Get Answer: Preoperative Diagnosis Retained Question Guide

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Original Question

Preoperative Diagnosis: Retained deep foreign body, left lower extremity Postoperative Diagnosis: Retained deep foreign body, left lower extremity Procedure Performed: Retained deep foreign body Operative Indications: The patient is a 37-year-old male firefighter who was admitted after he had a projectile injury to his upper leg. The patient was hit by a piece of another firefighter’s ax that broke off on impact. The patient also had intractable pain. Radiograph showed a metallic foreign body in the lateral upper thigh/hip region. The risks that the patient may need specific surgery to repair or ablate a nerve were discussed. The risk of needing long term pain management was discussed. All the patient’s questions were answered prior to the signing of informed consent. Procedure in Detail: The patient was brought into the operating room and a time-out was then called with the staff. After achieving general anesthesia, the left lower extremity was then scrubbed, prepped and draped. Attention was then directed to the lateral left leg. Utilizing C-arm guidance, an incision was made over the area. This was an incision that encompassed the initial entrance wound. The incision was deepened via blunt dissection. The metallic foreign body was then located and verified on C-arm, also verifying that it had not entered the hip capsule. The area was irrigated. The area was then sutured with 4-0 Monocryl. Then, 10 mL of 0.5% Marcaine plain and 10 mL of 0.5% Marcaine with epinephrine were injected under the incision. A dry dressing was applied. The tourniquet was released. Postoperative Plan: The patient can be readmitted to the floor. I anticipate that he can be discharged tomorrow morning. He can bear weight as tolerated. Question 2Select one: a. 10121 b. 20520 c. 27372 d. 27086

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