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Name Age/Sex Hospital # Date of Admission Diagnosis Pre op: Post op: Operation done Date of Operation Surgeon/s Intraop finding/s Disposition EM 55/F 916085.

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Presentation on theme: "Name Age/Sex Hospital # Date of Admission Diagnosis Pre op: Post op: Operation done Date of Operation Surgeon/s Intraop finding/s Disposition EM 55/F 916085."— Presentation transcript:

1 Name Age/Sex Hospital # Date of Admission Diagnosis Pre op: Post op: Operation done Date of Operation Surgeon/s Intraop finding/s Disposition EM 55/F Admission type: Emergency Admission date: 5/23/14 Presenting problem: Generalized abdominal pain Risk Evaluation: Class II Wound Infection Risk: Clean contaminateD Pre op: Acute appendicitis, ruptured Post op: Acute appendicitis, ruptured with generalized peritonitis ASA IV Procedure: explore laparotomy, appendectomy 5/23/14 Dr. Andaya/ Austria 5x1cm appendix ruptured at its proximal third with good base. Seropurulent material noted on RLQ and pelvic area Mortality 1.Cardiopulmona ry arrest

2 Name Age/Sex Hospital # Date of Admission Diagnosis Pre op: Post op: Operation done Date of Operation Surgeon/s Intraop finding/s Outcome A.J. 39/M Admission type: Emergency Admission date: 6/26/14 Presenting problem: Fall Blunt Chest injury ASA classification: IV Pre OP: Hemothorax, right Fracture 9 th rib, right, secondary to fall s/p CTT Post op: Hemothorax, right Fracture 9 th rib, right, secondary to fall s/p CTT Right anterolateral thoracotomy s/p CTT 6/26/14 Dr. Catis/Ortiz/ Mangahas/ Formales Initially drained 1liter blood on CTT. Hemothorax approx. 200cc. bleeding from posterior thoracic wall noted. no hemopericardium, no bleeding from lung parenchyma Mortality Multi organ failure secondary to hypovolemic shock secondary to hemothorax, right secondary to fall 6/27/14

3 Name Age/Sex Hospital # Date of Admission Diagnosis Pre op: Post op: Operation done Date of Operation Surgeon/s Intraop finding/s Outcome M.G. 23/M Admission type: Emergency Admission date: 7/17/14 Presenting problem: Multiple gunshot wound ASA: Class V Pre OP diagnosis: Multiple gunshot wound 1.Hypogastric area 2.Bilateral thigh Post OP diagnosis: Grade IV injury dome of bladder, Grade III ileal injury distal ileum secondary to gunshot wound 1.explore laparotomy, repair of bladder injury, ileal resection, double barrel ileostomy, wound debridment 2.Wound exploration, ligation of bleeders right thigh 7/17/14 Dr. Bautista/ Cayabyab/ Formales COD: Dr. Cajucom/ Ballesteros 5cm Perforation noted on dome of urinary bladder ileal injury more than 50% of its circumference without tissue loss 30cm from ICV, no hematoma seen on retroperitonium Transected branch of femoral vein right Morbidity Missed injury 1.Lacerated wound right posterior thigh 2.Partially transected branch of femoral vein, right

4 Name Age/Sex Hospital # Date of Admission Diagnosis Pre op: Post op: Operation done Date of Operation Surgeon/s Intraop finding/s Outcome P.J. 30/M Admission type: Emergency Admission date: 7/7/14 Presenting problem: Persistent Hypotension, pallor ASA: Class II Pre Op: Acute appendicitis Post op: Acute appendicitis, suppurative 1.Appendectomy Dr. Formales/ Lim 2.Explore laparotomy, ligation of bleeders Dr. Tuason/ Bautista/ Lim/ Formales 7/7/14 Dr. Cajucom 1.Appendix approximately meas. 5x1cm with fibrinopurulent materials on its walls. 2.Evacuated 2.5L of blood. Appendiceal artery noted to be actively bleeding Morbidity Hemoperitoneu m, s/p appendectomy 7/7/14

5 Name Age/Sex Hospital # Date of Admission Diagnosis Pre op: Post op: Operation done Date of Operation Surgeon/s Intraop finding/s Disposition B.B. NBF Admission type: Emergency Admission date: 6/08/14 Presenting problem: Omphalocoele Sepsis Risk Evaluation: High Risk Pre op: Omphalocoele, sepsis Post op: Omphalocoele, sepsis Repair of Omphalocoele 06/09/14 Dr. Bautista/ Mangahas/ Formales COD: Dr. Dizon 40cm of small bowel enclosed in a sac Mortality Severe sepsis secondary to Pneumonia 06/13/14

6 Name Age/Sex Hospital # Date of Admission Diagnosis Pre op: Post op: Operation done Date of Operation Surgeon/s Intraop finding/s Disposition HH 57M Admission type: transfer Admission date: 7/3/14 Presenting problem: Flame Burn ASA IV 60% TBSA SPT-DPT flame burn (trunk, bilateral thigh) Mortality Multi organ failure secondary to hypovolemic shock Severe Sepsis 7/5/14 Dr. Correa/ Mangahas

7 Name Age/Sex Hospital # Date of Admission Diagnosis Pre op: Post op: Operation done Date of Operation Surgeon/s Intraop finding/s Disposition F.B. 52M Admission type: Elective Admission date: 6/11/14 Presenting problem: Fracture Risk Evaluation: Class II ASA II Pre op: Fracture, close, complete, non displaced, proximal third, humerus Post op: Fracture, close, complete, non displaced, proximal third, humerus ORIF with plates and screws Dr. Orillasa/Azores/ Lim 06/12/14 Fracture, complete, non displaced, proximal third, humerus Mortality Multiorgan Failure secondary to severe sepsis secondary to Acute Kidney Injury, Hospital Acquired Pneumonia 6/21/14

8 Name Age/Sex Hospital # Date of Admission Diagnosis Pre op: Post op: Operation done Date of Operation Surgeon/s Intraop finding/s Disposition T.E. 39M Admission type: Emergency Admission date: 6/23/14 Presenting problem: Flame Burn Risk Evaluation: High risk ASA IV Flame Burn 70% TBSA superficial partial thickness to deep partial thickness (face, chest, abdomen, bilateral upper and lower extremities) Mortality 1.Cardiopulmona ry Arrest secondary to Acute Respiratory Distress Syndrome secondary to Smoke Inhalational Injury 2. Flame Burn 70% TBSA superficial partial thickness to deep partial thickness 06/26/14 Dr. Bernardo/Lim COD: Dr. Sy

9 Name Age/Sex Hospital # Date of Admission Diagnosis Pre op: Post op: Operation done Date of Operation Surgeon/s Intraop finding/s Disposition Y.L. 43F Admission type: Emergency Admission date: 6/23/14 Presenting problem: Flame Burn Risk Evaluation: High Risk ASA IV Flame Burn 40%TBSA 18% superficial partial thickness; 12% deep partial thickness (face, chest, abdomen and bilateral extremities) Mortality 1.Cardiopulmona ry Arrest secondary to Community Acquired Pneumonia secondary to Acute Lung Injury 2. Flame Burn 40%TBSA 18% superficial partial thickness; 18% deep partial thickness 06/27/14 Dr. Berndardo/Lim COD: Dr. Sy


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