Page 22 - Avoiding Surgical Mishaps Part 1
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SVMIC Avoiding Surgical Mishaps: Dissecting the Risks
CASE STUDY
A case in point involved APRIL
a 62-year-old male with
a history of cervical spine 4/24 Initial ER Visit
fusion and congestive heart 4/27 Colon
failure who presented to Reconstruction
the emergency room after MAY
having a bloody bowel
movement followed by a 5/2 Discharged
fainting episode at home.
The emergency room 5/6 ER Visit/Readmit
(Chest Pain)
examination found left-
lower quadrant tenderness 5/8 Primary Care
(Abd Tenderness)
with guarding, so a GI
consult was obtained and a 5/22 Surgeon Ofc Visit
(f/u)
colonoscopy was performed.
A colon lesion was identified JUNE
and an endoscopic biopsy
showed adenocarcinoma, 6/5 Surgeon Ofc Visit
resulting in the patient’s (RLQ Pain)
referral to a surgeon. The 6/6 Primary Care/
patient was seen in the Imaging
surgeon’s office by his 6/7 Readmit
advanced practice registered (Surgeries, ect.)
nurse, who provided the NOV
patient with a generic
consent form to authorize Incisional Hernia
only that the surgeon would Repair
perform “a procedure”. MAR
The patient signed the
form. No additional Chemotherapy
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