leg infection/necrosis
7 year old admitted for skilled nursing only:
PATIENT HAS A LEFT TIBIAL LEG WOUND THAT HAD DIFFICULTY HEALING. PATIENT HAD A MEDIAL TIBIAL PLATEAU PLACEMENT OF AN EXTERNAL FIXATION DEVICE PLACED. SHE WAS SEEN IN MD OFFICE 2 WEEKS POST OF AND HAD DEVELOPED A FRACTURE BLISTER. PATIENT WAS TO RETURN TO MD IN 1 WEEK BUT DID NOT KEEP APPOINTMENT AND WAS NOT SEEN FOR 5 WEEKS. WHEN SHE RETURNED SHE HAD DEVELOPED NECROSIS TO THIS AREA AND REQUIRED SEVERAL DEBRIEDMENTS. PATIENT HAS MINIMAL HEALING AND REQUIRED SURGERY FOR ADJUSTMENT OF THE EXTERNAL FIXATOR AND A MEDIAL GASTROC FLAP WITH SPLIT THICKNESS SKIN GRAFT. THE PATIENT IS ON 2 DIFFERENT ANTIBIOTICS AND A PAIN MED. THE MOM IS THE REASON THAT THE APPT WAS NOT KEPT AS THE PATIENT IS 7 YEARS OLD. THE GRAFT SITE IS THE LEFT THIGH.
THE REF/F2F STATES LEFT LEG WOUND/LEFT LEG INFECTION.
WITH THE PATIENT BEING 7 THERE IS NO OASIS SO I WON'T BE ABLE TO SHOW THE ACUTE INPT CODES JUST OUR CARE.
I REALLY APPRECIATE ANY HELP ON THIS ONE.
THANKS,
HEATHER BONNETTE
PATIENT HAS A LEFT TIBIAL LEG WOUND THAT HAD DIFFICULTY HEALING. PATIENT HAD A MEDIAL TIBIAL PLATEAU PLACEMENT OF AN EXTERNAL FIXATION DEVICE PLACED. SHE WAS SEEN IN MD OFFICE 2 WEEKS POST OF AND HAD DEVELOPED A FRACTURE BLISTER. PATIENT WAS TO RETURN TO MD IN 1 WEEK BUT DID NOT KEEP APPOINTMENT AND WAS NOT SEEN FOR 5 WEEKS. WHEN SHE RETURNED SHE HAD DEVELOPED NECROSIS TO THIS AREA AND REQUIRED SEVERAL DEBRIEDMENTS. PATIENT HAS MINIMAL HEALING AND REQUIRED SURGERY FOR ADJUSTMENT OF THE EXTERNAL FIXATOR AND A MEDIAL GASTROC FLAP WITH SPLIT THICKNESS SKIN GRAFT. THE PATIENT IS ON 2 DIFFERENT ANTIBIOTICS AND A PAIN MED. THE MOM IS THE REASON THAT THE APPT WAS NOT KEPT AS THE PATIENT IS 7 YEARS OLD. THE GRAFT SITE IS THE LEFT THIGH.
THE REF/F2F STATES LEFT LEG WOUND/LEFT LEG INFECTION.
WITH THE PATIENT BEING 7 THERE IS NO OASIS SO I WON'T BE ABLE TO SHOW THE ACUTE INPT CODES JUST OUR CARE.
I REALLY APPRECIATE ANY HELP ON THIS ONE.
THANKS,
HEATHER BONNETTE