A 52 year old female presents for a Colonoscopy
Indications Abnormal CT
Consent: After obtaining history and performing the physical examination, the procedure, indications, potential complications such as bleeding, perforation, infection, adverse medication reaction, and alternatives were explained to the patient. Patient appeared to understand the benefits and risks of this procedure. Informed consent was obtained from the patient after providing opportunity for questions.
Preparation: ECG pulse, blood pressure, and oxygen saturation monitored.
Anesthesia: MAC [MAC]
Procedure: After placing the patient in the left lateral position, the colonoscope was gently inserted into the anus and under direct visualization advanced to the terminal ileum, which was identified by visualization of cecum and appendiceal orifice. The mucosa and anatomy of the colon were carefully examined. The procedure was performed without difficulty, the quality of preparation was excellent. The patient tolerated the procedure well and there were no complications. After completion of the examination, the patient was transferred to the recovery room.
Insertion Point: Anus
Space Reached: Terminal Ileum
Instrument: Colon #138 - Serial # A110138
Findings
Anal Canal Normal.
Sigmoid Colon Normal.
Scope inserted through ostomy Biopsies taken.
Descending Colon Normal.
Biopsies taken.
Splenic Flexure Normal.
Transverse Colon Normal.
Biopsies taken.
Hepatic Flexure Normal.
Ascending Colon Normal.
Biopsies taken.
Cecum Normal.
Biopsies taken of cecum and terminal ileum.
Complications: No.
Impressions Post-surgical changes, otherwise normal
Recommendations: ROC in 2-3 weeks
Indications Abnormal CT
Consent: After obtaining history and performing the physical examination, the procedure, indications, potential complications such as bleeding, perforation, infection, adverse medication reaction, and alternatives were explained to the patient. Patient appeared to understand the benefits and risks of this procedure. Informed consent was obtained from the patient after providing opportunity for questions.
Preparation: ECG pulse, blood pressure, and oxygen saturation monitored.
Anesthesia: MAC [MAC]
Procedure: After placing the patient in the left lateral position, the colonoscope was gently inserted into the anus and under direct visualization advanced to the terminal ileum, which was identified by visualization of cecum and appendiceal orifice. The mucosa and anatomy of the colon were carefully examined. The procedure was performed without difficulty, the quality of preparation was excellent. The patient tolerated the procedure well and there were no complications. After completion of the examination, the patient was transferred to the recovery room.
Insertion Point: Anus
Space Reached: Terminal Ileum
Instrument: Colon #138 - Serial # A110138
Findings
Anal Canal Normal.
Sigmoid Colon Normal.
Scope inserted through ostomy Biopsies taken.
Descending Colon Normal.
Biopsies taken.
Splenic Flexure Normal.
Transverse Colon Normal.
Biopsies taken.
Hepatic Flexure Normal.
Ascending Colon Normal.
Biopsies taken.
Cecum Normal.
Biopsies taken of cecum and terminal ileum.
Complications: No.
Impressions Post-surgical changes, otherwise normal
Recommendations: ROC in 2-3 weeks