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NeuroSurgery

-Mild Head Injury

-Cerebral concussion (S06.0)

Neuro protectant Observation of GCS,VS,signs of increased intracranial pressure

Moderate head injury Cerebral edema Severe Head Injury Subdural Haemorrhage Intracranial haemorrhage Epidural Haemorrhage

Cerebral contusion (S06.3) Refuse CT Scan Traumatic cerebral edema (S06.2) Cerebral Contusion S06.2) Traumatic subdural haemorrhage (S06.5) Traumatic intracranial haemorrhage (S06.8) Epidural haemorrhage (S06.4) # of base of skull (S02.1) # of mandible (S02.6) # of mandible (S02.6) Obstructive Hydrocephalus (G 91.1) Back Slab (93.51) -Antibiotic injection (9921) -Blood Transfusion (99.03) Trephination Decompression EDH Evacuation AB Arch bar (24.7) Debridement (79.60) Pro urgent VP shunt

# of base of skull # of L angulus mandible Segmented # of mandible Obstructive Hydrocephalus

Close # depressed of L frontal bone -3rd C degree Segmental Open # of R Radius -Thrombus of R brachial artery -Partial rupture of R musc. Brachioradialis -V. avulsion of R upper arm

# frontal bone (S02.0) # of shaft of radius (S52.3) Debridement Intra medullary pinning, Fasciotomy Thrombectomy, Repair muscle Back slab Antibiotic: (Cefazolin, Gentamisin) Human Tetanus Immunoglobulin

Thrombosis of arteries of upper extremities (I74.2) Injury of muscle at forearm level (S56) Open wound of upper arm (S41.1)

Crush injury of L lower leg Skin lost of R & L Lower leg

Crushing injury of lower leg (S87) Open wound of lower leg (S81)

Debridement External Fixation Antibiotic (Cefazolin, Gentamisin) Human antitetanus immunoglobulin

# processus spinosus vertebrae cervical II Frankle E

Injury of cervical bone (S14)

C-spine immobilization (93.54) Methilprednisolon Analgetic Planned for CT Scan Back slab (93.53) Analgetic Planned for ORIF

Closed Supracondyler # of L Humerus -Closed # of lateral third of L Clavicle incomplete Closed # of lower end of L radius Colles type intraarticular 3rd A grade Open # of R tibia-fibula middle third Open # of R malleolus medialis Closed # of R clavicle Closed # of R scapula -# of R lateral 6th rib

# of lower end of humerus (S42.4) -# of clavicle (S42.0) -Colles fracture (S52.5)

LAC

# of shaft of tibia with fibula (S82.7) # of medial malleolus(S82.5) # of clavicle (S42.0) # of scapula (S42.1) -# of ribs (S22.0)

Debridement External fixation Debridement Back slab Arm sling

Close # of L distal radius ulna # dislocation of 7th cervical vertebrae Fr. A Burst # Dislocation of 5th Lumbar Vertebrae

Fracture of shafts of both ulna and radius (S52.4) Fracture of cervical vertebra (S12.2) # of lumbar vertebra (S32.0)

Pro ORIF Gleason traction Analgetic Pro advanced diagnostic approach

Closed # of R subtrochanter Subtrochanteric # (S72.2) Skin traction pro ORIF femur -Fracture of Acetabulum S -Central Dislocation of L hip # of L zygoma 3rd A - Grade open # of L middle third of tibia-fibula Closed # of the 2nd & 3th R metacarpal Closed # of proximal phalanx of the 2nd digit of R hand Fracture of acetabulum (S32.4) Dislocation of hip (S73.0 -# of zygoma (S02.4) # of lower leg (S82) # of metacarpal bone (S62.3) # of finger (S62.6) Debridement (79.60) Backslab for L lower leg (93.45) Foreslab for R hand (93.45) ORIF (79.30) Debridement (77.60) Wound Toilet (79.66) Skeletal traction (Pro ORIF) External fixation (78.10)

# of R parasymphisis & R + L # of mandible (S02.6) rami of mandible # of maxilla (S02.4) # maxilla Le Fort I

Severe/moderate/mild tetanus

-Tetanus (A35)

Anti tetanus serum, antibiotic, anti convulsant Cross incision (89.09)

2nd Grade burn AB-14% burn due to hot water on both palm and plantar feet Combustio Gr II A-B 45% Head, upper extremity, lower extremity Traumatic Inhalation Snake bite 2nd degree

Burn of 2nd degree of hand Debridement (79.60) & wrist Burn Multiple region 45% (T315) Traumatic Inhalation (T173) Snake venom (T63.0) Debridement Antibiotics Analgetic Trac heostomy Anti venom injection Human Antitetanus immunoglobulin inj. Analgesic, Antibiotic Anti snake venom Human Antitetanus immunoglobulin Antibiotics (ceftriaxon and metronidazole) Observation of VS,

Snake bite neglected 4 days Snake bite (T63.0)

1 2nd AB grade combustio 65% Burn of second degree of due to gas explotion at face, head (T20.2) trunk, back, arm, leg Burn of second degree of trunk (T21.2) Burn of second degree of lower limb (T24.2) Burn of second degree of upper limb (T22.2) Debridement Antibiotic (ceftazidin)

Testicle torsion dd epididimiorchitis R Nephrolithiasis Hyponatremia Hypokalemia Urosepsis

Torsion of testis (N44) -Nephrolithiasis (N200) -Hyponatremia (E 87.1) -Hypokalemia (E 87.6) -Urosepsis (N390)

Exploration of testicle Planned for IVU and nephrolithotomy Correction of electrolyte imbalance Antibiotic Blood and urine culture CVP monitoring Spooling (96.48) Pro urgent clot evacuation Cystoscopy TURP L Orchidectomi R Orchidopexy Antibiotic (Cefotaxime)

Urine retention due to blood clot BPH Torsion of L Testis

Urine retention (R33)

BPH (N40) Torsion of testis (N44)

Stricture of urethra -Anuria -R Hydroureteronefrosis grade II -L Hydroureteronefrosis grade IV -R Chronic parenchymatous renal disease -Azotemia Urosepsis Nephrolithiasis (D) Fistula urethrocutan Post open cystostomy Hyperkalemia CRF DM ARF Urine retention due to blood clot BPH

Urethral stricture(N35) -Hydronephrosis (N13.3) -Hydroureter (N13.4) -Chronic renal disease (N03.9) -Azotemia (R79)

sachse Pro urgent URS

Urosepsis (N390)

Antibiotic Blood and urine culture CVP monitoring Planned for hemodialysis BVUC and urethroscopy

ARF (N189) Urine retention (R33) 3-way cath + spooling Prostate hyperplasia (N40) Planned for urgent clot evacuation

Generalized peritonitis due to perforation of acute appendicitis Generalized peritonitis due to perforation of hollow organ Incarcerated L lateral inguinal hernia Severe sepsis -Collitis Ulcerative -Polyp Colon ascendens & descendens -Paralitic ileus Abscess of liver Acute cholecystitis

Peritonitis, generalized (K65) Acute appendicitis (K49.0) Generalized peritonitis (K65.0) Incarcerated inguinal hernia Sepsis Ulcerative colitis (K51) Benign neoplasm of colon ascendes (D12.2) Descendens (D12.4) Paralytic ileus (. K56.0) Abscess of liver (K75.0) Acute cholecystitis

Appendectomy per laparotomy (47.09)

Rescucitation Laparotomy exploration (55.42) Resection of ileum Ileostomy Herrnioraphy (44.61) Non Operative. Anti inflamation drugs (ASA) Observation of sign of acute abdomen, toxic megacolon. Antibiotic, observation signs of acute abdomen Planned for urgent drainage w/ USG guidance

Acute apppendicitis Periappendicular abscess

-Acute appendicitis (K35.0)

Appendectomy (47.09)

Acute appendisitis with Drainage abscess peritoneal abscess (K35.1) Appendectomy AB CoAmoxiclav Metronidazole Abdominal wall abscess (L02.2) Invagination (K56.1) Peritonitis, generalized (K65) Acute appendicitis (K49.0) Contusion of abdominal Disease of digestive system, unspecified (K92.9) Incision and drainage abscess Resection + ileostomy (55.24) Appendectomy per laparotomy Antibiotics Observation of signs of acute abdomen High fibre diet Observation of signs of acute abdomen, stool.

Abdominal wall abscess Invagination Generalized peritonitis due to perforation of acute appendicitis Blunt abdominal trauma Corpus Alienum (coin) in digestive system

Pleural effusion due to suspect of malignancy Post WSD Diabetes Mellitus Contusio Pulmonum -L Hemathothorax Stoma retraction

Pleural Effusion Diabetes Mellitus (J43)

Antibiotic Monitoring of drain production Regulation of blood glucose Thorax drain Insertion

Contusion of thorax (S20.2) --Anaemia (D62) Postprocedural disorder of digestive system, unspecified (K91.9) Ileus obstructive due to intussusception (K.56.1)

Pro closing Stoma

Ileus Obstructive due to invagination -External drainage due to Choledochal cyst -Obs vomiting Mild Cholangitis

Laparotomy Exploration (54.11)

Cyst choledochus (Q44.4) Non operative

Cholangitis ( K. 83.0 )

Non Operative
Transversustomy (46.52)`

High level of Imperforated anus Congenital absence, atresia without fistula and stenosis of anus without fistula Imperforate anus ( Q. 42.3 )

Ruptur perineum Close # avulsi iliac wing

Open wound of Buttock (S31.0) # of ilium bone (S32.3)

Debridement + repair perineum Conservative

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