Get Answer: Location Inpatient Hospital Question Guide
This type of question evaluates analytical and critical thinking skills.
What This Question Is About
This question relates to location inpatient hospital and requires a structured academic response.
How to Approach This Question
Use appropriate theories and support your answer with clear reasoning.
Key Explanation
This topic involves location inpatient hospital. A strong answer should include explanation, application, and examples.
Original Question
LOCATION: Inpatient, Hospital PATIENT: Dean Rob ATTENDING PHYSICIAN: Timothy Pleasant, MD SURGEON: Timothy Pleasant, MD PREOPERATIVE DIAGNOSIS: Shunt obstruction POSTOPERATIVE DIAGNOSIS: Fracture of shunt PROCEDURE PERFORMED: Repair of shunt. Replacement of ventricular catheter and valve. ANESTHESIA: General Under general anesthesia, the patient’s right head was prepped and draped in the usual manner. The entire abdomen and neck were draped. We were planning to possibly replace the entire shunt. After incising over the head and the shunt in the right posterior parietal area, it was obvious what the problem was. I incised the skin, turned down the flap, and the ventricular end of shunt had fractured from the shunt valve. I removed the valve. I removed the ventricular end and replaced it with a Delta One valve and 6 cm (centimeter) of ventricular shunt tubing and connected it up to the peritoneal catheter. It flowed easily. We did not inspect the peritoneal end, hoping that this would do and solve the problem. The fluid flowed freely into the peritoneal cavity. What I think happened here was the child probably hit his head and fractured the tube. PROCEDURE: After reconnecting the shunt, we then closed the galea with 2-0 Vicryl interrupted and 4-0 nylon sutures on the skin. A dressing was applied. The patient was discharged to the PAR (postanesthesia recovery). SERVICE CODE(S): (Code Replacement, cerebrospinal fluid shunt) ICD-10-CM DX CODE(S): (Code complication, ventricular shunt, mechanical, breakdown)
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