Community Health and Hospitals: Procedure Note 1357 Amber Drive Beaverton OR 97867 US Isabella Jones 1357 Amber Drive Beaverton OR 97867 US Ralph Jones Beaverton OR 97867 US Community Health and Hospitals 1001 Village Avenue Portland OR 99123 US 1001 Village Avenue Portland OR 99123 US Henry Seven 1001 Village Avenue Portland OR 99123 US Henry Seven Frank Jones Community Health and Hospitals 1002 Healthcare Drive Portland OR 99123 US Henry Seven Community Health and Hospitals Henry Seven Primary Care Provider 1001 Village Avenue Portland OR 99123 US Dr. Henry Seven Community Health and Hospitals 1001 Village Avenue Portland OR 99123 US Primary Care Provider 1001 Village Avenue Portland OR 99123 US Dr. Henry Seven Community Health and Hospitals 1001 Village Avenue Portland OR 99123 US
Assessment Recurrent GI bleed of unknown etiology; hypotension perhaps secondary to this but as likely secondary to polypharmacy. Acute on chronic anemia secondary to #1. Azotemia, acute renal failure with volume loss secondary to #1. Hyperkalemia secondary to #3 and on ACE and K+ supplement. Other chronic diagnoses as noted above, currently stable.
Plan of Treatment
Planned Activity Planned Date
Colonoscopy 20120512
Procedure Indications The procedure is performed for screening in a low risk individual.
Planned Procedure Colonoscopy
PROCEDURE DESCRIPTION The patient was brought to the operating room, placed in the supine position, and general anesthesia was induced. A detailed technical narrative of a laparoscopic appendectomy from initial incision to placement of any dressings follows.
Preoperative Diagnosis Appendicitis
Anesthesia Conscious sedation with propofol 200 mg IV Propofol 20mg/mL injection emulsion 50mL vial Medication Factory Inc.
Surgical Drains Penrose drain placed
Procedure Findings A 6 mm sessile polyp was found in the ascending colon and removed by snare, no cautery. Bleeding was controlled. Moderate diverticulosis and hemorrhoids were incidentally noted.
Estimated Blood Loss Minimal
Procedure Implants No implants were placed.
Specimens Taken Ascending colon polyp
Complications Asthmatic symptoms while under general anesthesia.
Postoperative Diagnosis Appendicitis with periappendiceal abscess
Postprocedure Diagnosis Sigmoid diverticulosis, moderate Internal hemorrhoids Colon polyp, 6mm, ascending colon
Procedure Disposition The patient was taken to the Endoscopy Recovery Unit in stable condition.