BOOK
Pfenninger and Fowler's Procedures for Primary Care E-Book
John L. Pfenninger | Grant C. Fowler
(2010)
Additional Information
Book Details
Abstract
Pfenninger and Fowler’s Procedures for Primary Care, 3rd Edition is a comprehensive, "how-to" resource offering step-by-step strategies for nearly every medical procedure that can be performed in an office, hospital, or emergency care facility by primary care clinicians. . Designed for everyday practice, the outline format allows speedy reference while the detailed text and clear illustrations guide you through each procedure. The new edition of this best-selling book features full-color illustrations and easy access to the complete contents and illustrations, patient forms, and more online at www.expertconsult.com.
- Understand how to proceed, step by step, thanks to detailed text and illustrations.
- Locate critical information at a glance with numerous boxes and tables.
- Use the book for years with minimal wear and tear thanks to its sturdy cover.
- Patient education handouts to educate, save time, and reduce liability
- Coding guidelines included
- This best selling text now includes full color photos and new sections on Aesthetic and Hospitalist Procedures in addition to an update of all the previous procedures discussed in prior editions!
Access the complete contents and illustrations online, download patient education handouts and consent forms, view lists of device manufacturers, and more at www.expertconsult.com.
- Offer your patients a variety of cosmetic procedures using lasers and pulsed-light devices (including individual chapters on procedures for hair removal, photorejuvenation, , skin tightening and skin resurfacing, and tattoo removal), botulinum toxin, as well as new coverage of cosmeceutical skin care, tissue fillers, and photodynamic therapy.
- Master new procedures such as maggot treatment for chronic ulcers, endovenous vein closure, stress echo, insertion of the contraceptive capsule (Implanon) and tubal implant (Essure), musculoskeletal ultrasound, no-needle/no-scalpel vasectomy, procedures to treat acute headaches, and more.
Don’t worry! All the more basic office procedures are still included…with improved and updated discussions!
Pfenninger and Fowler provide the latest and most comprehensive information on medical procedures that allow primary care physicians to more effectively treat their patients.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front cover | cover | ||
| KEY TOPICS | eiii | ||
| A | eiii | ||
| B | eiii | ||
| C | eiii | ||
| D | eiii | ||
| E | eiii | ||
| F | eiii | ||
| G | eiv | ||
| H | eiv | ||
| I | eiv | ||
| J | eiv | ||
| K | eiv | ||
| L | eiv | ||
| M | eiv | ||
| N | eiv | ||
| O | eiv | ||
| P | eiv | ||
| R | eiv | ||
| S | eiv | ||
| Pfenninger and Fowler's Procedures for Primary Care, 3/e | iii | ||
| Copyright page | iv | ||
| Dedication | v | ||
| Contributors | vii | ||
| Preface | xv | ||
| Preface to the First Edition | xvii | ||
| Acknowledgments | xix | ||
| Acknowledgments to the First Edition | xxi | ||
| Foreword | xxiii | ||
| Foreword to the Second Edition | xxv | ||
| Foreword to the First Edition | xxvii | ||
| Table of Contents | xxix | ||
| 1 Anesthesia | 1 | ||
| 1 Bier Block | 3 | ||
| Indications | 3 | ||
| Contraindications | 3 | ||
| Equipment | 3 | ||
| Preprocedure Patient Preparation | 3 | ||
| Technique | 3 | ||
| Complications | 4 | ||
| CPT/Billing Code | 4 | ||
| Acknowledgment | 4 | ||
| Suppliers | 4 | ||
| ONLINE RESOURCES | 4 | ||
| BIBLIOGRAPHY | 4 | ||
| 2 Procedural Sedation and Analgesia | 7 | ||
| Indications | 7 | ||
| Contraindications | 7 | ||
| Equipment | 8 | ||
| Personnel | 8 | ||
| Preprocedure Patient Assessment | 8 | ||
| Preprocedure Patient Preparation | 9 | ||
| Technique | 9 | ||
| Medications | 9 | ||
| Complications | 10 | ||
| Postprocedure Recovery and Patient Education | 10 | ||
| Patient Education Guides | 10 | ||
| CPT/Billing Codes | 11 | ||
| Suppliers | 11 | ||
| Bibliography | 11 | ||
| 3 Epidural Anesthesia and Analgesia | 13 | ||
| Anatomic Considerations | 13 | ||
| Physiologic Considerations | 13 | ||
| Indications | 13 | ||
| Contraindications | 14 | ||
| Equipment | 14 | ||
| Epidural Agents: Local Anesthetics | 14 | ||
| Epidural Agents: Opiates | 14 | ||
| Preprocedure Patient Preparation | 16 | ||
| Technique | 16 | ||
| Complications | 17 | ||
| CPT/Billing Codes | 17 | ||
| ICD-9-CM Diagnostic Codes | 17 | ||
| Acknowledgment | 18 | ||
| Suppliers | 18 | ||
| Patient Education Guides | 18 | ||
| BIBLIOGRAPHY | 18 | ||
| 4 Local Anesthesia | 19 | ||
| Indications | 19 | ||
| Relative Contraindications | 19 | ||
| Equipment | 19 | ||
| Options for Allergic Patients | 20 | ||
| Preprocedure Patient Preparation | 20 | ||
| General Techniques | 21 | ||
| Common Errors | 21 | ||
| Reduction of Pain of Injection | 22 | ||
| Sodium Bicarbonate | 22 | ||
| Topical Anesthetics | 22 | ||
| Complications | 22 | ||
| Postprocedure Management and Concerns | 22 | ||
| CPT/Billing Code | 22 | ||
| Acknowledgment | 22 | ||
| Suppliers | 23 | ||
| BIBLIOGRAPHY | 23 | ||
| 5 Local and Topical Anesthetic Complications | 25 | ||
| Allergic Reactions | 25 | ||
| Alternatives to Obtain Pain Relief in Allergic Patients | 25 | ||
| Effects of Epinephrine in Local Anesthetics | 25 | ||
| Overdose Reactions | 26 | ||
| Central Nervous System Toxicity | 26 | ||
| Cardiovascular Toxicity | 26 | ||
| Catecholamine Reactions | 26 | ||
| Vasovagal Reactions | 26 | ||
| Methemoglobinemia | 26 | ||
| BIBLIOGRAPHY | 27 | ||
| 6 Nitrous Oxide Sedation | 29 | ||
| Indications | 29 | ||
| Contraindications | 29 | ||
| Advantages | 29 | ||
| Limitations | 29 | ||
| Equipment | 29 | ||
| Presedation Assessment and Concerns | 30 | ||
| Preprocedure Patient Preparation | 30 | ||
| Documentation | 30 | ||
| Technique | 30 | ||
| Complications | 32 | ||
| Postprocedure Management and Concerns | 32 | ||
| CPT/Billing Codes | 32 | ||
| Acknowledgment | 32 | ||
| Suppliers | 32 | ||
| BIBLIOGRAPHY | 34 | ||
| 7 Pediatric Sedation and Analgesia | 35 | ||
| Historical Perspective on Undertreatment of Pain | 35 | ||
| Developmental Differences in the Perception of Pain | 35 | ||
| Nonpharmacologic Techniques | 35 | ||
| Topical Analgesics for Children | 36 | ||
| Pharmacologic Agents for Sedation and Analgesia | 36 | ||
| Sedative–Hypnotic Agents | 36 | ||
| “Lytic Cocktail” | 36 | ||
| Benzodiazepines (Midazolam) | 38 | ||
| Chloral Hydrate | 38 | ||
| Barbiturates (Methohexital, Thiopental, and Pentobarbital) | 38 | ||
| Etomidate | 38 | ||
| Propofol | 39 | ||
| Other Agents | 39 | ||
| Ketamine | 39 | ||
| Nitrous Oxide | 39 | ||
| Opioid Analgesics (Fentanyl) | 40 | ||
| Equipment | 40 | ||
| Presedation Evaluation | 40 | ||
| Fasting before Sedation | 41 | ||
| Personnel | 42 | ||
| Monitoring | 42 | ||
| Recovery and Discharge Criteria | 42 | ||
| Postsedation Concerns | 43 | ||
| Patient Education Guides | 43 | ||
| CPT/Billing Codes | 43 | ||
| Bibliography | 43 | ||
| 8 Peripheral Nerve Blocks and Field Blocks | 45 | ||
| Indications | 45 | ||
| Contraindications | 45 | ||
| Absolute Contraindications | 45 | ||
| Relative Contraindications | 45 | ||
| Equipment | 45 | ||
| Preprocedure Patient Preparation | 45 | ||
| Technique | 45 | ||
| Field Block | 45 | ||
| Nerve Block | 45 | ||
| Common Nerve Blocks | 46 | ||
| CPT/Billing Code | 49 | ||
| ICD-9-CM Diagnostic Codes | 51 | ||
| Additional Resources | 51 | ||
| Acknowledgment | 51 | ||
| ONLINE RESOURCES | 51 | ||
| BIBLIOGRAPHY | 51 | ||
| 9 Oral and Facial Anesthesia | 52 | ||
| Indications | 52 | ||
| Contraindications | 52 | ||
| Complications | 52 | ||
| Equipment | 52 | ||
| General Technique | 53 | ||
| Intraoral Approaches | 54 | ||
| Maxillary (V2) Intraoral Nerve Block | 54 | ||
| 2 Dermatology | 65 | ||
| 11 Acne Therapy: | 67 | ||
| Comedo Removal | 67 | ||
| Acne Surgery for Pustules and Cysts | 67 | ||
| Intralesional Corticosteroid Injection | 67 | ||
| Cryotherapy | 68 | ||
| Other Current Approaches | 68 | ||
| Scar Revision | 68 | ||
| Complications | 68 | ||
| CPT/Billing Codes | 68 | ||
| ICD-9-CM Diagnostic Codes | 68 | ||
| BIBLIOGRAPHY | 68 | ||
| 12 Approach to Various Skin Lesions | 69 | ||
| Angioma (Hemangioma) | 69 | ||
| Acrochordon (Skin Tag) | 69 | ||
| Actinic Keratoses | 69 | ||
| Basal Cell Carcinoma | 69 | ||
| Squamous Cell Carcinoma | 74 | ||
| Condylomata Acuminata | 74 | ||
| Dermatofibroma | 74 | ||
| Cutaneous Horn | 75 | ||
| Keratoacanthoma | 75 | ||
| Seborrheic Keratoses | 75 | ||
| Lentigo | 76 | ||
| Lentigo Maligna (Melanoma in Situ) | 76 | ||
| Lipomas | 76 | ||
| Melanoma | 76 | ||
| Molluscum Contagiosum | 77 | ||
| Neurofibromas | 78 | ||
| Pyogenic Granulomas | 78 | ||
| Acquired Nevi (“Moles”) | 78 | ||
| Dysplastic Nevi | 79 | ||
| Congenital Nevi | 79 | ||
| Paronychia | 80 | ||
| Rashes (Exanthems, Dermatoses) | 80 | ||
| Sebaceous Hyperplasia (Adenosum Sebaceum) | 80 | ||
| Sebaceous Cysts | 80 | ||
| Technique | 83 | ||
| Telangiectases | 83 | ||
| Warts (Verruca Vulgaris and Plantaris) | 83 | ||
| Warts (Condyloma Acuminata) | 83 | ||
| Wens | 83 | ||
| Xanthelasma | 83 | ||
| CPT/Billing Codes | 83 | ||
| Additional Resources | 83 | ||
| BIBLIOGRAPHY | 84 | ||
| 13 Burn Treatment | 85 | ||
| Burn Complications Requiring Resuscitation | 85 | ||
| Resuscitation for Early Burn Complications | 85 | ||
| A = Airway | 85 | ||
| B = Breathing | 85 | ||
| C = Circulation | 85 | ||
| D = Disability | 85 | ||
| E = Exposure | 85 | ||
| F = Fluids | 85 | ||
| Intravenous Access | 86 | ||
| Parkland Formula | 86 | ||
| Estimating Burn Severity | 86 | ||
| Burn Depth | 86 | ||
| Burn Size: Percentage of Total Body Surface Area | 87 | ||
| Burn Locations | 87 | ||
| Disposition of Patient Based on Burn Severity: American Burn Association Guidelines | 87 | ||
| Complications Encountered during Burn Management | 87 | ||
| Inpatient Management for the Primary Provider | 89 | ||
| Wound Care | 90 | ||
| Burn Débridement | 90 | ||
| Dressings | 90 | ||
| Topical Antibiotics | 90 | ||
| Excision and Skin Grafting | 91 | ||
| Prevention of Contractures and Hypertrophic Scarring | 91 | ||
| Ambulatory Management for the Primary Provider | 91 | ||
| Initial Ambulatory Visit | 91 | ||
| Second Ambulatory Visit | 91 | ||
| Subsequent Visits | 91 | ||
| Considerations for Referral to Burn Specialist or Surgeon | 91 | ||
| Prevention | 92 | ||
| Conclusion | 92 | ||
| Patient Education Guides | 92 | ||
| CPT/Billing Codes | 92 | ||
| ICD-9-CM Diagnostic Codes | 92 | ||
| Acknowledgment | 92 | ||
| Suppliers | 92 | ||
| ONLINE RESOURCES | 92 | ||
| BIBLIOGRAPHY | 92 | ||
| 14 Cryosurgery | 93 | ||
| General Considerations | 93 | ||
| Advantages of Cryotherapy (Cryosurgery) | 93 | ||
| Disadvantages of Cryosurgery | 93 | ||
| Agents Used for Cryosurgery | 94 | ||
| Tissue Effects: Principles for Treatment | 95 | ||
| Post-Treatment Physiologic Effects | 96 | ||
| Indications | 97 | ||
| Contraindications | 97 | ||
| Absolute Contraindications | 97 | ||
| Relative Contraindications | 97 | ||
| Lesions Difficult to Treat with Cryosurgery | 97 | ||
| Areas Not Recommended for Cryosurgery | 98 | ||
| Equipment | 98 | ||
| Liquid Nitrogen | 98 | ||
| Nitrous Oxide | 98 | ||
| Canister Gas Refrigerants | 98 | ||
| CryoPen | 98 | ||
| Preprocedure Patient Preparation | 100 | ||
| Technique | 100 | ||
| Liquid Nitrogen | 100 | ||
| Cup/Cotton-Tipped Applicator or Metal Pickups Technique | 100 | ||
| Spray Technique Using a Cryogen Spray Gun: Brymill CRY-AC or Wallach UltraFreeze | 100 | ||
| Contact Probes | 101 | ||
| CryoPen Closed System | 101 | ||
| Nitrous Oxide or Carbon Dioxide Closed System | 101 | ||
| Cryogen Canister: Verruca-Freeze/Medi-Frig or Histofreezer | 102 | ||
| Technique for Specific Lesions | 102 | ||
| Keratin Removal | 102 | ||
| Actinic Keratoses | 102 | ||
| Nonmelanoma Skin Cancers | 102 | ||
| Full-Thickness Freeze Technique for Anatomically Large or Irregular Skin Lesions | 102 | ||
| Hypertrophic Scars and Keloids | 102 | ||
| Condylomata Acuminata | 103 | ||
| Molluscum Contagiosum | 103 | ||
| Vascular Lesions (Hemangiomas and Strawberry Hemangiomas) | 103 | ||
| Skin Verrucae | 103 | ||
| Seborrheic Keratoses | 104 | ||
| Cryotherapy for Cervical Intraepithelial Neoplasia | 104 | ||
| Complications and Shortcomings | 104 | ||
| Postprocedure Patient Education | 104 | ||
| Common Errors | 104 | ||
| CPT/Billing Codes | 104 | ||
| Destruction (Cryocautery, Electrocautery, Laser, Chemical, or Curettement) | 105 | ||
| Benign Lesions | 105 | ||
| Malignant Lesions | 105 | ||
| ICD-9-CM Diagnostic Codes | 105 | ||
| Patient Education Guides | 105 | ||
| Acknowledgment | 105 | ||
| Suppliers | 105 | ||
| BIBLIOGRAPHY | 105 | ||
| 15 Dermoscopy | 107 | ||
| Evaluation Technique: Two-Step Dermoscopy Algorithm | 107 | ||
| Short-Term Mole Monitoring | 117 | ||
| Dermoscopy in the Primary Care Office | 117 | ||
| Suppliers | 118 | ||
| ONLINE RESOURCES | 118 | ||
| BIBLIOGRAPHY | 119 | ||
| 16 Fishhook Removal | 121 | ||
| Indication | 121 | ||
| Contraindications | 121 | ||
| Angler’s String-Yank Method | 121 | ||
| 3 Aesthetic Medicine | 289 | ||
| 46 Introduction to Aesthetic Medicine | 291 | ||
| Aging Population | 291 | ||
| Facial Aging Process | 291 | ||
| Initial Cosmetic and Aesthetic Assessment Visit | 292 | ||
| Before and after Photographs* | 292 | ||
| General Tips | 292 | ||
| “Before” Tips | 292 | ||
| “After” Tips | 292 | ||
| Preparing for the Photograph | 292 | ||
| Taking the Photo | 292 | ||
| Full-Face Photo | 292 | ||
| Additional Checks | 292 | ||
| Oblique View and Profile Views | 295 | ||
| Patient Education and Consent | 295 | ||
| BIBLIOGRAPHY | 295 | ||
| 47 Cosmeceuticals and Skin Care | 297 | ||
| Definitions | 297 | ||
| Cosmeceutical Classes | 297 | ||
| Retinoids | 297 | ||
| Exfoliants | 297 | ||
| Alpha Hydroxy Acids | 297 | ||
| Beta Hydroxy Acids | 297 | ||
| Amino Acid Filaggrins | 298 | ||
| Vitamins | 298 | ||
| Vitamin C | 298 | ||
| Vitamins B and E | 298 | ||
| Vitamin K | 298 | ||
| Antioxidants | 298 | ||
| Ubiquinone | 298 | ||
| Alpha Lipoic Acid | 298 | ||
| Idebenone | 298 | ||
| Peptides | 298 | ||
| Argireline | 298 | ||
| Matrixyl | 298 | ||
| Copper Peptide | 298 | ||
| Growth Factors | 298 | ||
| Skin-Lightening Agents | 298 | ||
| Hydroquinone | 299 | ||
| Others | 299 | ||
| Other Cosmeceutical Agents | 299 | ||
| Dehydroepiandrosterone | 299 | ||
| Dimethylaminoethanol | 299 | ||
| Sunscreens | 299 | ||
| Cosmetic Skin Care Products | 299 | ||
| Cleansers | 299 | ||
| Toners | 300 | ||
| Moisturizers | 300 | ||
| Choosing a Skin Care Regimen | 300 | ||
| The Challenge of Cosmeceuticals | 300 | ||
| BIBLIOGRAPHY | 301 | ||
| 48 Lasers and Pulsed-Light Devices: | 303 | ||
| Principles for Photoepilation with Lasers | 303 | ||
| Hair Growth Phases and Treatment Implications | 304 | ||
| Fitzpatrick Skin Types and Treatment Implications | 306 | ||
| Indications | 306 | ||
| Contraindications | 306 | ||
| Absolute | 306 | ||
| Relative | 306 | ||
| Safety Issues | 307 | ||
| Factors Influencing Type of Equipment Used | 307 | ||
| Equipment | 307 | ||
| Preprocedure Patient Preparation | 307 | ||
| Procedure and Technique of Hair Removal | 307 | ||
| Complications | 310 | ||
| Postprocedure Patient Education | 310 | ||
| Conclusion | 310 | ||
| CPT/Billing Code | 310 | ||
| ICD-9-CM Diagnostic Codes | 310 | ||
| Charges | 310 | ||
| Suppliers | 310 | ||
| BIBLIOGRAPHY | 311 | ||
| 49 Lasers and Pulsed-Light Devices: | 313 | ||
| Indications | 313 | ||
| Type I Photorejuvenation (Intense Pulsed Light and Fractional Laser) | 313 | ||
| Type II Photorejuvenation (Fractional and Ablative Lasers) | 313 | ||
| Treatment Types | 314 | ||
| Ablative Laser | 314 | ||
| Nonablative Laser | 314 | ||
| Fractional Therapies | 315 | ||
| Plasma Resurfacing | 315 | ||
| Intense Pulsed Light | 315 | ||
| Intense Pulsed-Light Photofacial Treatment | 317 | ||
| Indications | 317 | ||
| Contraindications | 317 | ||
| Preprocedure Patient Education | 317 | ||
| Technique | 318 | ||
| Postprocedure Patient Education | 318 | ||
| Complications | 318 | ||
| Common Errors | 318 | ||
| Adjunctive Treatments | 319 | ||
| 5-Aminolevulinic Acid (Levulan) | 319 | ||
| Retinoids | 319 | ||
| Nonfacial Treatments | 319 | ||
| Conclusion | 319 | ||
| Patient Education Guides | 319 | ||
| J Code | 319 | ||
| CPT/Billing Codes | 319 | ||
| ICD-9-CM Diagnostic Codes | 319 | ||
| Suppliers | 319 | ||
| ONLINE RESOURCE | 320 | ||
| BIBLIOGRAPHY | 320 | ||
| 50 Lasers and Pulsed-Light Devices: | 321 | ||
| Clinical Appearance and Grading | 321 | ||
| Internal Causes | 321 | ||
| External Causes | 321 | ||
| Treatment Options | 321 | ||
| Rosacea | 322 | ||
| Blue Light and Red Light Therapy | 323 | ||
| Photodynamic Therapy | 323 | ||
| Intense Pulsed-Light Therapy | 323 | ||
| Laser Therapy | 324 | ||
| Radiofrequency | 324 | ||
| Conclusion | 325 | ||
| CPT/Billing Codes | 325 | ||
| ICD-9-CM Diagnostic Codes | 325 | ||
| SUPPLIERS | 325 | ||
| BIBLIOGRAPHY | 325 | ||
| 51 Lasers and Pulsed-Light Devices: | 327 | ||
| Skin Structure and Breakdown | 327 | ||
| Treatment Evolution | 327 | ||
| Light-Based Technology | 327 | ||
| Infrared Light | 327 | ||
| Fractionated Infrared Light | 328 | ||
| Intense Pulsed Light | 328 | ||
| Radiofrequency | 328 | ||
| Tips and Common Errors | 329 | ||
| Conclusion | 329 | ||
| Suppliers | 329 | ||
| ONLINE RESOURCE | 329 | ||
| BIBLIOGRAPHY | 329 | ||
| 52 Nonablative Radiowave Skin Tightening with the Ellman S5 Surgitron (The Pelleve Procedure) | 331 | ||
| Anatomy | 331 | ||
| Indications | 332 | ||
| Contraindications and Relative Contraindications | 332 | ||
| Equipment and Supplies | 332 | ||
| Preprocedure Care | 332 | ||
| Procedure | 333 | ||
| Complications | 334 | ||
| Post-treatment Care | 334 | ||
| Coding and Billing | 335 | ||
| Patient Education Guides | 335 | ||
| Suppliers | 335 | ||
| ONLINE RESOURCES | 335 | ||
| BIBLIOGRAPHY | 335 | ||
| 53 Fractional Laser Skin Resurfacing | 337 | ||
| History of Laser Resurfacing | 337 | ||
| Basics of Laser Therapy | 337 | ||
| Patient Selection | 337 | ||
| Indications | 339 | ||
| Contraindications | 340 | ||
| Absolute | 340 | ||
| Relative | 340 | ||
| Pretreatment Patient Evaluation | 343 | ||
| Before the Procedure | 343 | ||
| Preparing for the Treatment (at Least 1 Week Prior) | 344 | ||
| Supplies | 344 | ||
| Before | 344 | ||
| After | 344 | ||
| Skin Preparation | 344 | ||
| Treatment | 344 | ||
| Details of an Actual Patient Treatment | 345 | ||
| Treatment Caveats | 347 | ||
| Postprocedure Patient Care and Instructions | 349 | ||
| Immediately after Treatment | 349 | ||
| First 2 to 4 Hours after Treatment | 350 | ||
| First Night | 350 | ||
| Day 1 (First Day after Treatment) | 350 | ||
| Day 2 | 350 | ||
| Day 3 | 350 | ||
| Days 4 to 7 (Progress Depends on Depth of Treatment) | 350 | ||
| Day 7 and beyond | 350 | ||
| Side Effects | 351 | ||
| Complications | 351 | ||
| Suppliers | 351 | ||
| ONLINE RESOURCES | 351 | ||
| BIBLIOGRAPHY | 351 | ||
| 54 Lasers and Pulsed-Light Devices: | 353 | ||
| Mechanism of Action for Lasers and Intense Pulsed Light | 353 | ||
| Histology of Leg Telangiectasia | 353 | ||
| Review of Available Lasers | 353 | ||
| Krypton Triphosphate and Frequency-Doubled Nd-YAG (532 nm) | 353 | ||
| Pulsed-Dye Laser (585 or 595 nm) | 354 | ||
| Diode Lasers | 355 | ||
| Intense Pulsed Light | 355 | ||
| Long-Pulse Nd:YAG Laser (1064 nm) | 355 | ||
| Combination/Sequential 595-nm Pulsed-Dye Laser and 1064-nm Nd:YAG (Cynergy) | 357 | ||
| Conclusions | 357 | ||
| Patent Education Guides | 357 | ||
| ONLINE RESOURCE | 357 | ||
| BIBLIOGRAPHY | 357 | ||
| 55 Lasers: | 359 | ||
| Tattoo Types | 359 | ||
| New Tattoo Pigments | 359 | ||
| Contraindications | 359 | ||
| Absolute | 359 | ||
| Relative | 359 | ||
| Former Treatment Methods | 359 | ||
| Laser Treatment and Removal | 359 | ||
| Treatment Protocol | 361 | ||
| Common Errors | 361 | ||
| Postprocedure Care | 362 | ||
| Complications | 362 | ||
| Patient Education Guides | 362 | ||
| Suppliers | 362 | ||
| BIBLIOGRAPHY | 362 | ||
| 56 Botulinum Toxin | 363 | ||
| Safety of Botox and Dysport | 363 | ||
| Indications | 363 | ||
| FDA-Approved Indications for Botox | 363 | ||
| FDA-Approved Indications for Dysport | 363 | ||
| Other Indications for BTX-A | 363 | ||
| Contraindications | 364 | ||
| Equipment | 364 | ||
| Preprocedure Patient Preparation | 364 | ||
| Reconstitution and Handling of Botox and Dysport | 364 | ||
| Patient Education | 364 | ||
| Technique | 365 | ||
| Treatment of Forehead Wrinkles and Frontalis Muscle Contraction Headaches | 366 | ||
| Treatment of Glabellar Wrinkles (Frown Lines) | 366 | ||
| Treatment of Lateral Orbital Wrinkles (Crow’s Feet) | 367 | ||
| Botox “Brow Lift” and Shaping the Brow | 368 | ||
| Treatment of Perioral Lines | 368 | ||
| Treatment of Depressed Commissures | 368 | ||
| Treatment of Wrinkled (“Walnut”) or Elevated Chin | 369 | ||
| Treatment of Hypertrophic Masseter Muscles | 369 | ||
| Treatment of Neck Bands | 369 | ||
| Treatment of Primary Hyperhidrosis | 369 | ||
| Sample Operative Report and Progress Note | 369 | ||
| Dysport Use Versus Botox Use | 369 | ||
| Complications | 370 | ||
| Postprocedure Patient Education | 370 | ||
| Conclusion | 370 | ||
| Patient Education Guides | 370 | ||
| CPT/Billing Codes | 370 | ||
| ICD-9-CM Diagnostic Codes | 370 | ||
| J Codes | 371 | ||
| Suppliers | 371 | ||
| Online Resources | 371 | ||
| Bibliography | 371 | ||
| 57 Tissue Filler | 373 | ||
| Indications | 373 | ||
| Contraindications | 373 | ||
| Initial Examination and Patient Preparation | 373 | ||
| Equipment for Soft Tissue Augmentation | 373 | ||
| Material for Injection | 374 | ||
| Collagen Products from Human Fibroblasts | 374 | ||
| Collagen Products from Bacterial Hyaluronic Acid | 375 | ||
| Noncollagen, Non–Hyaluronic Acid Products | 376 | ||
| General Guidelines | 377 | ||
| Preprocedure Patient Preparation | 377 | ||
| Technique | 377 | ||
| Basic Technique | 377 | ||
| Plane of Injection | 377 | ||
| Common Errors in Soft Tissue Augmentation | 377 | ||
| Complications | 377 | ||
| Postprocedure Patient Care and Education | 378 | ||
| Pearls | 378 | ||
| Additional Resources | 378 | ||
| Suppliers | 378 | ||
| VIDEOTAPES AND DVDS | 378 | ||
| Patient Education | 378 | ||
| Physician Instruction | 378 | ||
| BIBLIOGRAPHY | 378 | ||
| 58 Microdermabrasion and Dermalinfusion | 379 | ||
| Microdermabrasion: Background | 379 | ||
| Mechanism of Action | 379 | ||
| Epidermal Effects of Microdermabrasion | 379 | ||
| Dermal Effects of Microdermabrasion | 379 | ||
| Indications | 380 | ||
| Dermalinfusion | 380 | ||
| Background | 380 | ||
| Rosacea Treatment | 381 | ||
| Tattoo Treatment | 381 | ||
| Hyperpigmentation Treatment | 381 | ||
| Other Dermalinfusion Systems | 381 | ||
| Contraindications | 382 | ||
| Patient Selection | 382 | ||
| Initial Evaluation | 382 | ||
| Complications | 382 | ||
| Equipment | 383 | ||
| Preprocedure Patient Preparation | 384 | ||
| Technique | 384 | ||
| Postprocedure Patient Education | 385 | ||
| Purchasing a Microdermabrasion System | 385 | ||
| Patient Education Guides | 385 | ||
| CPT/Billing Codes | 385 | ||
| ICD-9-CM Diagnostic Codes | 385 | ||
| Acknowledgment | 386 | ||
| Suppliers | 386 | ||
| BIBLIOGRAPHY | 386 | ||
| 59 Skin Peels | 387 | ||
| Topical Treatments and Adjuncts to Peels | 387 | ||
| Alternative Procedures to Chemical Peels | 388 | ||
| Chemical Peels | 389 | ||
| Indications | 390 | ||
| Contraindications | 390 | ||
| Absolute | 390 | ||
| Relative | 391 | ||
| Equipment and Supplies | 391 | ||
| Superficial Peels | 391 | ||
| Superficial to Medium-Depth Peels | 391 | ||
| Medium-Depth Peels | 391 | ||
| Preprocedure Patient Preparation | 392 | ||
| Technique | 392 | ||
| Superficial Peels | 392 | ||
| Superficial to Medium-Depth Peels | 392 | ||
| Medium-Depth Peels | 393 | ||
| Using a Combination of 70% Glycolic Acid and 35% Trichloroacetic Acid | 393 | ||
| Using Trichloroacetic Acid 50% | 394 | ||
| Complications | 394 | ||
| Postprocedure Patient Education | 394 | ||
| Patient Education Guides | 395 | ||
| CPT/Billing Codes | 395 | ||
| ICD-9-CM Diagnostic Codes | 395 | ||
| Acknowledgment | 395 | ||
| Suppliers | 395 | ||
| ONLINE RESOURCES | 395 | ||
| BIBLIOGRAPHY | 395 | ||
| 60 Photodynamic Therapy | 397 | ||
| Indications | 397 | ||
| FDA Approved | 397 | ||
| Off-Label Use | 397 | ||
| Contraindications | 397 | ||
| Absolute | 397 | ||
| Relative | 398 | ||
| Equipment | 398 | ||
| Patient Selection and Precautions | 398 | ||
| Patient Education and Post-Treatment Guidelines | 398 | ||
| Procedure | 398 | ||
| Complications | 399 | ||
| Postprocedure Management | 399 | ||
| Results | 399 | ||
| Patient Education Guides | 400 | ||
| Billing and Coding | 400 | ||
| Suppliers | 400 | ||
| ONLINE RESOURCE | 400 | ||
| BIBLIOGRAPHY | 400 | ||
| 61 Cellulite Treatments | 401 | ||
| Anatomy of Cellulite | 401 | ||
| Classification | 401 | ||
| Pathophysiology | 401 | ||
| Causes of Cellulite | 401 | ||
| Treatment of Cellulite | 401 | ||
| Detoxification Diet | 401 | ||
| Exercise | 401 | ||
| Physical and Mechanical Methods | 402 | ||
| Pharmacologic Agents | 402 | ||
| Anticellulite Creams | 402 | ||
| Mesotherapy | 402 | ||
| Indications | 402 | ||
| Side Effects | 402 | ||
| 4 Eyes, Ears, Nose, and Throat | 425 | ||
| 65 Chalazion and Hordeolum | 427 | ||
| Chalazion | 427 | ||
| Medical Management | 427 | ||
| Indications for Excision | 428 | ||
| Contraindications to Excision | 428 | ||
| Equipment | 428 | ||
| Preprocedure Patient Preparation | 429 | ||
| Technique | 429 | ||
| Postprocedure Patient Education | 430 | ||
| Hordeolum | 430 | ||
| Medical Management | 430 | ||
| Indications for Incision and Drainage | 430 | ||
| Contraindications to Incision and Drainage | 431 | ||
| Equipment | 431 | ||
| Preprocedure Patient Preparation | 431 | ||
| Technique | 431 | ||
| Postprocedure Patient Management | 431 | ||
| Sample Operative Reports | 431 | ||
| CPT/Billing Codes | 431 | ||
| ICD-9-CM Diagnostic Codes | 431 | ||
| Patient Education Guides | 432 | ||
| Acknowledgment | 432 | ||
| Suppliers | 432 | ||
| ONLINE RESOURCES | 432 | ||
| For Patients | 432 | ||
| For Clinicians | 432 | ||
| BIBLIOGRAPHY | 432 | ||
| 66 Corneal Abrasions and Removal of Corneal or Conjunctival Foreign Bodies | 433 | ||
| Fluorescein Examination of the Cornea and Conjunctiva | 433 | ||
| Indications | 433 | ||
| Contraindications | 433 | ||
| Equipment | 434 | ||
| Preprocedure Patient Preparation | 435 | ||
| Technique | 435 | ||
| Treatment of Uncomplicated Corneal Abrasions | 436 | ||
| Considerations | 436 | ||
| Equipment | 436 | ||
| Technique | 436 | ||
| Complications | 437 | ||
| Postprocedure Patient Education | 437 | ||
| Corneal or Conjunctival Foreign Body Removal | 437 | ||
| Indications | 437 | ||
| Contraindications | 437 | ||
| Equipment | 438 | ||
| Preprocedure Patient Preparation | 438 | ||
| Technique | 438 | ||
| Postprocedure Patient Education | 439 | ||
| Complications | 439 | ||
| CPT/Billing Codes | 439 | ||
| ICD-9-CM Diagnostic Codes | 439 | ||
| Suppliers | 439 | ||
| BIBLIOGRAPHY | 439 | ||
| 67 Slit-Lamp Examination | 441 | ||
| Indications | 441 | ||
| Contraindications | 442 | ||
| Equipment | 442 | ||
| Preprocedure Patient Preparation | 442 | ||
| Technique | 442 | ||
| Postprocedure Patient Education | 445 | ||
| CPT/Billing Codes | 445 | ||
| ICD-9-CM Diagnostic Codes | 445 | ||
| Suppliers | 445 | ||
| BIBLIOGRAPHY | 445 | ||
| 68 Tonometry | 447 | ||
| Indications | 447 | ||
| Screening Those with Risk Factors | 447 | ||
| Diagnosis | 447 | ||
| Determining Baseline Intraocular Pressure | 447 | ||
| Contraindications | 447 | ||
| Equipment | 448 | ||
| Preprocedure Patient Preparation | 448 | ||
| Technique | 448 | ||
| Schiøtz or Tono-Pen | 448 | ||
| Applanation | 449 | ||
| Postprocedure Patient Education | 450 | ||
| Complications | 450 | ||
| Limitations | 450 | ||
| CPT/Billing Codes | 450 | ||
| Patient Education Guides | 451 | ||
| Suppliers | 451 | ||
| ONLINE RESOURCES | 451 | ||
| BIBLIOGRAPHY | 451 | ||
| 69 Audiometry | 453 | ||
| Indications | 454 | ||
| Contraindications | 454 | ||
| Equipment | 454 | ||
| Preprocedure Patient Preparation | 454 | ||
| Technique | 454 | ||
| Interpretation | 455 | ||
| CPT/Billing Codes | 458 | ||
| ICD-9-CM Diagnostic Codes | 458 | ||
| Acknowledgment | 458 | ||
| Suppliers | 458 | ||
| BIBLIOGRAPHY | 458 | ||
| 70 Auricular Hematoma Evacuation | 459 | ||
| Indications | 459 | ||
| Contraindications | 459 | ||
| Equipment | 459 | ||
| Preprocedure Patient Preparation | 459 | ||
| Technique | 459 | ||
| Alternative Compression Techniques | 460 | ||
| Cotton Dental Rolls | 460 | ||
| ENT Silicone Putty or Dental Impression Material | 461 | ||
| Postprocedure Patient Education | 461 | ||
| Complications | 462 | ||
| CPT/Billing Codes | 462 | ||
| ICD-9-CM Diagnostic Code | 462 | ||
| Acknowledgment | 462 | ||
| BIBLIOGRAPHY | 462 | ||
| 71 Earlobe Repair | 463 | ||
| Equipment | 463 | ||
| Preprocedure Patient Preparation | 463 | ||
| Technique | 463 | ||
| Postprocedure Patient Education | 464 | ||
| CPT/Billing Codes | 464 | ||
| ICD-9-CM Diagnostic Codes | 464 | ||
| Patient Education Guides | 464 | ||
| Acknowledgment | 464 | ||
| BIBLIOGRAPHY | 466 | ||
| 72 Cerumen Impaction Removal | 467 | ||
| Indications | 467 | ||
| Contraindications | 467 | ||
| Equipment | 467 | ||
| Preprocedure Patient Preparation | 467 | ||
| Technique | 468 | ||
| Curette or Suction Technique | 468 | ||
| Irrigation Technique | 469 | ||
| Complications | 469 | ||
| Postprocedure Patient Education | 470 | ||
| CPT/Billing Code | 470 | ||
| ICD-9-CM Diagnostic Codes | 470 | ||
| Acknowledgment | 470 | ||
| Suppliers | 470 | ||
| BIBLIOGRAPHY | 470 | ||
| 73 Tympanocentesis and Myringotomy | 471 | ||
| Indications | 471 | ||
| Tympanocentesis | 471 | ||
| Myringotomy | 471 | ||
| Contraindications | 471 | ||
| Equipment | 471 | ||
| Preprocedure Patient Education and Forms | 472 | ||
| Technique | 472 | ||
| Tympanocentesis | 472 | ||
| 5 Cardiovascular and Respiratory System Procedures | 529 | ||
| 84 Ambulatory Blood Pressure Monitoring | 531 | ||
| Indications | 531 | ||
| Contraindications and Limitations | 531 | ||
| Preprocedure Patient Preparation | 532 | ||
| Equipment | 532 | ||
| Technique | 532 | ||
| Complications | 533 | ||
| Interpretation of Results | 533 | ||
| CPT/Billing Codes | 533 | ||
| ICD-9-CM Diagnostic Codes | 534 | ||
| Hypertension | 534 | ||
| Hypotension | 534 | ||
| Syncope | 534 | ||
| Cardiomyopathy | 534 | ||
| Patient Education Guides | 534 | ||
| Acknowledgment | 534 | ||
| Suppliers | 534 | ||
| BIBLIOGRAPHY | 534 | ||
| 85 Ambulatory Phlebectomy | 535 | ||
| Indications | 535 | ||
| Contraindications | 535 | ||
| Absolute | 535 | ||
| Relative | 535 | ||
| Equipment and Supplies | 535 | ||
| Anatomy and Pathology of Venous Disease | 535 | ||
| Preprocedure Patient Preparation | 536 | ||
| Technique | 537 | ||
| Common Errors | 537 | ||
| Complications | 537 | ||
| Postprocedure Management and Patient Education | 541 | ||
| Patient Education Guides | 542 | ||
| Other Resources | 542 | ||
| Phlebology Societies | 542 | ||
| Training Courses | 542 | ||
| CPT/Billing Codes | 542 | ||
| ICD-9-CM Diagnostic Codes | 542 | ||
| Acknowledgment | 542 | ||
| Suppliers | 542 | ||
| BIBLIOGRAPHY | 542 | ||
| 86 Endovenous Vein Ablation | 543 | ||
| Endovenous Chemical Ablation | 543 | ||
| Foam Sclerotherapy | 543 | ||
| Needle versus Catheter Infusion | 543 | ||
| Endovenous Radiofrequency and Laser Ablation | 544 | ||
| Indications | 545 | ||
| Contraindications | 545 | ||
| Equipment and Supplies | 545 | ||
| Preoperative Patient Education | 546 | ||
| Procedure | 546 | ||
| Common Errors | 547 | ||
| Postprocedure Patient Care and Education | 547 | ||
| Complications | 547 | ||
| Conclusions | 547 | ||
| Patient Education Guides | 547 | ||
| CPT/Billing Codes | 548 | ||
| ICD-9-CM Diagnostic Codes | 548 | ||
| Suppliers | 548 | ||
| ONLINE RESOURCE | 548 | ||
| BIBLIOGRAPHY | 548 | ||
| 87 Ambulatory Electrocardiography: | 549 | ||
| Overview and Comparison of Available Methods of Evaluation and Arrhythmia Monitoring | 549 | ||
| 12-Lead ECG and Rhythm Strip | 549 | ||
| 24-Hour Holter Monitor (Often Extended to 48 Hours) | 549 | ||
| Postevent Recorders | 549 | ||
| External Pre-Event Recorders (“Loop Recorders”) | 550 | ||
| Implantable Loop Recorders | 550 | ||
| Electrophysiology Studies | 550 | ||
| Signal Averaged ECG | 550 | ||
| Exercise ECG (Stress) Testing | 550 | ||
| Mobile Cardiac Outpatient Telemetry | 550 | ||
| Benefits and Drawbacks of Available Monitoring Methods | 551 | ||
| Indications | 552 | ||
| Evaluation of Patients with Symptoms Possibly Related to Rhythm Disturbances | 552 | ||
| Evaluation of Antiarrhythmic Drug Therapy | 552 | ||
| Evaluation for Silent Myocardial Ischemia | 553 | ||
| Risk Assessment in High-Risk Asymptomatic Patients | 553 | ||
| Evaluation of Pacemaker or Implantable Cardioverter-Defibrillator Function | 553 | ||
| Contraindications | 553 | ||
| Preprocedure Patient Education and Preparation | 554 | ||
| Equipment | 554 | ||
| Technique | 554 | ||
| Equipment Settings | 554 | ||
| Interpretation of Results | 555 | ||
| Prevalence of Premature Ventricular Contractions in the General Population | 555 | ||
| Clinical Significance of Premature Ventricular Contractions | 555 | ||
| Sample Holter Monitor | 556 | ||
| Case Study | 556 | ||
| Patient Diary | 556 | ||
| 12-Lead Electrocardiogram | 556 | ||
| Narrative Summary | 557 | ||
| Trend Analysis of Abnormal Beats | 558 | ||
| Trend Analysis of Heart Rate and ST Segment Level | 558 | ||
| Hourly Summary | 558 | ||
| Selected (Full-Size) Rhythm Strips | 558 | ||
| Full-Disclosure Strips | 558 | ||
| Interpretation of Case Study | 561 | ||
| Final Interpretation | 562 | ||
| Standard Interpretation Form | 563 | ||
| ICD-9-CM Diagnostic Codes | 563 | ||
| CPT/Billing Codes | 563 | ||
| Holter Monitor Studies | 563 | ||
| Cardiac Pre-Event (“Loop Recorder”) Studies | 563 | ||
| Acknowledgment | 563 | ||
| Suppliers | 563 | ||
| BIBLIOGRAPHY | 564 | ||
| SUGGESTED READING ON ECG INTERPRETATION AND CARDIAC ARRYTHMIAS | 565 | ||
| 88 Noninvasive Venous and Arterial Studies of the Lower Extremities | 567 | ||
| Noninvasive Venous Studies | 567 | ||
| Alternatives for Diagnosis of Deep Venous Thrombosis, Their Limitations, and Evidence Supporting Their Use | 568 | ||
| Indications | 569 | ||
| Nongravid | 569 | ||
| Gravid | 570 | ||
| Considerations | 570 | ||
| Compression Ultrasonographic Scanning | 570 | ||
| Personnel and Equipment | 570 | ||
| Technique | 570 | ||
| 6 Gastrointestinal System Procedures | 659 | ||
| 96 Anal Fissure and Lateral Sphincterotomy and Anal Fistula | 661 | ||
| Anal Fissure | 661 | ||
| Treatment | 661 | ||
| Botulinum Toxin Type A Injection Technique | 662 | ||
| Lateral Internal Sphincterotomy | 663 | ||
| Indications | 663 | ||
| Contraindications | 663 | ||
| Equipment | 663 | ||
| Preprocedure Patient Preparation | 663 | ||
| Technique | 663 | ||
| Postprocedure Patient Education | 663 | ||
| Complications | 663 | ||
| Patient Education Guides | 664 | ||
| CPT/Billing Code | 664 | ||
| ICD-9-CM Diagnostic Code | 664 | ||
| Suppliers | 664 | ||
| Anal Fistula | 664 | ||
| Anatomy | 664 | ||
| History and Physical Examination | 665 | ||
| Treatment with Seton or Anal Fistulotomy | 666 | ||
| Contraindications | 666 | ||
| Common Errors and Potential Complications | 667 | ||
| Postoperative Management | 667 | ||
| CPT/Billing Codes | 667 | ||
| ICD-9-CM Diagnostic Code | 667 | ||
| BIBLIOGRAPHY | 667 | ||
| 97 Clinical Anorectal Anatomy and Digital Examination | 669 | ||
| Basic Anatomy | 669 | ||
| Patient Position | 669 | ||
| External Anal Examination | 669 | ||
| Digital Anorectal Examination | 670 | ||
| Anal Continence | 670 | ||
| Summary | 670 | ||
| BIBLIOGRAPHY | 671 | ||
| 98 Anoscopy | 673 | ||
| Indications | 673 | ||
| Contraindications | 673 | ||
| Equipment | 673 | ||
| Preprocedure Patient Preparation | 673 | ||
| Technique | 674 | ||
| Complications | 675 | ||
| Postprocedure Patient Education | 675 | ||
| CPT/Billing Codes | 675 | ||
| ICD-9-CM Diagnostic Codes | 676 | ||
| BIBLIOGRAPHY | 676 | ||
| 99 High-Resolution Anoscopy | 677 | ||
| Anatomy | 678 | ||
| Indications | 678 | ||
| Contraindications | 678 | ||
| Equipment and Supplies | 678 | ||
| Additional Equipment for Biopsies | 679 | ||
| Additional Equipment for Perianal Biopsies | 679 | ||
| Colposcope | 679 | ||
| Preprocedure Patient Education | 679 | ||
| Procedure | 679 | ||
| Anal Cytology | 679 | ||
| Performing Anal Cytology | 680 | ||
| Performing High-Resolution Anoscopy | 680 | ||
| Performing Anal Biopsy | 681 | ||
| High-Resolution Anoscopy Observations | 682 | ||
| Common Errors | 682 | ||
| Interpretation of Results | 682 | ||
| CPT/Billing Codes | 683 | ||
| ICD-9-CM Diagnostic Codes | 683 | ||
| ONLINE RESOURCES | 683 | ||
| BIBLIOGRAPHY | 684 | ||
| 100 Colonoscopy* | 685 | ||
| Anatomy | 685 | ||
| Indications | 685 | ||
| Diagnostic Indications | 685 | ||
| Therapeutic Indications | 686 | ||
| Contraindications | 686 | ||
| Absolute | 686 | ||
| Relative | 686 | ||
| Equipment | 686 | ||
| Preprocedure Patient Preparation | 688 | ||
| Antibiotic Prophylaxis | 688 | ||
| Anticoagulation | 688 | ||
| Sedation | 690 | ||
| Technique | 690 | ||
| Colonoscopy | 690 | ||
| Polypectomy | 691 | ||
| Operative Report | 692 | ||
| Common Errors | 693 | ||
| Complications | 693 | ||
| Postprocedure Management | 695 | ||
| Interpretation and Follow-up of Results | 695 | ||
| Learning Colonoscopy | 695 | ||
| Obtaining Hospital Privileges | 696 | ||
| CPT/Billing Codes | 696 | ||
| ICD-9-CM Diagnostic Codes | 697 | ||
| Patient Education Guides and Additional Resources | 697 | ||
| Suppliers | 697 | ||
| ONLINE RESOURCES | 697 | ||
| Atlases | 697 | ||
| BIBLIOGRAPHY* | 697 | ||
| 101 Esophagogastroduodenoscopy | 699 | ||
| Indications | 699 | ||
| Symptoms | 699 | ||
| Signs | 699 | ||
| Preexisting Conditions | 699 | ||
| Contraindications | 700 | ||
| Absolute | 700 | ||
| Relative | 700 | ||
| Anticoagulants | 700 | ||
| Equipment | 700 | ||
| Cleaning Supplies | 700 | ||
| Preprocedure Patient Preparation | 701 | ||
| Antibiotic Prophylaxis | 701 | ||
| Sedation | 701 | ||
| Monitoring | 706 | ||
| Technique | 706 | ||
| Unsedated Transnasal Esophagogastroduodenoscopy | 711 | ||
| Biopsy | 711 | ||
| Complications | 712 | ||
| Completion of the EGD Report | 712 | ||
| Training | 712 | ||
| Obtaining Hospital Privileges | 712 | ||
| Patient Education Guides | 712 | ||
| CPT/Billing Codes | 712 | ||
| ICD-9-CM Diagnostic Codes | 712 | ||
| Suppliers | 714 | ||
| BIBLIOGRAPHY | 714 | ||
| 102 Management of Fecal Impaction | 715 | ||
| Diagnosis | 715 | ||
| Technique | 715 | ||
| CPT/Billing Codes | 716 | ||
| ICD-9-CM Diagnostic Code | 716 | ||
| BIBLIOGRAPHY | 716 | ||
| 103 Flexible Sigmoidoscopy | 717 | ||
| Indications | 717 | ||
| Contraindications | 717 | ||
| Absolute | 717 | ||
| Relative | 717 | ||
| Equipment | 718 | ||
| Preprocedure Patient Preparation | 719 | ||
| Patient Bowel Preparation | 719 | ||
| Antibiotic Prophylaxis | 720 | ||
| Technique | 720 | ||
| Biopsy | 723 | ||
| Precautions | 724 | ||
| Biopsy Technique | 724 | ||
| Findings | 724 | ||
| Documentation | 726 | ||
| Significance of Various Polyps | 726 | ||
| Complications | 727 | ||
| Cleaning and Disinfection of Scopes | 727 | ||
| Postprocedure Patient Education | 727 | ||
| CPT/Billing Codes | 727 | ||
| ICD-9-CM Diagnostic Codes | 727 | ||
| Acknowledgment | 728 | ||
| Suppliers | 728 | ||
| ONLINE RESOURCES | 728 | ||
| BIBLIOGRAPHY | 728 | ||
| 104 Video Capsule Endoscopy* | 729 | ||
| Indications | 729 | ||
| Obscure Gastrointestinal Bleeding | 729 | ||
| Crohn’s Disease | 729 | ||
| Small Bowel Tumors | 729 | ||
| Inherited Polyposis Syndromes | 730 | ||
| Celiac Disease | 730 | ||
| Monitoring Small Bowel Drug Effects or Side Effects | 731 | ||
| Contraindications | 732 | ||
| Equipment and Overview of Video Capsule Endoscopy System | 732 | ||
| Preprocedure Patient Preparation | 732 | ||
| Use of Prokinetics, Laxative, and Osmotic Bowel Preparations | 733 | ||
| Technique | 733 | ||
| Preparing the Equipment | 733 | ||
| Getting Started | 734 | ||
| Video Reviewing | 734 | ||
| General Information | 734 | ||
| Video Reviewing Procedure | 734 | ||
| Complications | 735 | ||
| Clinical Complications | 735 | ||
| Capsule Retention | 735 | ||
| prevention of capsule retention | 735 | ||
| management of capsule retention | 736 | ||
| Swallowing Disorders | 736 | ||
| Technical Complications | 736 | ||
| Current and Future Developments in Video Capsule Endoscopy | 736 | ||
| BIBLOGRAPHY | 736 | ||
| 105 Inguinal Hernia Reduction | 738 | ||
| Diagnosis | 738 | ||
| Differential Diagnosis | 738 | ||
| Technique | 738 | ||
| BIBLIOGRAPHY | 739 | ||
| 106 Office Treatment of Hemorrhoids | 741 | ||
| Classifications and Symptoms | 741 | ||
| Internal Hemorrhoids | 741 | ||
| Indications | 741 | ||
| Contraindications | 743 | ||
| Preprocedure Patient Preparation | 743 | ||
| Treatment | 743 | ||
| Rubber-Band Ligation | 744 | ||
| equipment | 744 | ||
| technique. | 744 | ||
| complications | 744 | ||
| advantages | 744 | ||
| disadvantages | 744 | ||
| postprocedure patient education. | 745 | ||
| Infrared Coagulation | 745 | ||
| equipment | 745 | ||
| technique. | 745 | ||
| 7 Urinary System Procedures | 763 | ||
| 110 Bladder Catheterization (and Urethral Dilation) | 765 | ||
| Indications | 765 | ||
| Short-Term Catheterization | 765 | ||
| Long-Term Catheterization | 765 | ||
| Contraindications | 765 | ||
| Equipment | 765 | ||
| Preprocedure Patient Preparation | 766 | ||
| Technique | 766 | ||
| Bladder Catheterization | 766 | ||
| Difficult Catheterizations | 768 | ||
| women. | 768 | ||
| men. | 768 | ||
| Filiforms and Followers | 768 | ||
| Catheter Management | 768 | ||
| Antibiotic Therapy | 768 | ||
| Complications | 769 | ||
| CPT/Billing Codes | 769 | ||
| ICD-9-CM Diagnostic Codes | 769 | ||
| Patient Education Guides | 769 | ||
| Suppliers | 769 | ||
| ONLINE RESOURCE | 769 | ||
| BIBLIOGRAPHY | 769 | ||
| 111 Diagnostic Cystourethroscopy | 770 | ||
| Indications | 770 | ||
| Contraindications | 770 | ||
| Equipment | 770 | ||
| Preprocedure Patient Preparation | 771 | ||
| Technique | 771 | ||
| Preparation | 771 | ||
| Rigid Cystourethroscopy | 771 | ||
| Urethroscopy | 771 | ||
| Cystoscopy | 772 | ||
| Flexible Cystoscopy | 772 | ||
| Biopsy | 772 | ||
| Complications | 773 | ||
| Interpretation of Results | 773 | ||
| Postprocedure Patient Education | 773 | ||
| CPT/Billing Codes | 773 | ||
| ICD-9-CM Diagnostic Codes | 773 | ||
| Acknowledgment | 773 | ||
| Suppliers | 773 | ||
| ONLINE RESOURCES | 773 | ||
| BIBLIOGRAPHY | 774 | ||
| 112 Office Testing and Treatment Options for Interstitial Cystitis (Painful Bladder Syndrome) | 775 | ||
| Anatomy | 775 | ||
| Clinical Presentation | 775 | ||
| Patient Investigation and Diagnosis | 776 | ||
| Tools for Diagnosing Interstitial Cystitis | 776 | ||
| Pelvic Pain and Urgency and/or Frequency Questionnaire | 776 | ||
| 8 Male Reproductive System | 799 | ||
| 117 Adult Circumcision | 801 | ||
| Anatomy | 801 | ||
| Indications | 801 | ||
| Contraindications | 801 | ||
| Relative | 801 | ||
| Absolute | 801 | ||
| Equipment and Supplies | 801 | ||
| Preprocedure Patient Education and Forms | 801 | ||
| Procedure | 802 | ||
| Anesthesia | 802 | ||
| Ring Block | 802 | ||
| Dorsal Penile Nerve Block | 803 | ||
| Dorsal Slit Technique | 803 | ||
| Sleeve Technique | 803 | ||
| Sample Operative Report | 804 | ||
| Common Error | 805 | ||
| Complications | 805 | ||
| Postprocedure Management | 805 | ||
| Postprocedure Patient Education | 805 | ||
| Patient Education Guides | 805 | ||
| CPT/Billing Code | 805 | ||
| ICD-9-CM Diagnostic Codes | 805 | ||
| Acknowledgment | 805 | ||
| BIBLIOGRAPHY | 805 | ||
| 118 Androscopy | 807 | ||
| Indications | 807 | ||
| Equipment | 808 | ||
| Preprocedure Patient Preparation | 808 | ||
| Technique | 808 | ||
| Precaution | 810 | ||
| Common Errors | 811 | ||
| Postprocedure Patient Care | 811 | ||
| Complications | 811 | ||
| Conclusion | 811 | ||
| Patient Education Guides | 811 | ||
| CPT/Billing Codes | 811 | ||
| ICD-9-CM Diagnostic Codes | 812 | ||
| Skin Lesions | 812 | ||
| Bibliography | 814 | ||
| 119 Dorsal Slit for Phimosis | 815 | ||
| Indications | 815 | ||
| Contraindications | 815 | ||
| Equipment | 815 | ||
| Preprocedure Patient Preparation | 815 | ||
| Technique | 815 | ||
| Anesthesia | 815 | ||
| Procedure | 815 | ||
| Complications | 817 | ||
| Postprocedure Patient Education | 817 | ||
| Conclusion | 817 | ||
| Patient Education Guides | 817 | ||
| CPT/Billing Code | 817 | ||
| ICD-9-CM Diagnostic Codes | 817 | ||
| Acknowledgment | 817 | ||
| BIBLIOGRAPHY | 817 | ||
| 120 Prostate Massage | 819 | ||
| Indications | 819 | ||
| Contraindications | 819 | ||
| Equipment | 819 | ||
| Preprocedure Patient Preparation | 819 | ||
| Technique | 819 | ||
| Complications | 820 | ||
| CPT/Billing Code | 820 | ||
| ICD-9-CM Diagnostic Codes | 820 | ||
| BIBLIOGRAPHY | 820 | ||
| 121 Prostate and Seminal Vesicle Ultrasonography and Biopsy | 821 | ||
| General Anatomy | 821 | ||
| Prostate | 821 | ||
| Vas Deferens and Seminal Vesicles | 821 | ||
| Vascular Anatomy | 821 | ||
| Zonal Anatomy | 821 | ||
| Tissue Anatomy | 821 | ||
| Glandular Tissue | 821 | ||
| Fibromuscular Structures | 823 | ||
| Ultrasonographic Anatomy | 823 | ||
| Composition of the Inner and Outer Glands | 824 | ||
| Inner Gland | 824 | ||
| Outer Gland | 824 | ||
| Basic Ultrasound Physics | 824 | ||
| Sound Frequency | 824 | ||
| Indications | 824 | ||
| TRUSP-SV | 824 | ||
| 9 Gynecology and Female Reproductive System Procedures | 861 | ||
| 127 Pregnancy Termination: | 863 | ||
| Anatomy | 863 | ||
| Indications | 863 | ||
| Contraindications | 863 | ||
| Absolute | 863 | ||
| Relative | 863 | ||
| Equipment and Supplies | 864 | ||
| Precautions | 864 | ||
| Preprocedure Patient Education | 864 | ||
| Procedure | 865 | ||
| Initial Steps | 866 | ||
| Paracervical Block | 866 | ||
| Cervical Preparation | 866 | ||
| “No-Touch” Technique | 867 | ||
| Mechanical Dilation with Surgical Dilators | 867 | ||
| Manual Vacuum Aspiration | 867 | ||
| Suction Abortion (Electrical Pump) | 869 | ||
| Sample Procedure Note | 869 | ||
| Common Errors | 869 | ||
| Complications | 869 | ||
| Preprocedure Complications | 869 | ||
| Procedural Complications | 870 | ||
| Postprocedure Complications | 870 | ||
| Postprocedure Management | 871 | ||
| Postprocedure Patient Education | 871 | ||
| Interpretation of Results | 871 | ||
| Patient Education Guides | 871 | ||
| CPT/Billing Codes | 871 | ||
| ICD-9-CM Diagnostic Codes | 871 | ||
| Acknowledgment | 871 | ||
| Suppliers | 871 | ||
| ONLINE RESOURCES | 871 | ||
| Additional Resources for Clinicians | 871 | ||
| Counseling Resource for Patients | 872 | ||
| BIBLIOGRAPHY | 872 | ||
| 128 Pregnancy Termination: | 873 | ||
| Selecting Medication or Surgical Abortion | 873 | ||
| Indication | 873 | ||
| Contraindications | 873 | ||
| Absolute | 873 | ||
| Relative | 873 | ||
| Equipment and Supplies | 873 | ||
| Preprocedure Patient Education | 873 | ||
| Procedure | 874 | ||
| Mifepristone and Misoprostol | 874 | ||
| Methotrexate and Misoprostol and Misoprostol-Only Regimens | 874 | ||
| Sample Procedure Notes | 874 | ||
| Complications | 874 | ||
| Postprocedure Management and Education | 874 | ||
| Patient Education Guides | 874 | ||
| Billing and Coding | 880 | ||
| Visit 1 | 880 | ||
| Visit 2 | 880 | ||
| Online Resources | 880 | ||
| Bibliography | 880 | ||
| 129 Emergency Contraception | 881 | ||
| Indications | 881 | ||
| Contraindications | 881 | ||
| Precautions | 881 | ||
| Preprocedure Patient Education | 881 | ||
| Procedure | 881 | ||
| Medical | 881 | ||
| Intrauterine Contraceptive Device | 882 | ||
| Complications | 882 | ||
| Postprocedure Management | 882 | ||
| Patient Education Guides | 883 | ||
| CPT/Billing Codes | 883 | ||
| ICD-9-CM Diagnostic Codes | 883 | ||
| ONLINE RESOURCES | 883 | ||
| BIBLIOGRAPHY | 883 | ||
| 130 Barrier Contraceptives: | 885 | ||
| Cervical Caps | 885 | ||
| Anatomy | 885 | ||
| Indications | 885 | ||
| Contraindications | 885 | ||
| Absolute | 885 | ||
| Relative | 885 | ||
| Equipment and Supplies | 885 | ||
| Precautions | 886 | ||
| Patient Education: Cervical Cap Use for Contraception | 886 | ||
| Procedure | 886 | ||
| Complications | 887 | ||
| Postprocedure Management | 887 | ||
| Postprocedure Patient Education | 887 | ||
| Shield | 887 | ||
| Anatomy | 887 | ||
| Indication | 887 | ||
| Contraindications | 887 | ||
| Absolute | 887 | ||
| Relative | 887 | ||
| Equipment and Supplies | 887 | ||
| Preprocedure Patient Education and Forms | 887 | ||
| Procedure | 887 | ||
| Common Errors and Complications | 888 | ||
| Postprocedure Management | 888 | ||
| Postprocedure Patient Education | 888 | ||
| Diaphragm | 888 | ||
| Indications | 888 | ||
| Contraindications | 888 | ||
| Absolute | 888 | ||
| Relative | 888 | ||
| Equipment | 888 | ||
| Precautions | 888 | ||
| Preprocedure Patient Education and Forms | 888 | ||
| Procedure | 889 | ||
| Common Errors | 889 | ||
| Complications | 890 | ||
| Postprocedure Patient Education | 890 | ||
| Sponges | 890 | ||
| Anatomy | 890 | ||
| Indications | 890 | ||
| Contraindications | 890 | ||
| Absolute | 890 | ||
| Relative | 890 | ||
| 10 Obstetrics | 1099 | ||
| 161 Amniocentesis | 1101 | ||
| Indications | 1101 | ||
| Prenatal Diagnosis (First and Second Trimester) | 1101 | ||
| Evaluating Fetal Health (Late Second or Third Trimester) | 1101 | ||
| Evaluating Fetal Maturity (Third Trimester) | 1101 | ||
| Therapeutic Interventions | 1101 | ||
| Contraindications | 1101 | ||
| Absolute | 1101 | ||
| Relative | 1102 | ||
| Equipment and Supplies | 1102 | ||
| Preprocedure Patient Education and Forms | 1102 | ||
| Technique | 1102 | ||
| Sample Operative Report | 1103 | ||
| Complications | 1103 | ||
| Postprocedure Management | 1103 | ||
| Postprocedure Patient Education | 1103 | ||
| Interpretation of Results | 1103 | ||
| Patient Education Guides | 1104 | ||
| CPT/Billing Codes | 1104 | ||
| ICD-9-CM Diagnostic Codes | 1104 | ||
| Acknowledgment | 1104 | ||
| BIBLIOGRAPHY | 1104 | ||
| 162 Cesarean Section | 1105 | ||
| Indications | 1105 | ||
| Maternal Indications | 1105 | ||
| Fetal Indications | 1105 | ||
| Contraindications | 1105 | ||
| Equipment | 1105 | ||
| Precautions | 1106 | ||
| Preprocedure Patient Education | 1106 | ||
| Technique | 1106 | ||
| Sample Operative Report | 1111 | ||
| Complications | 1111 | ||
| Postoperative Orders | 1111 | ||
| Postprocedure Patient Education | 1111 | ||
| First 24 Hours | 1111 | ||
| First Postoperative Day | 1111 | ||
| Second Postoperative Day | 1111 | ||
| Discharge Instructions | 1111 | ||
| CPT/Billing Codes | 1112 | ||
| ICD-9-CM Diagnostic Codes | 1112 | ||
| Acknowledgment | 1112 | ||
| BIBLIOGRAPHY | 1112 | ||
| 163 Induction of Labor | 1113 | ||
| Anatomy | 1113 | ||
| Indications | 1113 | ||
| Contraindications | 1113 | ||
| Absolute | 1113 | ||
| Relative | 1113 | ||
| Equipment and Supplies | 1114 | ||
| Precautions | 1114 | ||
| Preprocedure Patient Education and Forms | 1114 | ||
| Technique | 1114 | ||
| Mechanical | 1115 | ||
| Foley Catheter | 1115 | ||
| Laminaria | 1115 | ||
| Pharmacologic | 1115 | ||
| Dinoprostone Gel | 1115 | ||
| Dinoprostone Insert | 1115 | ||
| Misoprostol | 1116 | ||
| Oxytocin | 1116 | ||
| Common Errors | 1116 | ||
| Complications | 1116 | ||
| Postprocedure Management | 1116 | ||
| CPT/Billing Codes | 1117 | ||
| ICD-9-CM Diagnostic Codes | 1117 | ||
| BIBLIOGRAPHY | 1117 | ||
| 164 Amniotomy | 1118 | ||
| Indications | 1118 | ||
| Contraindications | 1118 | ||
| Absolute | 1118 | ||
| Relative | 1118 | ||
| Equipment and Supplies | 1118 | ||
| Precautions | 1118 | ||
| Preprocedure Patient Education and Forms | 1118 | ||
| Technique | 1118 | ||
| Amniotomy Hook | 1118 | ||
| Amniotomy Glove | 1119 | ||
| Sample Operative Report | 1120 | ||
| Common Errors | 1120 | ||
| Complications | 1120 | ||
| Postprocedure Management | 1120 | ||
| Postprocedure Patient Education | 1120 | ||
| CPT/Billing Codes | 1120 | ||
| ICD-9-CM Diagnostic Codes | 1120 | ||
| Suppliers | 1120 | ||
| BIBLIOGRAPHY | 1120 | ||
| 165 Antepartum Fetal Monitoring | 1121 | ||
| Doppler Velocitometry | 1121 | ||
| Fetal Movement Counting | 1121 | ||
| Indications | 1121 | ||
| Contraindications | 1121 | ||
| Technique | 1121 | ||
| Complications | 1121 | ||
| Interpretation of Results | 1122 | ||
| Nonstress Test | 1122 | ||
| Indications | 1122 | ||
| Contraindications | 1122 | ||
| Equipment | 1122 | ||
| Preprocedure Patient Education | 1122 | ||
| Technique | 1122 | ||
| Complications | 1122 | ||
| Interpretation of Results | 1123 | ||
| Postprocedure Patient Education | 1123 | ||
| Modified Biophysical Profile | 1123 | ||
| Indications | 1123 | ||
| Equipment | 1123 | ||
| Preprocedure Patient Education | 1124 | ||
| Technique | 1124 | ||
| Interpretation of Results | 1124 | ||
| Contraction Stress Test | 1124 | ||
| Indications | 1125 | ||
| Contraindications | 1125 | ||
| Absolute | 1125 | ||
| Relative | 1125 | ||
| Equipment | 1125 | ||
| Preprocedure Patient Education | 1125 | ||
| Technique | 1125 | ||
| Complications | 1125 | ||
| Interpretation of Results | 1125 | ||
| Postprocedure Education | 1126 | ||
| Patient Education Guides | 1126 | ||
| CPT/Billing Codes | 1126 | ||
| ICD-9-CM Diagnostic Codes | 1126 | ||
| Suppliers | 1126 | ||
| BIBLIOGRAPHY | 1126 | ||
| 166 Episiotomy and Repair of the Perineum | 1128 | ||
| Indications | 1128 | ||
| Maternal Indications | 1128 | ||
| Fetal Indications | 1128 | ||
| Contraindications | 1128 | ||
| Absolute | 1128 | ||
| Relative | 1128 | ||
| Equipment | 1128 | ||
| Preprocedure Patient Education | 1129 | ||
| Technique | 1129 | ||
| Repair | 1130 | ||
| Repair of Third- and Fourth-Degree Extensions (Tears) | 1131 | ||
| Repair of the Episiotomy | 1131 | ||
| Complications | 1133 | ||
| Postprocedure Management and Patient Education | 1135 | ||
| CPT/Billing Codes | 1135 | ||
| ICD-9-CM Diagnostic Codes | 1135 | ||
| Acknowledgment | 1135 | ||
| ONLINE RESOURCE | 1136 | ||
| BIBLIOGRAPHY | 1136 | ||
| 167 External Cephalic Version | 1137 | ||
| Indications | 1137 | ||
| Contraindications | 1137 | ||
| Absolute | 1137 | ||
| Relative | 1137 | ||
| Equipment and Supplies | 1137 | ||
| Preprocedure Patient Education | 1138 | ||
| Technique | 1138 | ||
| Sample Operative Report | 1139 | ||
| Common Error | 1139 | ||
| Complications | 1139 | ||
| Postprocedure Management | 1139 | ||
| Postprocedure Patient Education | 1139 | ||
| Patient Education Guides | 1140 | ||
| CPT/Billing Code | 1140 | ||
| ICD-9-CM Diagnostic Codes | 1140 | ||
| ONLINE RESOURCES | 1140 | ||
| BIBLIOGRAPHY | 1140 | ||
| 168 Fetal Scalp Electrode Application | 1141 | ||
| Indications | 1141 | ||
| Contraindications | 1141 | ||
| Absolute | 1141 | ||
| Relative | 1142 | ||
| Equipment and Supplies | 1142 | ||
| Precautions | 1142 | ||
| Preprocedure Patient Education and Forms | 1142 | ||
| Technique | 1142 | ||
| Sample Operative Report | 1143 | ||
| Common Errors | 1143 | ||
| Complications | 1143 | ||
| Postprocedure Management and Patient Education | 1143 | ||
| Removing the Fetal Scalp Electrode | 1143 | ||
| Indications | 1143 | ||
| Technique | 1143 | ||
| CPT/Billing Codes | 1143 | ||
| ICD-9-CM Diagnostic Codes | 1144 | ||
| Acknowledgment | 1144 | ||
| Supplier | 1144 | ||
| ONLINE RESOURCES | 1144 | ||
| BIBLIOGRAPHY | 1144 | ||
| 169 Forceps- and Vacuum-Assisted Deliveries | 1145 | ||
| Classification | 1145 | ||
| Outlet Forceps or Vacuum | 1145 | ||
| Low Forceps or Vacuum | 1145 | ||
| Midforceps or Vacuum | 1145 | ||
| Indications | 1145 | ||
| Conditions Required for Instrumentation | 1145 | ||
| Maternal Indications for Instrument Delivery | 1146 | ||
| Maternal and Fetal Indications for Instrument Delivery | 1146 | ||
| Fetal Indications for Instrument Delivery | 1146 | ||
| Contraindications | 1146 | ||
| Absolute | 1146 | ||
| Relative | 1146 | ||
| Equipment | 1147 | ||
| Precautions | 1147 | ||
| Preprocedure Patient Education | 1147 | ||
| Technique | 1147 | ||
| Forceps Delivery | 1147 | ||
| Vacuum Delivery | 1148 | ||
| Sample Operative Report | 1149 | ||
| Common Errors | 1149 | ||
| Complications | 1149 | ||
| Postprocedure Patient Education | 1149 | ||
| CPT/Billing Codes | 1149 | ||
| ICD-9-CM Diagnostic Code | 1150 | ||
| BIBLIOGRAPHY | 1150 | ||
| 170 Intrathecal Analgesia in Labor | 1151 | ||
| Anatomy | 1151 | ||
| Indications | 1151 | ||
| Contraindications | 1151 | ||
| Absolute | 1151 | ||
| Relative | 1152 | ||
| Equipment and Supplies | 1152 | ||
| Precautions | 1152 | ||
| Preprocedure Patient Education | 1152 | ||
| Technique | 1152 | ||
| Sample Operative Report | 1153 | ||
| Common Errors | 1153 | ||
| Complications | 1153 | ||
| Postprocedure Management | 1154 | ||
| Patient Education Guides | 1154 | ||
| CPT/ Billing Codes | 1154 | ||
| ICD-9-CM Diagnostic Codes | 1154 | ||
| Codes Related to Deliveries with Forceps or Vacuum | 1154 | ||
| Suppliers | 1154 | ||
| BIBLIOGRAPHY | 1154 | ||
| 171 Intrauterine Pressure Catheter Insertion | 1155 | ||
| Indications | 1155 | ||
| Contraindications | 1155 | ||
| Absolute | 1155 | ||
| Relative | 1155 | ||
| Equipment and Supplies | 1155 | ||
| Precautions | 1155 | ||
| Preprocedure Patient Education and Forms | 1155 | ||
| Technique | 1156 | ||
| Intrauterine Pressure Catheter Removal | 1156 | ||
| Sample Operative Report | 1156 | ||
| Common Errors | 1156 | ||
| Complications | 1156 | ||
| Postprocedure Management and Patient Education | 1157 | ||
| CPT/Billing Codes | 1157 | ||
| ICD-9-CM Diagnostic Codes | 1157 | ||
| Acknowledgment | 1157 | ||
| Suppliers | 1157 | ||
| ONLINE RESOURCES | 1157 | ||
| BIBLIOGRAPHY | 1157 | ||
| 172 Obstetric Ultrasonography | 1158 | ||
| Documentation | 1158 | ||
| First-Trimester Standard Scan Documentation | 1159 | ||
| Second- and Third-Trimester Standard Scan Documentation | 1160 | ||
| Intrapartum Standard Scan Documentation | 1160 | ||
| Indications | 1160 | ||
| Contraindication | 1160 | ||
| Equipment | 1160 | ||
| Preprocedure Patient Preparation | 1160 | ||
| Technique | 1161 | ||
| Measurements | 1161 | ||
| Fetal Body Ratios | 1164 | ||
| Ultrasonographic Dating | 1164 | ||
| Organ Survey | 1165 | ||
| Placental Imaging | 1166 | ||
| Amniotic Fluid Volume | 1166 | ||
| Fetal Assessment (Biophysical Profile) | 1167 | ||
| Fetal Size | 1168 | ||
| Intrauterine Growth Retardation | 1168 | ||
| Macrosomia | 1168 | ||
| Preterm Labor | 1169 | ||
| Postdates Pregnancy | 1169 | ||
| First-Trimester Scanning | 1169 | ||
| Intrapartum Scanning | 1170 | ||
| Complications | 1171 | ||
| Postprocedure Patient Education | 1171 | ||
| Patient Education Guides | 1171 | ||
| CPT/Billing Codes | 1171 | ||
| ICD-9-CM Diagnostic Codes | 1171 | ||
| Acknowledgment | 1171 | ||
| Suppliers | 1171 | ||
| BIBLIOGRAPHY | 1172 | ||
| 173 Paracervical Block | 1173 | ||
| Anatomy | 1173 | ||
| Indications | 1173 | ||
| Contraindications | 1173 | ||
| Absolute | 1173 | ||
| Relative | 1173 | ||
| Equipment and Supplies | 1173 | ||
| Preprocedure Patient Education | 1173 | ||
| Technique | 1173 | ||
| Common Error | 1174 | ||
| Complications | 1174 | ||
| Postprocedure Management | 1174 | ||
| Patient Education Guides | 1174 | ||
| CPT/Billing Codes | 1174 | ||
| ICD-9-CM Diagnostic Codes | 1174 | ||
| BIBLIOGRAPHY | 1175 | ||
| 174 Pudendal Anesthesia | 1176 | ||
| Anatomy | 1176 | ||
| Indications | 1176 | ||
| Contraindications | 1176 | ||
| Absolute | 1176 | ||
| Relative | 1176 | ||
| Equipment and Supplies | 1176 | ||
| Precautions | 1176 | ||
| Preprocedure Patient Preparation | 1176 | ||
| Technique | 1177 | ||
| Complications | 1178 | ||
| Postprocedure Management and Patient Education | 1178 | ||
| CPT/Billing Code | 1178 | ||
| ICD-9-CM Diagnostic Codes | 1178 | ||
| Acknowledgment | 1178 | ||
| BIBLIOGRAPHY | 1178 | ||
| 175 Saddle Block Anesthesia | 1179 | ||
| Indications | 1179 | ||
| Contraindications | 1179 | ||
| Absolute | 1179 | ||
| Relative | 1179 | ||
| Equipment and Supplies | 1179 | ||
| Anesthetic Agents and Doses | 1180 | ||
| Precautions | 1180 | ||
| Preprocedure Patient Education and Forms | 1180 | ||
| Technique | 1180 | ||
| Complications | 1181 | ||
| Intraoperative Complications | 1182 | ||
| Postoperative Complications | 1182 | ||
| Patient Education Guides | 1182 | ||
| CPT/Billing Codes | 1182 | ||
| ICD-9-CM Diagnostic Codes | 1182 | ||
| Acknowledgment | 1182 | ||
| Suppliers | 1182 | ||
| BIBLIOGRAPHY | 1182 | ||
| 176 Transcervical Amnioinfusion | 1183 | ||
| Indication | 1183 | ||
| Contraindications | 1183 | ||
| Equipment | 1184 | ||
| Preprocedure Patient Preparation | 1184 | ||
| Technique | 1184 | ||
| Complications | 1184 | ||
| Patient Education Guides | 1185 | ||
| CPT/Billing Code | 1185 | ||
| ICD-9-CM Diagnostic Codes | 1185 | ||
| ONLINE RESOURCE | 1185 | ||
| BIBLIOGRAPHY | 1185 | ||
| 177 Vaginal Delivery | 1187 | ||
| Anatomy | 1187 | ||
| Indications | 1189 | ||
| Contraindications | 1189 | ||
| Absolute | 1189 | ||
| Relative | 1189 | ||
| Equipment and Supplies | 1189 | ||
| Precautions | 1190 | ||
| Preprocedure Patient Education | 1190 | ||
| Technique | 1190 | ||
| First Stage | 1190 | ||
| Second Stage | 1190 | ||
| Preparation | 1192 | ||
| Position of the Woman | 1192 | ||
| Anesthesia (Optional) | 1192 | ||
| Delivery | 1192 | ||
| Third Stage | 1194 | ||
| Manual Delivery of the Placenta | 1194 | ||
| Sample Operative Report | 1195 | ||
| Common Errors | 1195 | ||
| Complications | 1195 | ||
| Maternal Complications | 1195 | ||
| Fetal Complications | 1195 | ||
| Postprocedure Management | 1195 | ||
| Postprocedure Patient Education | 1196 | ||
| Interpretation of Results | 1196 | ||
| CPT/Billing and Coding | 1196 | ||
| ICD-9-CM Diagnostic Codes | 1196 | ||
| Acknowledgment | 1197 | ||
| ONLINE RESOURCES | 1197 | ||
| USEFUL CONTINUING EDUCATION | 1197 | ||
| Advanced Life Support in Obstetrics (ALSO) | 1197 | ||
| Family-Centered Maternity Care Conference | 1197 | ||
| BIBLIOGRAPHY | 1197 | ||
| 11 Pediatrics | 1199 | ||
| 178 DeLee Suctioning | 1201 | ||
| Indications | 1201 | ||
| Contraindications | 1201 | ||
| Absolute | 1201 | ||
| Relative | 1201 | ||
| Equipment and Supplies | 1201 | ||
| Technique | 1201 | ||
| Complications | 1202 | ||
| CPT/Billing Codes | 1202 | ||
| ICD-9-CM Diagnostic Codes | 1202 | ||
| ONLINE RESOURCE | 1202 | ||
| BIBLIOGRAPHY | 1202 | ||
| 179 Subcutaneous Ring and Dorsal Penile Block for Newborn Circumcision | 1203 | ||
| Indication | 1203 | ||
| Contraindications | 1203 | ||
| Equipment | 1203 | ||
| Preprocedure Patient Preparation | 1203 | ||
| Technique | 1203 | ||
| Subcutaneous Ring Block | 1204 | ||
| Dorsal Penile Nerve Block (Two Techniques) | 1204 | ||
| Standard Technique | 1204 | ||
| Alternative Technique Using Single Injection Site | 1204 | ||
| Notes Regarding Optimal Effects | 1205 | ||
| Common Errors | 1205 | ||
| Complications | 1205 | ||
| CPT/Billing Code | 1205 | ||
| ICD-9-CM Diagnostic Code | 1205 | ||
| Supplier | 1205 | ||
| BIBLIOGRAPHY | 1205 | ||
| 180 Neonatal Resuscitation | 1207 | ||
| Indications | 1207 | ||
| Equipment | 1207 | ||
| Technique | 1207 | ||
| Positioning, Suction, and Stimulation | 1207 | ||
| Initial Assessment | 1207 | ||
| General Guidelines of Resuscitation | 1207 | ||
| Ventilation | 1207 | ||
| Chest Compressions | 1209 | ||
| Medications | 1209 | ||
| Termination of Resuscitation | 1209 | ||
| Postprocedure Patient Management | 1209 | ||
| Complications | 1209 | ||
| Suction | 1209 | ||
| Ventilation | 1209 | ||
| CPT/Billing Codes | 1210 | ||
| ICD-9-CM Diagnostic Codes | 1210 | ||
| Acknowledgment | 1210 | ||
| Bibliography | 1210 | ||
| 181 Newborn Circumcision and Office Meatotomy | 1211 | ||
| Anatomy | 1212 | ||
| Circumcision | 1212 | ||
| Indication | 1212 | ||
| Contraindications | 1212 | ||
| Absolute | 1212 | ||
| Relative | 1212 | ||
| Precautions | 1212 | ||
| Preprocedure Patient and Parent Preparation | 1212 | ||
| Equipment | 1212 | ||
| Equipment Common to All Techniques | 1212 | ||
| Equipment for the Mogen Technique | 1212 | ||
| Equipment for the Gomco Technique | 1212 | ||
| Equipment for the Plastibell Technique | 1212 | ||
| Equipment for Bleeding Complications in All Three Techniques | 1213 | ||
| Mogen Technique | 1213 | ||
| Gomco Technique | 1214 | ||
| Plastibell Technique | 1216 | ||
| Postprocedure Management and Parent Education | 1217 | ||
| All Techniques | 1217 | ||
| Plastibell Technique | 1217 | ||
| Complications | 1218 | ||
| Meatotomy (Newborn and Office) | 1218 | ||
| Indications | 1218 | ||
| Contraindications | 1218 | ||
| Preprocedure Patient Preparation | 1218 | ||
| Equipment | 1218 | ||
| Technique | 1218 | ||
| Postprocedure Management and Parent Education | 1218 | ||
| Sample Operative Report | 1218 | ||
| Patient Education Guides | 1218 | ||
| CPT/Billing Codes | 1219 | ||
| ICD-9-CM Diagnostic Codes | 1219 | ||
| Acknowledgment | 1219 | ||
| Suppliers | 1219 | ||
| ONLINE RESOURCE | 1219 | ||
| BIBLIOGRAPHY | 1219 | ||
| 182 Pediatric Arterial Puncture and Venous Minicutdown | 1220 | ||
| Arterial Puncture | 1220 | ||
| Indications | 1220 | ||
| Contraindications | 1220 | ||
| Equipment and Supplies | 1220 | ||
| Precautions | 1220 | ||
| Technique | 1220 | ||
| Sample Operative Report | 1221 | ||
| Complications | 1221 | ||
| Interpretation of Results | 1221 | ||
| Venous Minicutdown | 1221 | ||
| Indications | 1221 | ||
| Contraindications | 1222 | ||
| Equipment and Supplies | 1222 | ||
| Technique | 1222 | ||
| Sample Operative Report | 1222 | ||
| Complications | 1222 | ||
| Postprocedure Management | 1222 | ||
| CPT/Billing Codes | 1223 | ||
| ICD-9-CM Diagnostic Codes | 1223 | ||
| Pediatric Arterial Puncture | 1223 | ||
| Venous Minicutdown | 1223 | ||
| Acknowledgment | 1223 | ||
| BIBLIOGRAPHY | 1223 | ||
| 183 Pediatric Suprapubic Bladder Aspiration | 1224 | ||
| Indications | 1224 | ||
| Contraindications | 1224 | ||
| Absolute | 1224 | ||
| Relative | 1224 | ||
| Equipment and Supplies | 1224 | ||
| Preprocedure Patient Preparation | 1224 | ||
| Procedure | 1224 | ||
| Complications | 1225 | ||
| Postprocedure Patient Education | 1225 | ||
| CPT/Billing Codes | 1225 | ||
| ICD-9-CM Diagnostic Codes | 1225 | ||
| Acknowledgment | 1225 | ||
| BIBLIOGRAPHY | 1225 | ||
| 184 Umbilical Vessel Catheterization | 1226 | ||
| Indications | 1226 | ||
| Umbilical Artery Catheterization | 1226 | ||
| Umbilical Vein Catheterization | 1226 | ||
| Contraindications | 1226 | ||
| Equipment | 1226 | ||
| Preprocedure Patient Preparation | 1227 | ||
| Technique | 1227 | ||
| Complications | 1230 | ||
| Postprocedure Patient Education | 1230 | ||
| CPT/Billing Codes | 1230 | ||
| ICD-9-CM Diagnostic Codes | 1230 | ||
| Acknowledgment | 1230 | ||
| BIBLIOGRAPHY | 1230 | ||
| 12 Orthopedics | 1231 | ||
| 185 Musculoskeletal Ultrasonography | 1233 | ||
| Technology and Terminology | 1233 | ||
| Orientation and Anatomy | 1233 | ||
| Scanning | 1233 | ||
| Indications | 1234 | ||
| Precautions and Contraindications | 1234 | ||
| Equipment | 1234 | ||
| Preprocedure Patient Education and Preparation | 1234 | ||
| Technique | 1234 | ||
| Overall | 1234 | ||
| Specific | 1240 | ||
| Shoulder | 1240 | ||
| Elbow | 1240 | ||
| Wrist | 1241 | ||
| Hip | 1241 | ||
| Knee | 1241 | ||
| Ankle | 1242 | ||
| Foot | 1242 | ||
| Peripheral Nerves | 1242 | ||
| Soft Tissue Masses | 1243 | ||
| Foreign Bodies | 1243 | ||
| Interventional Ultrasonography | 1243 | ||
| Sample Operative Report | 1243 | ||
| Common Errors | 1243 | ||
| Complications | 1244 | ||
| Postprocedure Management and Patient Education | 1244 | ||
| Interpretation and Results | 1244 | ||
| CPT/Billing Codes | 1244 | ||
| Modifiers | 1244 | ||
| Coding Example | 1244 | ||
| ICD-9-CM Diagnostic Codes | 1244 | ||
| Suppliers | 1245 | ||
| ONLINE RESOURCE | 1245 | ||
| BIBLIOGRAPHY | 1245 | ||
| 186 Ankle and Foot Splinting, Casting, and Taping | 1247 | ||
| Indications | 1247 | ||
| Soft Tissue Injuries | 1247 | ||
| Fractures | 1247 | ||
| Prophylaxis against Injuries | 1247 | ||
| Contraindications | 1247 | ||
| Benefits of Different Types of Immobilization | 1247 | ||
| Splinting | 1247 | ||
| 13 Hospitalist | 1353 | ||
| 198 Intraosseous Vascular Access | 1355 | ||
| Indications | 1356 | ||
| Contraindications | 1356 | ||
| Equipment | 1356 | ||
| Preprocedure Patient Education | 1357 | ||
| Technique | 1357 | ||
| Removal | 1358 | ||
| Postprocedure Management | 1358 | ||
| Complications | 1358 | ||
| Patient Education Guides | 1359 | ||
| CPT/Billing Code | 1359 | ||
| ICD-9-CM Diagnostic Codes | 1359 | ||
| Acknowledgment | 1359 | ||
| Suppliers | 1359 | ||
| BIBLIOGRAPHY | 1359 | ||
| 199 Cricothyroid Catheter Insertion, Cricothyroidotomy, and Tracheostomy | 1361 | ||
| Cricothyroid Catheter Insertion | 1361 | ||
| Indications | 1361 | ||
| Contraindications | 1361 | ||
| Equipment | 1361 | ||
| Preprocedure Patient Preparation | 1362 | ||
| Procedure | 1362 | ||
| Complications | 1362 | ||
| Cricothyroidotomy | 1362 | ||
| Indications | 1362 | ||
| Contraindications | 1362 | ||
| Equipment | 1363 | ||
| Preprocedure Patient Preparation | 1363 | ||
| Technique | 1363 | ||
| Complications | 1364 | ||
| Postprocedure Patient Education | 1364 | ||
| Tracheostomy | 1364 | ||
| Indications | 1364 | ||
| Contraindications | 1365 | ||
| Equipment | 1365 | ||
| Preprocedure Patient Preparation | 1365 | ||
| Technique | 1365 | ||
| Complications | 1367 | ||
| Postprocedure Patient Education | 1367 | ||
| CPT/Billing Codes | 1367 | ||
| ICD-9-CM Diagnostic Codes | 1367 | ||
| PAtient Education Guides | 1367 | ||
| Suppliers | 1367 | ||
| BIBLIOGRAPHY | 1368 | ||
| 200 Percutaneous Endoscopic Gastrostomy Placement and Replacement | 1369 | ||
| Indications | 1369 | ||
| 14 Miscellaneous | 1487 | ||
| 218 Acupuncture | 1489 | ||
| Indications | 1489 | ||
| Contraindications | 1490 | ||
| Equipment | 1490 | ||
| Preprocedure Patient Preparation | 1490 | ||
| Technique | 1491 | ||
| Complications | 1491 | ||
| Postprocedure Patient Education | 1491 | ||
| Referral Process | 1492 | ||
| Patient Education Guides | 1492 | ||
| CPT/Billing Codes | 1492 | ||
| ICD-9-CM Diagnostic Codes | 1493 | ||
| Suppliers | 1493 | ||
| ONLINE RESOURCES | 1493 | ||
| BIBLIOGRAPHY | 1494 | ||
| 219 Allergy Testing and Immunotherapy | 1495 | ||
| Indications | 1495 | ||
| Contraindications | 1495 | ||
| Screening for Allergies | 1496 | ||
| Preprocedure Patient Preparation | 1496 | ||
| Equipment | 1496 | ||
| For Skin Testing | 1496 | ||
| For Radioallergosorbent Testing or Other in Vitro Tests | 1497 | ||
| Technique | 1497 | ||
| Skin Prick and Puncture Tests | 1497 | ||
| Multi-Test Applicator Method | 1497 | ||
| Loading the Dipwell Tray | 1497 | ||
| Application of Multi-Test | 1497 | ||
| Interpretation of Results | 1497 | ||
| Complications | 1502 | ||
| Intradermal Testing and the Vial Test | 1502 | ||
| Radioallergosorbent Blood Test | 1502 | ||
| Advantages of Skin Testing | 1503 | ||
| Postprocedure Patient Education | 1503 | ||
| Immunotherapy | 1503 | ||
| Sublingual Immunotherapy | 1504 | ||
| Labeling and Storage of Extracts | 1505 | ||
| Summary | 1505 | ||
| Educational Guide | 1505 | ||
| CPT/Billing Codes | 1505 | ||
| Testing and Immunotherapy | 1505 | ||
| Allergy Injections | 1505 | ||
| Other Services | 1505 | ||
| ICD-9-CM Diagnostic Codes | 1505 | ||
| Suppliers | 1505 | ||
| BIBLIOGRAPHY | 1505 | ||
| 220 Anaphylaxis | 1507 | ||
| Diagnosis | 1507 | ||
| Equipment | 1507 | ||
| Technique | 1507 | ||
| Prevention with Previous History | 1508 | ||
| Precautions | 1508 | ||
| Postprocedure Patient Education | 1509 | ||
| ICD-9-CM Diagnostic Codes | 1509 | ||
| Suppliers | 1509 | ||
| BIBLIOGRAPHY | 1509 | ||
| 221 Antibiotic Prophylaxis | 1510 | ||
| Antibiotic Prophylaxis for Infective Endocarditis | 1510 | ||
| Wound Prophylaxis | 1511 | ||
| BIBLIOGRAPHY | 1512 | ||
| 222 Prevention and Treatment of Wound Infections | 1513 | ||
| Initial Wound Management | 1513 | ||
| Patient Factors | 1513 | ||
| Wound Factors | 1514 | ||
| Prophylaxis in Clean Surgical Wounds | 1514 | ||
| Prophylaxis in Traumatic Wounds | 1514 | ||
| Rabies Prophylaxis in Animal Bites | 1514 | ||
| Treatment of Wound Infections | 1514 | ||
| Seawater Wounds | 1515 | ||
| Tetanus Prophylaxis | 1515 | ||
| CPT/Billing Codes | 1515 | ||
| ICD-9-CM Diagnostic Codes | 1516 | ||
| BIBLIOGRAPHY | 1516 | ||
| 223 Body Fat Analysis | 1517 | ||
| Indications | 1517 | ||
| Contraindications | 1517 | ||
| Skin-Fold Measurements | 1517 | ||
| Equipment | 1517 | ||
| Technique | 1517 | ||
| Calculations | 1519 | ||
| Bioelectrical Impedance | 1519 | ||
| Equipment | 1519 | ||
| Technique A | 1519 | ||
| Technique B | 1520 | ||
| Complications | 1520 | ||
| Near-Infrared Interactance | 1520 | ||
| APPENDIX A Commonly Used Instruments and Equipment* | 1615 | ||
| Optional Equipment to Consider | 1619 | ||
| APPENDIX B Informed Consent | 1620 | ||
| Legal Consent | 1620 | ||
| Models of Medical Decision Making | 1622 | ||
| Consent Is a Process | 1623 | ||
| Complications Happen and the Consent Process Will Be Scrutinized | 1623 | ||
| Billing Issues | 1624 | ||
| Acknowledgment | 1624 | ||
| ONLINE RESOURCES | 1624 | ||
| BIBLIOGRAPHY | 1624 | ||
| APPENDIX C Latex Allergy Guidelines | 1625 | ||
| Symptoms of Latex Allergy | 1625 | ||
| Risk Groups | 1625 | ||
| Nonlatex Materials | 1625 | ||
| Diagnosis | 1626 | ||
| Management | 1627 | ||
| Suppliers | 1627 | ||
| Conclusion | 1627 | ||
| ICD-9-CM Diagnostic Code | 1627 | ||
| ONLINE RESOURCES | 1628 | ||
| BIBLIOGRAPHY | 1628 | ||
| APPENDIX D Supplier Information | 1629 | ||
| APPENDIX E Resources for Learning and Teaching Procedures | 1650 | ||
| Courses in Procedures for Primary Care Physicians | 1650 | ||
| Teaching Procedures | 1650 | ||
| Key Features of Procedural Skills | 1650 | ||
| Introduction | 1651 | ||
| Core Material | 1651 | ||
| Conclusion | 1651 | ||
| Gaining Practical Experience in Procedures | 1652 | ||
| Books on Procedures in Primary Care | 1652 | ||
| CD-ROM/DVD Resources for Procedures in Primary Care | 1652 | ||
| Websites | 1652 | ||
| Artificial Models and Learning Procedures | 1654 | ||
| Computer Simulation and Virtual Reality in Learning Procedures | 1655 | ||
| Procedure-Oriented Associations | 1658 | ||
| Conclusion | 1660 | ||
| BIBLIOGRAPHY | 1660 | ||
| APPENDIX F Universal Precautions | 1661 | ||
| Infection Prevention Strategy: Workers | 1661 | ||
| Environmental Considerations | 1662 | ||
| Conclusion | 1663 | ||
| GENERAL RESOURCES | 1663 | ||
| ONLINE RESOURCES | 1665 | ||
| BIBLIOGRAPHY | 1665 | ||
| APPENDIX G Neoplasms of the Skin: ICD-9 Diagnostic Codes | 1666 | ||
| Selected Tumor Codes | 1668 | ||
| APPENDIX H Pearls of Practice | 1669 | ||
| BIBLIOGRAPHY | 1674 | ||
| APPENDIX I Universal Procedural Training in Family Medicine | 1675 | ||
| BIBLIOGRAPHY | 1677 | ||
| APPENDIX J Outline for a Comprehensive Operative Note | 1678 | ||
| APPENDIX K Management Guidelines for Abnormal Cervical Cancer Screening Tests and Histologic Findings | 1679 | ||
| BIBLIOGRAPHY | 1685 | ||
| APPENDIX L Buying Major Office Equipment | 1686 | ||
| Estimate the Lifetime of the Project | 1686 | ||
| Forecast the Annual Revenue | 1686 | ||
| Forecast the Annual Expense | 1686 | ||
| Consider the Opportunity Cost | 1686 | ||
| Forecast the Annual Growth Rate for Revenue and Expense | 1688 | ||
| Estimate the Terminal Value | 1688 | ||
| Estimate the Risk of the Project | 1688 | ||
| Perform a Sensitivity Analysis | 1689 | ||
| Conclusion | 1689 | ||
| Bibliography | 1689 | ||
| Patient Education Handouts | 1691 | ||
| Patient Consent Forms | 1692 | ||
| Miscellaneous | 1692 | ||
| Index | 1693 | ||
| A | 1693 | ||
| B | 1696 | ||
| C | 1699 | ||
| D | 1704 | ||
| E | 1705 | ||
| F | 1708 | ||
| G | 1711 | ||
| H | 1712 | ||
| I | 1713 | ||
| J | 1715 | ||
| K | 1715 | ||
| L | 1715 | ||
| M | 1717 | ||
| N | 1718 | ||
| O | 1719 | ||
| P | 1720 | ||
| Q | 1723 | ||
| R | 1723 | ||
| S | 1724 | ||
| T | 1728 | ||
| U | 1730 | ||
| V | 1731 | ||
| W | 1732 | ||
| X | 1733 | ||
| Y | 1733 | ||
| Z | 1733 |