Report #2 Emergency Department Record Chief Complaint: Right arm…

Question Answered step-by-step Report #2 Emergency Department Record Chief Complaint: Right arm… Report #2 Emergency Department RecordChief Complaint: Right arm lacerationHistory of Present Illness: This 24-year-old man presents here after attempting to punch out a window in his garage door with him elbow in an attempt to enter his own house.Medications: NoneAllergies: KeflexLast Known Tetanus: UnknownReview of Systems: No shoulder pain, no wrist pain. Complains of multiple lacerations of the forearm.Extremities Right elbow and right forearm reveal multiple lacerations in various lengths from proximal and working distally. Over the area of the olecranon, then is noted to be a 3-cm superficial laceration. There are also noted to be several simple lacerations distally approximately four measuring 1 cm each and three others measuring 2 cm each. There is noted to be a 5-cm laceration involving deeper layers of skin.After adequate anesthesia was obtained with local infiltration of all lacerations with 1% lidocaine with epinephrine, the wounds were explored. No foreign bodies were appreciated. Each wound was vigorously irrigated and draped individually in a sterile fashion. Initially, the 3-cm laceration along the area of the olecranon was closed with two interrupted sutures of 4-0 Ethilon. The remaining smaller wounds were closed with simple sutures. The 5-cm laceration required closing with 3-0 Vicryl for the subcutaneous layer and 4-0 Vicryl to close the skin. Wound edges were painted with Benzoin, and Steri-Strips appliedThe patient tolerated the procedure well. Assign only CPT surgical codes (no E/M codes) and append any applicable modifiers. Health Science Science Nursing HIT 205 Share QuestionEmailCopy link Comments (0)