Rosemary Bumbak‚ MD Assistant: Michael Gerard‚ DO Preoperative Diagnosis: Left Tubule Atopic Pregnancy Postoperative Diagnosis: 1. Ruptured Left Tubule Ectopic Pregnancy 2. Hemoparatonium 3. Pelvic Adhesions Operative Procedure: 1. Exploratory Laparotomy 2. Partial Salpemjectomy 3. Evacuation of Hemoparatonium 4. Lysis of Adhesions Anesthesia: General Endotracheal by Dr. Avalon Specimen Removed: Portion of Left Fallopian Tube containing the Ectopic Pregnancy Estimated Blood Loss: Approximately
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HISTORY AND PHYSICAL EXAMINATION OR EMERGENCY DEPARTMENT TREATMENT RECORD Patient Name: Brenda C. Seggerman Patient ID: 903321 Date of Admission/Date of Arrival: 03/27/2014 Admitting/Attending Physician: Alex McClure‚ MD Admitting Diagnosis: Ectopic Pregnancy Chief Complaint: Lower abdominal pain HISTORY OF PRESENT ILLNESS: The patient states that she has been having vaginal bleeding‚ more like spotting‚ over the past month. She denies the chance of pregnancy‚ although she states
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Sansad Se Lekar Sadkon Tak.. Jungle Ka Kanoon Yahan.. Jisne Bhi Awaz Uthayi.. Hota Uska Khoon Yahan.. Har Kursi Hai Andhi Bahri.. Har Kursi Hatyari Hai.. Har Kursi Ke Paye Me.. Panjikrit Gaddari Hai.. Lagta Hai Ab to BHARAT me .. Chandi Ka Nartan Hoga.. Parivartan To Hoga.. Lekin Khooni Parivartan Hoga.. - (Unknown Poet) There is a very famous incident in Indian history which serves as lesson for all rulers for all the times‚ some rulers take positive cues from it‚ mend their ways‚ treat
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HISTORY AND PHYSICAL EXAMINATION Good morning this is Alex McClure‚ MD dictating PATIENT NAME: Brenda c. Seggerman PATIENT ID: 903321 Date of Admission: 3/27/2012 EMERGENCY ROOM Physical: Alex McClure. MD Admitting diagnosis: Egtopic pregnancy Chief Complain: The patient presents in the emergency this morning‚ complaining of lower abdominal pain. HISTORY OF PRESENT ILLNESS: the patient states that she has been having vaginal bleeding more like spotting over the past month
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general information IV APAP is a nonopioid analgesic and nonsalicylate antipyretic. 1 In 2010 it was approved for use in the United States to manage mild to moderate pain‚ moderate to severe pain coupled with opioids‚ and as an antipyretic.1 ADJUNCT SE OF OPIOIDs: Opioids side effects include itching‚ constipation‚ nausea‚ and vomiting‚ respiratory depression.21 The consequences of these side effects can be additional medications to manage‚ increased cost‚ decreased patient satisfaction‚ and increased
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Congenital pouch colon Review of articles & Case presentation Dr. Mautaz Al Ani Pediatric surgeon European board - pediatric surgery E.B.P S Iraqi board - pediatric surgery F.I.B.M.S Congenital pouch colon Introduction Incidence Etiology and Embryogenesis Classification Types Management Complication CASE PRESENTATION Recommendation Introduction : The colon is replaced by a pouch-like dilatation associated with anorectal agenesis. Communicates with the urogenital tract by
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Disease. Hirschsprung’s Disease is a congenital condition where the large intestine becomes obstructed due to poor muscle movement in the bowel. Failure to pass meconium within the first 36 hours after birth indicated a bowel obstruction‚ and an exploratory laparotomy with sigmoid colon and ileal biopsy supported evidence of Hirschsprung’s Disease. Her recovery from ileostomy surgery and nutritional status is being evaluated for discharge. An ostomy pouch was used for the drainage of the intestinal waste
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surgical procedures. Patient was placed on Total Parenteral Nutrition (TPN) for 2 days and then discharged to resume work. Patient was readmitted to the hospital in Mexico for abdominal pain and diagnosed with an ischemic bowel in which an exploratory laparotomy was performed removing 50 cm of the small bowel 10 days later. He was placed on a clears diet‚ but due to poor tolerance resumed TPN for six days. Due to the complexity of his status‚ the patient requested being transferred to a facility
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burst or perforate‚ spilling infectious materials into the abdominal cavity. This can lead to peritonitis that can be fatal unless it is treated quickly with strong antibiotics. Many cases of appendicitis require removal of the inflamed appendix by laparotomy or laparoscopy due to the high mortality associated with the rupture of appendix‚ which may lead to severe complications such as peritonitis. CAUSES Primary obstruction of the appendix increases the pressure within the lumen which causes thrombosis
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immediate emergency surgery after sustaining a fall and requires an exploratory laparotomy to correct issues that may be present. In this case the staff including surgeons and nurses may not be enough to perform both procedures simultaneously‚ only one operating theater may be available‚ or a lack of sterilized equipment may be prepared and ready for both procedures. The person who requires more‚ which in this case is the urgent laparotomy will take priority because the cholecystectomy which can wait and
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