A 63-year-old man sustained a gunshot wound through the right maxillary sinus penetrating into the right neck. CT scan revealed no hard evidence of arterial injury but a bullet was directly in line with the internal jugular vein. He was sent to the operating room for neck exploration to rule out vascular injury and injury to the aerodigestive tract (respiratory and digestive tracts). A sternocleidomastoid incision was performed and carried down through the platysma muscle. There was no penetration of the internal jugular vein, but a foreign body was identified resting on the internal jugular vein at approximately the level of the angle of the mandible and it was removed. The parotid gland was noted to have a blast injury near the tail. This was not surgically repaired or resected. Once all bleeding was controlled, a 10 French round drain was placed in the wound. The wound was copiously irrigated. The platysma muscle was closed and the skin was closed with subcuticular closure. What CPT® code is reported? a. 20525 b. 35201 c. 21899 d. 20100

A 46-year-old man was involved in an automobile accident and sustained a tear of the capsule of the carpometacarpal joint of his right thumb. In view of his history of lung disease, it was decided to repair the laceration under a brachial plexus nerve block.  WHY?The orthopedic surgeon decided to inject the anesthetic into the brachial plexus below the clavicle. DISCUSS THE STEP-WISE PROCESS FOR THIS METHOD

A 23-year-old male injured in an industrial explosion was found to have multiple small metal fragments in his thoracic cavity. Since the pericardium was torn inferiorly, the surgeon began to explore for fragments in the pericardial sac. Slipping her hand under the heart apex, she slid her fingers upward and to the right within the sac until they were stopped by the cul-de-sac formed by the pericardial reflection near the base of the heart. Her fingertips were then in the: Coronary sinus Coronary sulcus Costomediastinal recess Oblique sinus Transverse sinus

A 40 year old abdominal gunshot wound victim is in the ICU (2nd day) after abdominal surgery whichshowed that mainly his stomach was damaged. He is incubated and ventilated but his prognosis is goodand he should be able to make a full recovery. Because of the gunshot a portion of his stomach duodenumis removed. He is being fed through a line in his intestine.A nurse on duty inadvertently attaches the intestinal feeding line to his intravenous line. This increases hisheart rate, his blood pressure drops and he requires a short CPR. The wrong line insertion is noted andremoved. Because of this mishap he will require a much longer stay in the ICU. The nurse is terrified andexplains that she was only relieving another nurse and had limited experience in the ICU.Discuss the ethical issues here.What would be the ethical way of proceeding with this case?

48. The space of Burn where the venous jugular arch passes through is near this bone:a.Clavicleb.Manubriumc.Mandibled.Hyoid

A bullet shot into the lateral chest wall through an intercostal space would perforate immediately which of the following after passing through the parietal pleura: