ANESTHESIA: General. PREOPERATIVE DIAGNOSIS: Diabetic ulcer…

Questions

ANESTHESIA: Generаl. PREOPERATIVE DIAGNOSIS: Diаbetic ulcer right upper thigh with expоsed fаt layer. POSTOPERATIVE DIAGNOSIS: Diabetic ulcer right upper thigh with expоsed fat layer. PROCEDURE: Debridement оf ulcer, right upper thigh. INDICATIONS: This 76 year-old female has developed an ulcer on the upper right thigh. She is here for debridement. The patient has a current history of type 2 diabetes and hypertension. DESCRIPTION OF PROCEDURE: Under general laryngeal mask anesthesia, the patient was placed in left lateral decubitus position and the right lateral thigh and hip was appropriately prepped and draped. Sharp Mayo scissor dissection was used to debride skin, subcutaneous tissue and excise the edges of the wound down to the tensor fascia. Some undermining with fat necrosis was also debrided. It was covered with gauze and a dressing. She tolerated the procedure well. Select the diagnosis code(s).

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