Forrest 5-13

ex5_ch13
LOD = 2:28

OPERATIVE REPORT
OPERATION

PATIENT: Eileen NAME: Elaine Halloway

HOSPITAL NO.: 5689997-4

DATE: May 20, _____

SURGEON: John HendrickHendrix, MD

PREOPERATIVE DIAGNOSIS
Incomplete spontaneous abortion.

POSTOPERATIVE DIAGNOSIS
Incomplete spontaneous abortion.

PROCEDURE
Suction curettage.

ANESTHESIA
Intravenous IV sedation phenol [minus 3.0 for INCORRECT MEDICINE NAME] (fentanyl and valiumValium) [minus 1.5 for CASING OF MEDICATIONS] and paracervical block (1% Xylocaine).

ESTIMATED BLOOD LOSS
Estimated blood loss less then [minus 0.5 for WRONG CONJUNCTION / PREPOSITION / ARTICLE] Less than 5 cc.

COMPLICATIONS
None.

FINDINGS
Uterine cavity sounded to a depth of 8 cm., scant tissues tissue obtained on curettage.

PROCEDURE IN DETAILS
After proper consentconsents were obtained, the patient was taken to the operating room and placed on the table in a the supine position. She was then placed in a stirrupstirrups in the modified dorsal lithotomy dorsolithotomy position. The patientpatient’s [minus 0.5 for GRAMMAR ERROR] perineum and vagina were in then [minus 0.5 for WRONG CONJUNCTION / PREPOSITION / ARTICLE] prepped and draped in the usual sterile fashion. She was then given IV sedation consisting of Phenolfentanyl 2 cc given slow IV push and valiumValium 10 mg given slow IV push. A graveGraves [minus 0.5 for CAPITALIZATION ERROR] speculum was then inserted into the vagina and opened a. A [minus 0.5 for OMITTED CRITICAL PUNCTUATIONS] paracervical block was then given at the 3 o’clock and 9 o’clock position positions proximal to the cervix with a 5 mm mL [minus 1.5 for INCORRECT ENGLISH WORD] of 1% Xylocaine infiltrated on each side. The anterior lymphlip [minus 1.5 for INCORRECT ENGLISH WORD] of the cervix was then grasped with a single toothed single-tooth tenaculum and retraction applied. The uterine cavity was then sounded to a depth of 8 cm the . The [minus 0.5 for OMITTED CRITICAL PUNCTUATIONS] internal cervical os was then dilated up to a 17 hankHank [minus 0.5 for CAPITALIZATION ERROR] dilator. The uterine cavity was then evacuated with suction curettage using a 7 -mm suction catheter tip with the a small amount of tissue being obtained and sent for pathology, this. This was followed by sharp curettage. The uterine cavity was then resounded to a depth of 8 cm. The procedure was then terminated. The tenaculum was removed from the patientpatient’s cervix and the. The speculum was removed from the patientpatient’s vagina. She was taken out of the lithotomy postion position [minus 0.5 for TYPO / SPELLING ERROR] and placed back in the supine position. She was awakened at in the operating room in a stable condition. There were no intraoperative complications.

line count = 29.80
negative pts. = 11.50 (38%)
ACCURACY = 62%