Inpatient Case Patient Explained for Students (Easy Guide)
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Original Question
INPATIENT CASE – PATIENT 1 Please read through all the Patient 1 documentation and report your codes in Quiz Question #98 below. DATE OF ADMISSION: 1/5 DATE OF DISCHARGE: 1/7 DISCHARGE DIAGNOSIS: Adenocarcinoma of the endometrium Hemoperitoneum Postoperative hemorrhage Hypovolemic, hemorrhagic shock secondary to blood loss COURSE IN HOSPITAL: The patient was taken to the operating room on 1/5 where a laparoscopically assisted vaginal hysterectomy was carried out. At approximately 6:30 p.m. on the same day, I was called back into the hospital’s recovery room because the patient was in shock with blood pressure of 80/60 with poor urine output and distended abdomen. At this point it was decided to do an emergency diagnostic laparoscopy with preoperative diagnosis of postoperative hemorrhage. Bleeders were controlled with hemostatic sutures applied through the laparoscope. The immediate postoperative course was essentially stormy with urine output maintained at 30 mL/h. As ultrasound of the abdomen and pelvis was requested on the second postoperative day and this revealed normal renal shadow, no abnormal fluid accumulation in the pelvis or in the abdominal wall. The patient was then transferred to the regular floor on 1/6 after having maintained a satisfactory postoperative course from the second surgical procedure. The Jackson-Pratt drain was removed on 1/7 with closure of the abdominal incision with Steri-strips. The patient remained afebrile. She had been out of bed
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