INPATIENT HOSPITAL Gender: M Age: 15
Preprocedure assessment: Presented to ED with vomiting, acuteabdominal pain, RLQ tenderness, T 101 degrees
Procedure description: Appendectomy. Made three smallumbilical incisions and placed laparoscope. Expanded abdominalcavity with carbon dioxide to aid visualization. Grasped appendixand divided with stapler. Cauterized appendiceal stump. Removedappendix, irrigated and suctioned abdominal cavity. Removedinstruments and closed incision. Patient tolerated procedure well,no complications.
Postprocedure diagnosis: Acute appendicitis with rupture
1. What is the stated procedure?
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2. What organ or body part is involved?
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3. Is the procedure description what you would expect based onthe name of the procedure?
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4. Was more than one procedure, or a combined procedure,performed?
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5.Review the Key Criteria for Abstracting Root Operations. Towhich question did you answer yes?
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6.Review the definitions of the root operations that answerthis question. Which root operation correctly describes thisprocedure?
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7. Review the Key Criteria for Abstracting the Approach. Whatsurgical approach is used?
