← https://evolve.elsevier.com Courses/163391.jack3169_10014/content/24111213320275 Chapter 13 Homework 1. CHAPTER 13 EYE AND AUDITORY SYSTEMS Case 13-1 LOCATION Outpatent, Hospital PATIENT Daniel Briggstad ATTENDING PHYSICIAN: Jeff King, MD SURGEON Jeff King, MD PREOPERATIVE DIAGNOSES 1. Recurrent obtis media 2. Retained right PE tube and granulation issue 3. Left ons media with effusion. POSTOPERATIVE DIAGNOSES 1. Recurrent otis media 2. Ratained right PE tube and granulation issue 3. Left otes media with effusion. 4. Right tympanic membrane perforation PROCEDURES PERFORMED 1. Removal of night PE tube and granulation tissue from the tympanic membrane 2. Left myringotomy with tympanostomy tube placement ANESTHESIA General inhalation SURGICAL INDICATIONS A4-year-old male with a history of bilateral PE tubes Since extrusion of the PE tubes, he has had recurrent episodes of otte media There is also granulation tissue around the right PE tube PROCEDURE After consent was obtained, the patient was taken to the operating room and placed on the operating table in supine position. After the adequate level of general inhalation anesthesia was obtained, the patient was draped in the appropriate manner for PE sube placement Attention was first focused on the right ear Usizing an ear speculum and microscope, the external canal was cleared of cerumen The retained extruded PE tube was removed from the tympanic membrane. In addition, granulation tissue was also removed Subsequent examination shows a perforation of the posterior inferior area. There is no effusion. Due to the significant size of the perforation, no PE tube was placed. Attention was then focused on the left side. The ear canal was cleared of wet debra and cerumen. The tympanic membrane was noted to be opaque The myringotomy incision was then placed in the anterior inferior quadrant Serous effusion was suctioned A bobbin tympanostomy tube was then placed why Connensinn and a ton hall warn than naad The notent inderated the well and there was no brak in terhin The natient was awakened and taken in the HT
Chapter 13 Homework 3 Left ofidis media with effusion. POSTOPERATIVE DIAGNOSES 1. Recurrent otsis media. 2. Retained right PE tube and granulation issue 3 Left otits media with effusion 4. Right tympanic membrane perforation. PROCEDURES PERFORMED 1. Removal of right PE tube and granulation tissue from the tympanic membrana 2. Left myringotomy with tympanostomy tube placement. ANESTHESIA General inhalation SURGICAL INDICATIONS: A 4-year-old male with a history of bilateral PE tubes Since extrusion of the PE tubes, he has had recurent episodes of ottis media. There is also granulation tissue around the night PE tube PROCEDURE Afer consent was obtained, the patient was taken to the operating room and placed on the operating table in supine position. After the adequate level of general inhalation anesthesia was obtained, the patient was draped in the appropriate manner for PE tube placement Attention was first focused on the right ear. Uslizing an ear speculum and microscope, the external canal was cleared of cenumen. The retained extruded PE tube was removed from the tympanic membrane. In addition, granulation issue was also removed. Subsequent examination shows a perforation of the posterior inferior area. There is no effusion. Due to the significars size of the perforation, no PE tube was placed. Attention was then focused on the left side. The ear canal was cleared of wat debris and cerumen. The tympanic membrane was noted to be opaque. The myringotomy incision was then placed in the anterior inferior quadrant Serous effusion was suctioned. A bobbin tympanostomy tube was then placed without difficulty Cortisporin obic suspension and a cotton ball were then placed. The patent tolerated the procedure well, and there was no break in technique. The patient was awakened and taken to the postanesthesia area in good condition CPT Codes) ICD-10-CM Code(s) Abstracting Questions 1. Was the removal of the tube from the right ear reported? 2. Was the removal of the tube from the left ear reported? 3. What procedure was performed on the left ar? 4. What three modifiers were reported with the CPT codes assigned for this case?
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