AUDIT REPORT T12.1 OPERATIVE REPORT, RE-DO

question 7

Essay

AUDIT REPORT T12.1 OPERATIVE REPORT, RE-DO
LAMINOTOMY
General
PROCEDURE: Under general anesthesia, the patient was placed in the prone position. The back was prepped and draped in the usual manner. An incision was made extending through subcutaneous tissue. The lumbodorsal fascia was divided. The erector spinae muscles were bluntly dissected from the lamina of L4-5. The L4-5 interspace was localized via x-ray. We enlarged the laminotomy and foraminotomy, saw the extruded fragment, and removed it. We entered the disc space and removed much degenerating material. We decompressed the nerve root, satisfied there were no other free fragments. I irrigated the wound well. I put a Hemovac drain in the wound and closed the wound in layers utilized double-knotted 0 chromic on the lumbodorsal fascia, 0 Vicryl and 2-0 plain in the subcutaneous tissue, and surgical staples on the skin. A dressing was applied. The patient was discharged to the recovery room.
PATHOLOGY REPORT LATER INDICATED: Intervertebral disc fragments, L4-L5
T12.1:
SERVICE CODE(S): 63030_________________
ICD-10-CM DX CODE(S): M51.9___________
INCORRECT/MISSING CODE(S): ________________________________________

Understand the principles of sensory and motor pathways in the nervous system.

Explain the role of the autonomic nervous system in regulating bodily functions.

Understand the neural mechanisms underlying sleep and dreaming.

Understand the structure and composition of muscle fibers and sarcomeres.

---

Definitions:

Temporal Discounting

The bias towards valuing rewards received right away more than those in the future.

Learned Helplessness

A state where an individual experiences feelings of inability to control their circumstances, stemming from traumatic experiences or ongoing unsuccessful attempts.

Goal Shielding

Occurs when the activation of a focal goal the person is working on inhibits the accessibility of alternative goals.

Free Will

The power of acting without the constraint of necessity or fate; the ability to act at one's own discretion.