LOCATION: Outpatient, Hospital PATIENT: Gabriella Franklin SURGEON: Jeff King, M.D. PREOPERATIVE DIAGNOSIS: Tonsillar and adenoidal hypertrophy. POSTOPERATIVE DIAGNOSIS: Same. PROCEDURE PERFORMED: Adenotonsillectomy. INDICATIONS FOR SURGERY: The patient is a 6-year-old female with a history of chronic tonsillitis and tonsillar adenoidal hypertrophy with nocturnal breathing disturbance which was very mild. She was brought to the operating room for adenotonsillectomy. Witnessed informed consent was obtained prior to the procedure. ANESTHESIA: General endotracheal anesthesia. ESTIMATED BLOOD LOSS: Less than 20 cc. DESCRIPTION: The patient was brought to the operating room and general anesthesia was established via endotracheal tube. Intravenous ampicillin and Decadron were administered. She was placed in the rose position. A Crowe-Davis mouth gag was inserted. The adenoids were removed with the adenoid curet. The nasopharynx was packed. The tonsils were removed using electrocautery to dissect between the superior constrictor muscle and the tonsillar capsule. Hemostasis was achieved with suction cautery. With adequate hemostasis, the pharynx was irrigated and suctioned free of secretions. She was awakened from anesthesia without difficulty and transferred to the recovery unit in good condition. Pathology Report Later Indicated: Hypertrophy of tonsils and adenoids, no disease process. idc10cm idc10cpt
[Verified Answer]: LOCATION: Outpatient, Hospital PATIENT:…
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