what are the medical errors in this passage: Report #2 Operative Report (5 error
ID: 49305 • Letter: W
Question
what are the medical errors in this passage:
Report #2 Operative Report (5 errors in this report)
Case History: This is a 40-year-old Hispanic female who was referred to the endoscopy clinic for evaluation. The patient complains of persistent nausea and vomiting with upper abdominal pain. She has also had a problem with dyspepsia but denies any hematemesis. She has not used any alcohol or salicylates. She is currently on several medications but they do not appear to be contraindicative to her health.
Esophagogastroduodenoscopy: The patient was prepared for the procedure by being given intravenous induction of anesthesia. After the patient was placed in the usual operating position the General Electric gastroscopy was passed into the esophagus without any difficulty. The esophagus in its entirety was essentially free of mucosal abnormalities. No evidence of reflux. The stomach was entered; some gastric juices were aspirated. The antrum and body of the stomach were all free of mucosal abnormalities. In the distal antral area some mild eryhtematous changes were noted. The pylorus had normal peristaltic activity in opening. The first part of the small intestine, the ileum, revealed some evidence of ulcerations, both anterosuperiorly as well as posteroinferiorly, with surrounding tissue irritation noted. These ulcers were less than 1 mm in size. The second part of the small intestine, the duodenum, was free of mucosal abnormalities. Withdrawing the scope confirmed the findings upon entry. The patient, in fact, tolerated the procedure quite well. Vital signs were taken every half hour for the following three hours.
Preoperative Diagnosis After Surgery: Gastritis. Duodenal ulcerations.
Explanation / Answer
1. The patient was prepared for the procedure by being given intravenous induction of anesthesia. - Generally topical anaesthesia is given to perform EGD, only in rare cases I V anaesthesia is given.
2. General Electric gastroscopy - General gastric endoscopy
3. The stomach was entered; some gastric juices were aspirated. The antrum and body of the stomach were all free of mucosal abnormalities. - First part of stomach is fundus and then body, antrum.
4. The first part of the small intestine, the ileum - the first part of small intestine is duodenum
5. The second part of the small intestine, the duodenum - The second part of small intestine is jejunum
6. These ulcers were less than 1 mm in size. - "1 mm in size" size must be mentioned whether it is diameter or something else.
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