Hysterectomy question
I found this on the APS company website: CPT Code Assignment for Uterus, Tubes & Ovaries | APS Medical Billing
Do people view this as a green light to code hysterectomies as 88309 for patient's with any (even remote) histories of CIN 1? (Source: Student Doctor Network)
Source: Student Doctor Network - July 20, 2023 Category: Universities & Medical Training Authors: Zarniwoop Tags: Pathology Source Type: forums
Question for Attendings and Residents: Have students become more lazy/eager to go home to study this year since the Step 1 score change?
On the vast majority of my rotations, my partners have been very quick to go home or to study even during the rotation work hours. During my OBGYN rotation, a resident asked via group chat who wants to see a c section with postpartum hysterectomy for placenta accreta and the five of us were eating lunch in the cafeteria and the other 4 were trying to avoid having to go so I decided to go. Meanwhile the rest of them were studying in the cafeteria the whole time. Has this been happening more...
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Source: Student Doctor Network - June 3, 2023 Category: Universities & Medical Training Authors: HipiMochi Tags: Medical Students (MD) Source Type: forums
Hypertension after Induction - Case Discussion
Hey guys I had a weird occurrence the other day and had to cancel a case. There probably aren't many explanations for what happened but I've been surprised by input on these forums before.
Patient is a 68 y/o female, 70kg, with a Hx of mild COPD (on stiolto), Hypertension, Hypothyroidism, and sleep apnea. She is scheduled for bilateral mastectomy with sentinel nodes for a 2 cm mass in the right breast, invasive lobular carcinoma. Hx both cataracts done in past 2 years. Hx hysterectomy and...
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Source: Student Doctor Network - July 22, 2022 Category: Universities & Medical Training Authors: DrOwnage Tags: Anesthesiology Source Type: forums
Intraop analgesia
I have seen and heard so many ways to treat analgesia during surgery. I understand that it often depends on the type of surgery and the patient, but I often hear the same few strategies and I was curious what everyone else does? Lets say for your typical Laparoscopic assisted Total hysterectomy
1) Induction (fentanyl, lido, prop, and Roc/Sux) --> Fentanyl bolus before incision (unless surgeon is fast and cuts right after induction) and then just intermittent fentanyl boluses (25-50 mcg)...
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Source: Student Doctor Network - January 1, 2021 Category: Universities & Medical Training Authors: Mike1228 Tags: Anesthesiology Source Type: forums
Re: Keyhole hysterectomy is effective for women with heavy menstrual bleeding
(Source: BMJ Comments)
Source: BMJ Comments - March 9, 2020 Category: General Medicine Source Type: forums
Vaginal hysterectomy might be best for patients
(Source: BMJ Comments)
Source: BMJ Comments - January 6, 2020 Category: General Medicine Source Type: forums
3-4 hour hysterectomies should no longer be tolerated
(Source: BMJ Comments)
Source: BMJ Comments - December 24, 2019 Category: General Medicine Source Type: forums
Mentor Dilemma (Am I handling it correctly)
So I've been on Obs/gyn for 2 weeks, i'm not even slightly interested in it but i'm heavily interested in surgery, he asked me what I want to do, I said i'm 100% orthopedics but of course give the disclaimer that i'd love to learn as many surgical skills as possible, he likes me we get along he gets my number and now messages me whenever he has any surgeries - hysterectomies, cesarean, fibroids etc. So I've been going in all the time whenever I have free time and picking up and practicing...
Mentor Dilemma (Am I handling it correctly) (Source: Student Doctor Network)
Source: Student Doctor Network - November 8, 2019 Category: Universities & Medical Training Authors: IMG69 Tags: Medical Students - MD Source Type: forums
Re: Sacrospinous hysteropexy versus vaginal hysterectomy with uterosacral ligament suspension in women with uterine prolapse stage 2 or higher: observational follow-up of a multicentre randomised trial
(Source: BMJ Comments)
Source: BMJ Comments - September 11, 2019 Category: General Medicine Source Type: forums
No mortality associated with hysterectomy
(Source: BMJ Comments)
Source: BMJ Comments - December 29, 2017 Category: General Medicine Source Type: forums
Treatment for periorbital edema
PACU resident. Have a patient who had laparoscopic hysterectomy and now has periorbital edema due to steep trendelenburg. Pain from that eye too. I've been taught how to prevent it but how does one actually treat this. Should I keep in PACU overnight and monitor? (Source: Student Doctor Network)
Source: Student Doctor Network - August 9, 2017 Category: Universities & Medical Training Authors: cognitus Source Type: forums
Need help for sugery NBME 3 q
So I still can't figure out this q. I paraphrased.
1. 52 y/o female with no significant past MHx comes to the ER for 2 day hx of abdominal cramps and vomiting. She couldn't pass stool nor flatus during this period. She has never had this similar symptoms before. He had abdominal hysterectomy 10 yrs ago. Her temp is 37.7C, pulse is 110, bp is 140/70. Th lungs are clear to auscultations and percussion. Abdominal exam shows distention and mild tenderness but no peritoneal signs, bowels sounds...
Need help for sugery NBME 3 q (Source: Student Doctor Network)
Source: Student Doctor Network - April 22, 2017 Category: Universities & Medical Training Authors: MudPhud20XX Source Type: forums
Re: Removal of all ovarian tissue versus conserving ovarian tissue at time of hysterectomy in premenopausal patients with benign disease: study using routine data and data linkage
(Source: BMJ Comments)
Source: BMJ Comments - April 19, 2017 Category: Journals (General) Source Type: forums
cervical cancer
hi i have a patient with stage IIb cervical cancer and has underwent subtotal hysterectomy. i have already given her external beam radiotherapy till 46 Gy. kindly advise whether she would benefit from brachytherapy with two ovoids or should i continue the treatment with EXTERNAL beam radiotherapy only till 60 Gy? (Source: Student Doctor Network)
Source: Student Doctor Network - July 12, 2016 Category: Universities & Medical Training Authors: meemee2016 Source Type: forums
sometimes you feel like a schmuck
4 hour davinci hysterectomy with CRNA. Patient wakes up with bad eye irritation. Crna gives tetracaine drops with relief that lasts 2 hours, than bad irritation. I look at her eye, seems normal, vision ok. Talk to optho buddy who is doing another case, he says order erythromycin drops and he will look at her later. 3 hours later, he sees patient and immediately plucks an eye-lash out of her eye: patient cured. (Source: Student Doctor Network)
Source: Student Doctor Network - May 20, 2016 Category: Universities & Medical Training Authors: caligas Source Type: forums
