Question 1
Ms. Edwards returns to the endoscopy suite for flexible fiberoptic sigmoidoscopy to assess previously identified inflammatory changes of the sigmoid colon. The sigmoidoscope was advanced to a level 60 cm from the anus and no abnormalities were seen. The previous inflammatory changes have completely subsided. The patient was discharged to home once she was alert. She will follow up in my office in two months.
Code(s): __________
Question 2
The patient is a 33-year-old male who presented with a several-week history of pain in his left groin associated with a bulge. Examination revealed that his left groin did indeed have a bulge and his right groin was normal. We discussed the procedure as well as the choice of anesthesia. It was decided to take the patient to surgery for a left initial inguinal hernia repair. After prepping and draping, general anesthesia was induced. The floor of the inguinal canal was examined and the patient did appear to have a weakness there. There was no evidence of an indirect hernia. Mesh was fashioned, placed in the inguinal canal, and tacked to the pubic tubercle. The internal ring was recreated. The remainder of the mesh was tucked underneath the external oblique fascia. The wound was then sutured closed. The procedure was tolerated well and the patient was transferred to the recovery room in good condition.
Code(s): __________
An adult male giraffe feeding high up on an acacia
Imaginary Thoracic Lines, Left Lateral View
William Kentridge, History of the Main Complaint.
Observed Mother–Child Arguments at Five Time Points Over an Eight-Year Period
Elizabeth, a married 35-year-old woman, always thought that she followed a sensible diet