Question about surgery

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HELP WITH MY HOMEWORK.HELP WITH MY HOMEWORK. HELP WITH MY HOMEWORK

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Fourth Edition Surgcial Technology for the Surgical Technologist Chapter 20 Genitourinary Surgery P.806-889 1. Jim is 56 years old man who has been experiencing urinary symptoms that include a medical history of chronic urinary tract infections that cause dysuria and hematuria with two or three episodes over the last 2years, difficulty starting his urinary stream (hesitancy and straining), diminished stream strength (weak flow), and frequent trips to the restroom. Jim’s symptoms have been getting progressively worse and his urinalysis is positive for blood and white blood cells in the urine. Upon the digital rectal examination in the office, he is found to have an enlarged prostate. The surgeon explains that there are several possible causes, including an enlarged prostate, an infection of the prostate, stones in the prostate, or cancer of the prostate. What diagnostic studies are needed to determine the diagnosis? 2. The biopsy report is negative for cancer and the physician confirm an enlarged prostate. What is Jim’s diagnosis and what cause his symptoms? 3. What are the possible treatments for Jim’s condition? What type of procedure will most likely be performed? 4. Due to the severity of his symptoms, Jim’s selects the removal of his prostate and his surgery is scheduled. What resectoscopes may be used? How will the resected pieces of the tumor be removed? 5. During the procedure, Jim’s leg suddenly jerks. What does that indicate? What procedure might be done to rule out injury? 6. What is TURP syndrome? If Jim should develop this complication, what symptoms would he exhibit? 7. At the end of the procedure, Jim continues to have bright red bleeding. What will be done to control the bleeding? Chapter 21 Orthopedic Surgery P891-997 Case study Ellenor is a 65 year old woman who was admitted to the hospital for a total hip arthroplasty. Her primary diagnosis is osteoporosis. She states she was walking with her walker down the hallway and just fell. 1. What type of fracture is she most likely to have suffered? 2. Describe a routine draping procedure for this case? 3. Osteomyelitis is a grave concern, what may be done right after draping and why? 4. After the femoral osteotomy guide is placed over the lateral femur and neck, what should the surgical technologist plan to do next? 5. Will the incision be drained? 6. Describe the immediate postoperative care the patient will receive. Chapter 22 Cardiothoracic Surgery P.999-1088 Case study Timothy, a 49 year old construction worker, becomes pale and complains of crushing pain radiating down this arm. He was rushed to the emergency department, where he was evaluated by the cardiac team. Timothy was given an aspirin and nitroglycerin sublingual by the physician. His chest pain resolves and he is sent to the cath lab for an emergency heart catheterization. 1. PTCA is performed. What does that mean? 2. At the very end of the PTCA, there is a perforation and the patient is sent to the OR stat. An emergency open heart CABG X 3 with extracorporeal circulation in addition to the repair of the perforation is completed. Using the internet to find the answers, what is a lebsche knife, and why do you need a mallet? 3. What will be used to stop the heart from beating after being place on CPB? 4. Why was his temperature reduced during the procedure? 5. What type of wound drainage system will be needed at the end of the procedure? Why?
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Excellent! Definitely coming back for more study materials.

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