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Moderate head injury Cerebral edema Severe Head Injury Subdural Haemorrhage Intracranial haemorrhage Epidural Haemorrhage
Cerebral contusion (S06.3) Refuse CT Scan Traumatic cerebral edema (S06.2) Cerebral Contusion S06.2) Traumatic subdural haemorrhage (S06.5) Traumatic intracranial haemorrhage (S06.8) Epidural haemorrhage (S06.4) # of base of skull (S02.1) # of mandible (S02.6) # of mandible (S02.6) Obstructive Hydrocephalus (G 91.1) Back Slab (93.51) -Antibiotic injection (9921) -Blood Transfusion (99.03) Trephination Decompression EDH Evacuation AB Arch bar (24.7) Debridement (79.60) Pro urgent VP shunt
Close # depressed of L frontal bone -3rd C degree Segmental Open # of R Radius -Thrombus of R brachial artery -Partial rupture of R musc. Brachioradialis -V. avulsion of R upper arm
# frontal bone (S02.0) # of shaft of radius (S52.3) Debridement Intra medullary pinning, Fasciotomy Thrombectomy, Repair muscle Back slab Antibiotic: (Cefazolin, Gentamisin) Human Tetanus Immunoglobulin
Thrombosis of arteries of upper extremities (I74.2) Injury of muscle at forearm level (S56) Open wound of upper arm (S41.1)
Crushing injury of lower leg (S87) Open wound of lower leg (S81)
C-spine immobilization (93.54) Methilprednisolon Analgetic Planned for CT Scan Back slab (93.53) Analgetic Planned for ORIF
Closed Supracondyler # of L Humerus -Closed # of lateral third of L Clavicle incomplete Closed # of lower end of L radius Colles type intraarticular 3rd A grade Open # of R tibia-fibula middle third Open # of R malleolus medialis Closed # of R clavicle Closed # of R scapula -# of R lateral 6th rib
LAC
# of shaft of tibia with fibula (S82.7) # of medial malleolus(S82.5) # of clavicle (S42.0) # of scapula (S42.1) -# of ribs (S22.0)
Close # of L distal radius ulna # dislocation of 7th cervical vertebrae Fr. A Burst # Dislocation of 5th Lumbar Vertebrae
Fracture of shafts of both ulna and radius (S52.4) Fracture of cervical vertebra (S12.2) # of lumbar vertebra (S32.0)
Closed # of R subtrochanter Subtrochanteric # (S72.2) Skin traction pro ORIF femur -Fracture of Acetabulum S -Central Dislocation of L hip # of L zygoma 3rd A - Grade open # of L middle third of tibia-fibula Closed # of the 2nd & 3th R metacarpal Closed # of proximal phalanx of the 2nd digit of R hand Fracture of acetabulum (S32.4) Dislocation of hip (S73.0 -# of zygoma (S02.4) # of lower leg (S82) # of metacarpal bone (S62.3) # of finger (S62.6) Debridement (79.60) Backslab for L lower leg (93.45) Foreslab for R hand (93.45) ORIF (79.30) Debridement (77.60) Wound Toilet (79.66) Skeletal traction (Pro ORIF) External fixation (78.10)
# of R parasymphisis & R + L # of mandible (S02.6) rami of mandible # of maxilla (S02.4) # maxilla Le Fort I
Severe/moderate/mild tetanus
-Tetanus (A35)
2nd Grade burn AB-14% burn due to hot water on both palm and plantar feet Combustio Gr II A-B 45% Head, upper extremity, lower extremity Traumatic Inhalation Snake bite 2nd degree
Burn of 2nd degree of hand Debridement (79.60) & wrist Burn Multiple region 45% (T315) Traumatic Inhalation (T173) Snake venom (T63.0) Debridement Antibiotics Analgetic Trac heostomy Anti venom injection Human Antitetanus immunoglobulin inj. Analgesic, Antibiotic Anti snake venom Human Antitetanus immunoglobulin Antibiotics (ceftriaxon and metronidazole) Observation of VS,
1 2nd AB grade combustio 65% Burn of second degree of due to gas explotion at face, head (T20.2) trunk, back, arm, leg Burn of second degree of trunk (T21.2) Burn of second degree of lower limb (T24.2) Burn of second degree of upper limb (T22.2) Debridement Antibiotic (ceftazidin)
Torsion of testis (N44) -Nephrolithiasis (N200) -Hyponatremia (E 87.1) -Hypokalemia (E 87.6) -Urosepsis (N390)
Exploration of testicle Planned for IVU and nephrolithotomy Correction of electrolyte imbalance Antibiotic Blood and urine culture CVP monitoring Spooling (96.48) Pro urgent clot evacuation Cystoscopy TURP L Orchidectomi R Orchidopexy Antibiotic (Cefotaxime)
Stricture of urethra -Anuria -R Hydroureteronefrosis grade II -L Hydroureteronefrosis grade IV -R Chronic parenchymatous renal disease -Azotemia Urosepsis Nephrolithiasis (D) Fistula urethrocutan Post open cystostomy Hyperkalemia CRF DM ARF Urine retention due to blood clot BPH
Urethral stricture(N35) -Hydronephrosis (N13.3) -Hydroureter (N13.4) -Chronic renal disease (N03.9) -Azotemia (R79)
Urosepsis (N390)
Antibiotic Blood and urine culture CVP monitoring Planned for hemodialysis BVUC and urethroscopy
ARF (N189) Urine retention (R33) 3-way cath + spooling Prostate hyperplasia (N40) Planned for urgent clot evacuation
Generalized peritonitis due to perforation of acute appendicitis Generalized peritonitis due to perforation of hollow organ Incarcerated L lateral inguinal hernia Severe sepsis -Collitis Ulcerative -Polyp Colon ascendens & descendens -Paralitic ileus Abscess of liver Acute cholecystitis
Peritonitis, generalized (K65) Acute appendicitis (K49.0) Generalized peritonitis (K65.0) Incarcerated inguinal hernia Sepsis Ulcerative colitis (K51) Benign neoplasm of colon ascendes (D12.2) Descendens (D12.4) Paralytic ileus (. K56.0) Abscess of liver (K75.0) Acute cholecystitis
Rescucitation Laparotomy exploration (55.42) Resection of ileum Ileostomy Herrnioraphy (44.61) Non Operative. Anti inflamation drugs (ASA) Observation of sign of acute abdomen, toxic megacolon. Antibiotic, observation signs of acute abdomen Planned for urgent drainage w/ USG guidance
Appendectomy (47.09)
Acute appendisitis with Drainage abscess peritoneal abscess (K35.1) Appendectomy AB CoAmoxiclav Metronidazole Abdominal wall abscess (L02.2) Invagination (K56.1) Peritonitis, generalized (K65) Acute appendicitis (K49.0) Contusion of abdominal Disease of digestive system, unspecified (K92.9) Incision and drainage abscess Resection + ileostomy (55.24) Appendectomy per laparotomy Antibiotics Observation of signs of acute abdomen High fibre diet Observation of signs of acute abdomen, stool.
Abdominal wall abscess Invagination Generalized peritonitis due to perforation of acute appendicitis Blunt abdominal trauma Corpus Alienum (coin) in digestive system
Pleural effusion due to suspect of malignancy Post WSD Diabetes Mellitus Contusio Pulmonum -L Hemathothorax Stoma retraction
Antibiotic Monitoring of drain production Regulation of blood glucose Thorax drain Insertion
Contusion of thorax (S20.2) --Anaemia (D62) Postprocedural disorder of digestive system, unspecified (K91.9) Ileus obstructive due to intussusception (K.56.1)
Ileus Obstructive due to invagination -External drainage due to Choledochal cyst -Obs vomiting Mild Cholangitis
Cholangitis ( K. 83.0 )
Non Operative
Transversustomy (46.52)`
High level of Imperforated anus Congenital absence, atresia without fistula and stenosis of anus without fistula Imperforate anus ( Q. 42.3 )