipoma of her right thigh. She wants to have this resected. She understands the surgery and the risks of bleeding, infection, postoperative fluid collections and wishes to proceed. PROCEDURE: The patient was brought to the operating room, given IV...

  • Gary Sanchez, M.D. PREOPERATIVE DIAGNOSIS: Histiocytic tumor of the right shoulder Indications: This patient is a...

    Gary Sanchez, M.D. PREOPERATIVE DIAGNOSIS: Histiocytic tumor of the right shoulder Indications: This patient is a 62-year-old gentleman that was diagnosed with a histiocytic tumor of the right shoulder and requested surgical intervention. POSTOPERATIVE DIAGNOSIS: Same PROCEDURE PERFORMED: Excision of plexiform fibrous histiocytic tumor of the right shoulder. ANESTHESIA: General endotracheal with approximately 20 cc of tumescent solution prepared by adding to 1 L of Ringer's lactate, 25 cc 2% Xylocaine, 1 cc of 1:100,000 epinephrine, and 3 cc of...

  • Musculoskeletal Section 7. PREOPERATIVE DIAGNOSIS: Retained hardware, left hip, status post closed reduction and subcutaneous pinning...

    Musculoskeletal Section 7. PREOPERATIVE DIAGNOSIS: Retained hardware, left hip, status post closed reduction and subcutaneous pinning of the subcapital fracture of her left hip. POSTOPERATIVE DIAGNOSIS: Same 0H0b00 OPERATION PERFORMED: Subcutaneous removal of hardware The patient was taken to the operating room and placed in the supine position. After adequate general anesthesia was administered, the left hip was prepped and draped in usual sterile fashion. The previous incision was used to make a 2.0-cm incision. A guidewire into the screw...

  • PATIENT: Andy Hall SURGEON: Gary Sanchez, M.D. PREOPERATIVE DIAGNOSES: Right carotid stenosis POSTOPERATIVE DIAGNOSIS: Same. PROCEDURE...

    PATIENT: Andy Hall SURGEON: Gary Sanchez, M.D. PREOPERATIVE DIAGNOSES: Right carotid stenosis POSTOPERATIVE DIAGNOSIS: Same. PROCEDURE PERFORMED: Right carotid thromboendarterectomy. This patient was monitored with EEG. There were some depressions when we clamped, but this returned to normal after re-establishing circulation. ANESTHESIA: General DESCRIPTION OF PROCEDURE: Under general anesthesia, the patient’s right side of the neck was prepped and draped in the usual manner. An incision was made across the medial border of the sternocleidomastoid. The platysma was divided. The...

  • Case 4 Preoperative and postoperative diagnosis Painful enlarging right vulvar eyst Operation performed: Excision of right...

    Case 4 Preoperative and postoperative diagnosis Painful enlarging right vulvar eyst Operation performed: Excision of right vulvar cyst Reason for surgery: This 34-year-old female patient has a vulvar cyst that is causing pain and discomfort The patient was taken to the OR and placed in the supine position. IV analgesis was started, and then she has placed in the dorsal lithotomy position. The surgical site was prepared with Lidocaine 1%, and then epinephrine and bicarb was administered. A 20- mm...

  • LOCATION: Inpatient, Hospital PATIENT: Charlene Tipton SURGEON: Loren White, M.D. PRE/POSTOPERATIVE DIAGNOSIS: Right breast mass. PROCEDURE(S)...

    LOCATION: Inpatient, Hospital PATIENT: Charlene Tipton SURGEON: Loren White, M.D. PRE/POSTOPERATIVE DIAGNOSIS: Right breast mass. PROCEDURE(S) PERFORMED: Right breast open biopsy. ANESTHESIA: General endotracheal. INDICATIONS: Charlene is a 66-year-old female who presented with a palpable right breast mass. A biopsy was done which showed atypical cells and was felt to be suspicious for cancer. She also had a highly suspicious lesion on ultrasound in the same area. An open biopsy was recommended. Possible definitive treatment with simple mastectomy was also...

  • Please assign the correct ICD-10-PCS codes to the following operative report: PREOPERATIVE DIAGNOSIS: Intractable epilepsy. POSTOPERATIVE...

    Please assign the correct ICD-10-PCS codes to the following operative report: PREOPERATIVE DIAGNOSIS: Intractable epilepsy. POSTOPERATIVE DIAGNOSIS: Intractable epilepsy. PROCEDURE PERFORMED: Craniotomy and anterior 2/3 corpus callosotomy Use of neuronavigation, Brainlab Use of intraoperative microscope INDICATIONS: The patient is a 12-year-old with intractable epilepsy and drop seizures despite multiple antiepileptic drugs. The above procedure was indicated. Informed consent was obtained both verbally and in writing DESCRIPTION OF PROCEDURE: The patient was brought to the operating room. She was intubated and...

  • LOCATION: Outpatient, Hospital PATIENT: Shelby Winston SURGEON: Larry P. Friendly, M.D. PREOPERATIVE DIAGNOSIS: Recurrent right inguinal...

    LOCATION: Outpatient, Hospital PATIENT: Shelby Winston SURGEON: Larry P. Friendly, M.D. PREOPERATIVE DIAGNOSIS: Recurrent right inguinal hernia. POSTOPERATIVE DIAGNOSIS: Same. PROCEDURES PERFORMED: Repair of recurrent right inguinal hernia. HISTORY: This is an 80-year-old female who has previously undergone a right inguinal hernia repair performed earlier this year. The repair was a type repair, and she, subsequently, returned with complaints of a new bulge in the right groin. An ultrasound was performed which demonstrated evidence of a right inguinal hernia. She...

ADVERTISEMENT
Free Homework Help App
Download From Google Play
Scan Your Homework
to Get Instant Free Answers
Need Online Homework Help?
Ask a Question
Get Answers For Free
Most questions answered within 3 hours.
ADVERTISEMENT
ADVERTISEMENT