How to Answer Operative Reportpreoperative Diagnosis Questions (Complete Guide)

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Use appropriate theories and support your answer with clear reasoning.

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Original Question

Operative ReportPreoperative Diagnosis: Abnormal uterine bleedingPostoperative Diagnosis: SameProcedure: Diagnostic hysteroscopy with D&CThere was an approximately 8-mm polyp of the cervix. The remainder of the endocervix was unremarkable. Uterine cavity was somewhat difficult to visualize but no obvious abnormalities. Minimal tissue on D&C.Patient was taken to the OR with an IV in place, received general anesthesia and was placed on the operating table in semi-dorsolithotomy position with her legs held by staff. She was then prepped and draped. Pelvic exam was performed. Weighted speculum was placed and single tooth tenaculum placed anteriorly on the cervix. Visualization was good. Diagnostic hysteroscopy was introduced into the endocervix on direct visualization and into the intrauterine cavity. The above findings were noted with no obvious pathology. This was withdrawn and cervix dilated to #8 Hagar. Sharp uterine curette was introduced and the uterine cavity systematically curetted with minimal amount of tissue. Bleeding was negligible, and the procedure was terminated. Patient tolerated the procedure well and was taken to the recovery room in good condition. Estimated blood loss 15 cc. a. 58558 b. 57500 c. 58563 d. 58558, 58120 cpt code

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