Read Operative Report Assignment Help: How to Answer This Question

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Original Question

Read the operative report and note the pathological diagnosis. Then perform the following steps in the coding process. Record your results in the spaces provided. Principal Diagnosis: Epidermoid nevus of scalp Procedure Performed: Shave excision of 4.0-cm benign scalp lesion Description of Procedure: The patient was brought to the operating room and made comfortable in a supine position on the table. The area to be worked up was infiltrated with 1% lidocaine with 1:100,000 parts epinephrine. The area was then prepared and draped in the usual sterile fashion. A #15 blade was used to remove a small portion of the lesion, which was carefully labeled and sent to pathology for examination. The rest was then shaved off at the level of the dermis, where there was punctate bleeding. Hemostasis was achieved with cautery. A dressing of Gelform soaked in thrombin was place over this, and the patient was allowed to return to the recovery room with stable vital signs.

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