There will be 3 CPT codes. PREOPERATIVE DIAGNOSES: Persistent…
There will be 3 CPT codes.
PREOPERATIVE DIAGNOSES: Persistent hemoptysis and pneumonia and changes on x-ray.
POSTOPERATIVE DIAGNOSES: Same.
PROCEDURE: Transbronchial biopsy, bronchial biopsy, bronchoalveolar lavage, bronchial washings, and bronchial brushings.
PHYSICIAN: Hurada Maltose, MD
FINDINGS: The patient was sedated and prepped while he was on the ventilator (status, ventilator-dependent is reported with a V code), which did not require much additional drug. Please see the drug sheet for further information.
PROCEDURE: The patient was monitored throughout the process with regular monitoring. There were no significant changes in blood pressure, oxygen saturation, or pulse rate, nor did any arrhythmias develop. No pneumothorax was discovered postprocedure by chest x-ray or by auscultation.
Once the patient was sedated, more than usual since he was maintained on a ventilator in the first place, the bronchoscope was introduced with a #9 endotracheal tube. Hence, it fits pretty quickly, and we were able to see the distal 2 centimeters of the trachea, which was red and swollen, and the carina, which was red and swollen, and all the airways were red and swollen and with white plaquing consistent with candidiasis on the left mainstem and going down toward the lower lobe. The area in question was biopsied, brushed, washed, and subjected to bronchoalveolar lavage, bronchial brushings with sheath and unsheath brushes, and bronchial biopsies transbronchial biopsies were performed in that area. There were no complications. Some blood was seen in the left lower lobe, which was where most of the secretions were, and they were bloody. Excess secretions were everywhere, but most were in the left lower lobe. The specimens were sent for appropriate pathological, cytological, and bacteriological studies, including a tissue sample sent for bacteriological studies. Follow-up will be done in the Intensive Care Unit when we get the information back from the Lab.
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