AUDIT REPORT T10.1 OPERATIVE REPORT, RESECTION

question 2

Essay

AUDIT REPORT T10.1 OPERATIVE REPORT, RESECTION
PROCEDURE PERFORMED: Resection of hydrocele sac, left testicular cord, left scrotum, and resection of left paratesticular mass.
CLINICAL NOTE: This is a 78-year-old gentleman who has developed a hydrocele and has a left scrotal mass. We have discussed different options, and he has decided he would like this surgically taken care of. The patient has been marked earlier for surgery.
OPERATIVE NOTE: The patient was given a general endotracheal anesthetic, prepped, and draped in the supine position. A midline scrotal incision was made and the testis delivered. Two hydroceles were identified, one of the testis and one of the cord. The hydrocele of the cord was resected. Hemostasis was achieved with electrocautery. The hydrocele sac of the scrotum was also opened and resected. Once opening this, there was a very dark 1.5-cm lesion separate from the epididymis and testis in the region of the testicular cord. This was mobilized, isolated, and resected intact. It did not appear to have a blood supply or be in association with any of the cord or testicular structures. This was sent separately for pathologic identification. Once hemostasis was achieved, the testis was returned to the scrotum. A 1/4-inch Penrose drain was left through a separate stab wound and sutured to the skin with 2-0 Prolene. The scrotum was closed in two layers with a 3-0 chromic. Dressings applied. Scrotal support applied. The patient was transferred to the recovery room in good condition.
10.1:
SERVICE CODE(S): 55040, 55500-51_________
ICD-10-CM DX CODE(S): N43.3, N43.3______
INCORRECT/MISSING CODE(S): ________________________________________

Understand the importance of usage of trade and its impact on contract interpretation and enforcement.

Comprehend the conditions under which oral contracts may be considered enforceable despite the statute of frauds.

Understand the significance of special circumstances, such as promises related to marriage, suretyship, and special manufactures under the statute of frauds.

Recognize how courts interpret and apply promissory estoppel in relation to oral contracts and the statute of frauds.

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Definitions:

Direct Write-Off Method

An accounting practice where bad debts are written off against income at the time they are determined to be uncollectible, instead of being provided for in advance.

Account Receivable

Funds that customers owe a company for products or services provided on credit.

Dishonored Note

A promissory note that has not been paid by the maker at the maturity date.

360-Day Year

An accounting convention that simplifies interest calculations by assuming each month has 30 days, totaling 360 days for the year.