trauma surgery 4/14 – 4/20 rick carter ona dachsangvorn nathan miller ashley limkemann william...

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Trauma Surgery 4/14 – 4/20 Rick Carter Ona Dachsangvorn Nathan Miller Ashley Limkemann William Daner

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Page 1: Trauma Surgery 4/14 – 4/20 Rick Carter Ona Dachsangvorn Nathan Miller Ashley Limkemann William Daner

Trauma Surgery4/14 – 4/20

Rick CarterOna Dachsangvorn

Nathan MillerAshley Limkemann

William Daner

Page 2: Trauma Surgery 4/14 – 4/20 Rick Carter Ona Dachsangvorn Nathan Miller Ashley Limkemann William Daner

Date Patient Att/Res Dx Procedure

4/16 Ivatury/ Dachsangvorn Perforated appendicitis Open appendectomy

Ivatury/ Dachsangvorn Symptomatic cholelithiasis Lap chole

Ivatury/ Limkemann Acute appendicitis Open appendectomy

Anand/ Long Acute appendicitis Lap appy

Anand/ Terracina Respiratory failure Tracheostomy

Whelan/ Tubbs Perforated necrotic SB Ex-lap, SBR, ABThera

Whelan/ Tubbs Perforated appendicitis Lap to open appendectomy

4/17 Malhotra/ Limkemann MVC EGD, PEG

Malhotra/ LongSinus tract of abdominal wall

Re-exploration of abd wound, wash out, VAC

Malhotra/ Hartwich SBO LOA, SBR for enterotomies

Whelan/ Limkemann MVC, crush injury to LLE Debridement and washout

4/18Whelan/Carter/Dachsangvorn

Stab to neck and right arm Neck exploration

Page 3: Trauma Surgery 4/14 – 4/20 Rick Carter Ona Dachsangvorn Nathan Miller Ashley Limkemann William Daner

Date Patient Att/Res Dx Procedure

4/18 Malhotra/CarterIschemic SB s/p AAA repair

SB resection, abthera

Whelan/ Limkemann MVC, crush injury to LLE Debridement and washout

Whelan/DachsangvornSB ischemia, s/p resection 4/16

Reexploration, abthera

4/19 Whelan/Dachsangvorn appendicitis Lap appy

Anand/ Limkemann MVC, crush injury to LLE Debridement and washout

Anand/Long Abd wall abscess debridement

Anand/Schaaf Perirectal abscess Incision and drainage

4/20 Anand/Long appendicitis Lap appy

Anand/Limkemann ICH Trach, PEG

Whelan/Carter cholecystitis Lap to open cholecystectomy

Whelan/CarterSB ischemia, s/p resection 4/16

Reexploration, abthera

Whelan/Haynes/Williams

Ped struck, liver laceration Ex lap, packing of liver, b/l CT

Page 4: Trauma Surgery 4/14 – 4/20 Rick Carter Ona Dachsangvorn Nathan Miller Ashley Limkemann William Daner

Date Patient Att/Res Dx Procedure

4/21 Anand/Caillouet Abd wall abscess debridement

Anand/Caillouet MVC, splenic laceration Exlap, splenectomy

Anand/Caillouet Perirectal abscess drainage

Whelan/Long Abd wall abscess drainage

Page 5: Trauma Surgery 4/14 – 4/20 Rick Carter Ona Dachsangvorn Nathan Miller Ashley Limkemann William Daner

Date Patient Att/Res Dx Procedure

4/16 Ferrada/ Long Acute cholecystitis Left popliteal DVT, acute

4/16 Ferrada/ Dachsangvorn UTI4/10 Splenectomy for splenic abscess

4/16 Aboutanos/ LanierDuodenal Ulcer, A-flutter w RVR

4/14 Ex-lap, Graham patch.

4/18 Aboutanos/Carter Intraabd fluid collectionDistal pancreatectomy, splenectomy for traumatic pancreatic injury

4/19 Ferrada/Long UTI s/p lap chole 4/10

4/19 Whelan Death – GSW to head

4/20 FerradaReadmission after MVC with missed R tibial plateau fx

4/20 Whelan/Ramanathan Ped struck - death thoractomy

4/20 Ferrada/Ojo Wound infection sigmoidectomy

4/21 Whelan/TubbsAbd dehiscence, s/p appendectomy

4/16 appendectomy

Complications

Page 6: Trauma Surgery 4/14 – 4/20 Rick Carter Ona Dachsangvorn Nathan Miller Ashley Limkemann William Daner

AG

• 19 y/o

• 2/21/12 – appendicitis, wbc 16.8 – lap appendectomy

• Path – 3cm appendix, acute supprative appendicitis, serositis

• D/C 2/22/12

• 4/10/12 – N/V, abd pain, wbc 1013.2

• 4/11/12 – diagnostic laparoscopy, inflammed appediceal stump

• Path – 7cm specimen, acute appendicitis with serositis

Page 7: Trauma Surgery 4/14 – 4/20 Rick Carter Ona Dachsangvorn Nathan Miller Ashley Limkemann William Daner
Page 8: Trauma Surgery 4/14 – 4/20 Rick Carter Ona Dachsangvorn Nathan Miller Ashley Limkemann William Daner
Page 9: Trauma Surgery 4/14 – 4/20 Rick Carter Ona Dachsangvorn Nathan Miller Ashley Limkemann William Daner

Date Patient Att/Res Dx Procedure

Complications

Page 10: Trauma Surgery 4/14 – 4/20 Rick Carter Ona Dachsangvorn Nathan Miller Ashley Limkemann William Daner

Date Patient Att/Res Dx Procedure