#Case_23 - Internal - Mesenteric defect - Hernia!
Hi SDN Anesthesiologists,
Today case is :
Term parturient presented for elective cesarean section and 15 years ago had Appendectomy, the OB told me, she only had vomiting for the last three days and had visited private clinics a surgeon and internist and had investigation including ultrasound and both agreed on irritable bowel syndrome (gave her treatment).
I myself saw the patient, tired and with mild dehydration, and she mentioned no bowel motion and no flatus for the last 3 days, and I...
Read more (Source: Student Doctor Network)
Source: Student Doctor Network - August 4, 2023 Category: Universities & Medical Training Authors: DrAmir0078 Tags: Anesthesiology Source Type: forums
No Surpises Act in layman's terms?
Maybe it's because I don't do my own billing but I really could use some help here. Can I get help understanding how the No Surprises Act works in the world of Anesthesia?
Let's use a simple case report to analyze:
- Insured patient comes for appendectomy, receives surgery.
- Afterward it was found that surgeon, emergency physician, and facility are in-network, covered by their insurance company hypothetically named INSURANCECOMPANY
- Anesthesiologist is deemed out-of-network by...
Read more (Source: Student Doctor Network)
Source: Student Doctor Network - July 11, 2022 Category: Universities & Medical Training Authors: ethilo Tags: Anesthesiology Source Type: forums
Chronic abdominal pain and nausea?
I'm taking care of an outpatient patient: 60y/o woman with chronic abdominal pain with prior history of gastric bypass, appendectomy, incisional hernia repair. Her pain had been previously controlled with oxycodone 10mg a couple times a day, but recently less effective due to emesis. GI is following now, has her on Zofran, Reglan, Promethazine but the nausea is still pretty severe. Patient is cachectic and having trouble with PO intake. Utox is appropriate.
I'm considering a Fentanyl patch...
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Source: Student Doctor Network - September 22, 2021 Category: Universities & Medical Training Authors: CarabinerSD Tags: Pain Medicine Source Type: forums
Case #7 : Emergency Obstructed Hernia, 300 Ibs with HT and DM - what shoud've done more?
Dear SDN Anesthesiologists,
I hope you are doing well, yesterday night, I had a tough 24 hours emergency surgeries’ shift, my call then started at 0530 PM with Knee injury and the vascular team required to do popliteal veins exploration and this operation lasts 4 hours plus orthopedic intervention, the total cases I gave anesthesia with the help of my PGY1 and our team leader (CA3) were 8 cases, 3 appendectomies (20 male one with history of epilepsy, 16 years heavy smoker, and one child 11...
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Source: Student Doctor Network - April 9, 2021 Category: Universities & Medical Training Authors: DrAmir0078 Tags: Anesthesiology Source Type: forums
Case of Appendix Surgery Complication
XXXXXXXX XX, 2020
Dear Dr. XXXXXXX:
On July 17, 2015, Patient A presented to an emergency department with a two-day history of abdominal pain. You were consulted by an emergency department physician. A CT scan was performed and interpreted as acute appendicitis. On July 18, 2015, you performed a laparoscopic appendectomy on Patient A, with the goal being surgical removal of Patient A’s appendix. Your operative report indicates that you removed Patient A’s appendix. The surgical...
Read more (Source: Student Doctor Network)
Source: Student Doctor Network - April 3, 2021 Category: Universities & Medical Training Authors: msnbc2020 Tags: Surgery and Surgical Subspecialties Source Type: forums
North Carolina Medical Board: Adenocarcinoma of Appendix
The Board is concerned that on December 31, 2017, a surgical pathology specimen was submitted to you, following an appendectomy with colostomy performed on Patient A. Within two weeks, you communicated a verbal preliminary report finding a likely adenocarcinoma of the appendix. Your final report was not submitted until more than six months later on July 14, 2018. The Board had your care of Patient A reviewed by an outside medical expert in pathology. This expert opined that you fell below...
North Carolina Medical Board: Adenocarcinoma of Appendix (Source: Student Doctor Network)
Source: Student Doctor Network - November 19, 2019 Category: Universities & Medical Training Authors: jkdoctor Tags: Pathology Source Type: forums
Fever and undifferentiated abdominal pain - WWYD?
What would you do in this situation?
60 year old obese female with hypertension and hyperlipidemia comes in with a week of upper abdominal pain radiating into the chest and back, with lightheadedness, and today she developed a fever. No rash, cough, vomiting, diarrhea, blood in the stool or urinary symptoms. No recent travel or exposure to ill contacts with similar symptoms. History of a cholecystectomy and appendectomy years ago. No other surgeries. Initial vitals include a temperature of...
Fever and undifferentiated abdominal pain - WWYD? (Source: Student Doctor Network)
Source: Student Doctor Network - November 6, 2019 Category: Universities & Medical Training Authors: ERCAT Tags: Emergency Medicine Source Type: forums
undecided
I have a sense of what I want my career to look like, but in 2017 it's not clear how to get there after completing residency (nearly there...).
I'm looking to "do" general surgery (gasp!) -- private vs. local hospital/network -- with a broad swathe of bread and butter as well as more complex cases: Hernias incisional and inguinal, gallbladders, appendectomies, venous access, and a spectrum of thyroid, melanoma, and breast surgery. I'd like to do elective colectomies and rectal resections...
undecided (Source: Student Doctor Network)
Source: Student Doctor Network - October 30, 2017 Category: Universities & Medical Training Authors: Deckard_9139 Source Type: forums
Post Appendectomy
Forum: Health
Posted By: lahmejacks
Post Time: 22-09-2016 at 01:48 (Source: The Student Room)
Source: The Student Room - September 22, 2016 Category: Universities & Medical Training Source Type: forums
terrible adhesive allergy, possible iodine allergy connection?
My daughter has terrible reactions (not just a little redness...I mean blistering, weeping) to the tegaderm and adhesives associated with the tune ups and PICC line. She also broke out all over her chest last year in what I think was an allergic reaction to the cleaning agent they used for appendectomy, possibly betadine? Iodine? Does anyone know if there is a link? Please, does anybody have any helpful advice, new products, ANY input on this? Tune up is coming, and we are nervous. Thank you for your help. (Source: Cystic Fibrosis Adults Forum)
Source: Cystic Fibrosis Adults Forum - November 3, 2015 Category: Respiratory Medicine Authors: beccasmama Tags: Adults Source Type: forums
Re: Routine appendectomy could be abandoned for uncomplicated appendicitis, study finds
(Source: BMJ Comments)
Source: BMJ Comments - June 30, 2015 Category: Journals (General) Source Type: forums
