A 49-yeаr-оld femаle wаs sent tо the hоspital from her gynecologist’s office for treatment of acute blood loss anemia due to abnormal uterine bleeding. The patient was treated with a transfusion of nonautologous red blood cells through a peripheral vein, and was subsequently sent to the operating room, where she underwent endometrial ablation. The endometrial ablation was performed using a hysteroscope and the NovaSure device, which was inserted through the vagina into the cervix and uterus. Radiofrequency energy was delivered via the NovaSure ablation device for 90 seconds and it was removed at the conclusion of the procedure. The patient’s final discharge diagnoses were menorrhagia and acute blood loss anemia. Physical exam did reveal the patient's chronic conditions as: 1. HTN, well controlled; 2. Smoker-1 PPD for 25 years; 3. Hyperlipidemia, well controlled Principal Diagnosis: Secondary Diagnosis: Add'l Diagnosis: Add'l Diagnosis: Add'l Diagnosis: Add'l Diagnosis: Principal Procedure: Secondary Procedure:
The pаtient is а 42-yeаr-оld female whо is admitted fоr bariatric surgery for morbid obesity with alveolar hypoventilation. The patient, who has been obese since childhood, currently weighs 150 pounds more than her ideal body weight. The patient’s BMI is 48.4. In the past 20 years, she has been treated for essential hypertension, hyperlipidemia, obstructive sleep apnea, insulin resistance, and primary osteoarthritis of the hips and knees. She has had repeated failures of other therapeutic approaches and various diets to lose weight and has been cleared by a psychiatrist who could find no psychopathology that would make her ineligible for this procedure. The patient underwent a laparoscopic Roux-en-Y gastric bypass (gastroenterostomy) procedure, consisting of the creation of a small gastric pouch connected to the jejunum. The procedure and postoperative course were uneventful, and the patient was discharged the following day. During this hospital stay, hypertension, hyperlipidemia, insulin resistance, and osteoarthritis of the multiple joints were also treated. Principal Diagnosis: Add'l Diagnosis: Add'l Diagnosis: Add'l Diagnosis: Add'l Diagnosis: Add'l Diagnosis: Add'l Diagnosis: Add'l Diagnosis: Principal Procedure: