OPERATIVE REPORT Patient Name: Benjamin Engelhart Patient ID: 112592 DOB: 10/05/1965 AGE: 46 SEX: M Date of Admission: 11/14/2012 Date of Procedure: 11/14/2012 Admitting Physician: Bernard Kester‚ MD Surgeon: Bernard Kester‚ MD Assistant: Jason Wagner‚ PAC Circulating Nurse: Jimmy Dale Jett‚ RN Preoperative Diagnosis: Acute Appendicitis Postoperative Diagnosis: Perforated Appendicitis Operative Procedure: 1. Laparoscopic appendectomy. 2. Placement
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EMERGENCY SERVICES ADMISSION REPORT Patient Name: Benjamin Engelhart Patient ID: 112592 DOB 10/5/---- AGE: 46 SEX: Male Date of Admission 11/14/---- Emergency Room Physician: Alex McClure‚ MD Admitting Diagnosis: Acute Appendicitis HISTORY OF PRESENT ILLNESS: This 46-year old gentleman with past medical history significant only for degenerative disease of the bilateral hips‚ secondary to arthritis presents to the emergency room after having had 3 days of abdominal pain. It initially
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HISTORY AND PHYSICAL EXAMINATION OR EMERGANCY DEPARTMENT TREATMENT RECORD Patient Name : Benjamin Engelhart Patient ID : 112592 Date of Birth : 10/05/1958 Age : 46 Sex : Male Date of Admission : 11/14/2014 Emergency Room Physician : Alex McClure‚ MD Admitting Diagnosis : Acute Appendicitis. HISTORY OF PRESENT ILLNESS: This 46-year-old gentle man‚ with past medical history‚ significant only fo r degenerative disease of the bilateral hips‚ seconda ry to arthritis‚
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OPERATIVE REPORT Patient Name: Benjamin Engelhart Patient ID: 112592 DOB: 10/05/65 AGE:46 SEX: M Date of Admission: 11/14/2012 Date of Procedure: 11/14/2012 Admitting Physician: Bernard Kester‚ MD Surgeon: Bernard Kester‚ MD Assistant: Jason Wagner‚ PAC Circulating Nurse: Jimmy Dale Jett‚ RN Preoperative Diagnosis: Acute Appendicitis Postoperative Diagnosis: Perforated Appendicitis
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OPERATIVE REPORT Patient Name: Benjamin Engelhart Patient ID: 112592 DOB: 10/5 Age: 46 Sex: 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 drain Anesthesia:
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HISTORY AND PHYSICAL - CASE 2 Patient: Benjamin Engelhart Patient ID: 112592 DOB: 10/5/1966 Age: 46 Sex: Male Date of Admission: 11/14/2012 Emergency Room Physician: Alex McClure‚ M.D. Admitting Diagnosis: Acute Appendicitis HISTORY OF PRESENT ILLNESS: This 46-year-old gentleman with past medical history significant only for degenerative disease of the bilateral hips‚ secondary to arthritis‚ presents to the emergency room after having had three days of abdominal pain
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What is it and how can it help me? Pre-operative assessment (POA) and planning‚ carried out prior to treatment‚ ensures that the patient is fully informed about the procedure and the post operative recovery‚ is in optimum health and has made arrangements for admission‚ discharge and post operative care at home. POA and planning is an essential part of the planned care pathway which enhances the quality of care in a number of ways. * If a patient is fully informed‚ they will be less stressed
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OPERATIVE REPORT Hospital No.: 11259 Date of Surgery: 09-26-2014 Admitting Physician: Sherman Loyd‚ MD Surgeon: Carol Dodd‚ MD Preoperative Diagnosis: Right intertrochanteric femoral fracture. Postoperative Diagnosis: Right intertrochanteric femoral fracture. Operative Procedure: Open reduction internal fixation of right intertrochanteric femoral fracture with DePuy sliding screw. Anesthesia: General endotracheal. Indications: The patient is a 69-year-old
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OPERATIVE REPORT Patient Name: Brenda C. Seggerman Patient ID: 903321 DOB: Age: 35 Sex: F Date of Admission: 03/27/xxxx Date of Procedure: 03/27/xxxx Admitting Physician: Surgeon: Rosemary Bumbak‚ M.D.‚ OBGYN Assistant: Michael Gerard‚ DO Preoperative Diagnosis: Left tubal ectopic pregnancy Postoperative Diagnosis: 1) Ruptured left tubal ectopic pregnancy 2) Hemoperitoneum 3) Pelvic adhesions Operative Procedure: The patient was prepped and draped in the usual manner and placed under
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OPERATIVE REPORT Patient Name: Gerald Edwards Hospital No.: 11058 Date of Surgery: 07/17/2010 Admitting Physician: Catherine Baker‚ MD Surgeon: Gary Sheldon‚ DPM Date: 07/17/2010 Preoperative Diagnosis: Diabetic plantar space abscess of the right foot‚ and grade 2 diabetic ulceration of the right foot. Postoperative Diagnosis: Diabetic plantar space abscess of the right foot‚ and grade 2 diabetic ulceration of the right foot. Operative Procedure: Complicated incision and drainage of the
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