For the abdominal approach hysterectomy, the abdomen is incised and opened to the view of the surgeon. The CPT hysterectomy codes are divided based on the approach (abdominal or vaginal) and the secondary procedures that are performed at the same time, such as surgical removal of the ovaries or fallopian tubes. A gynecologist would repair the prolapsing uterus, and the urologist would return the bladder to the original position.Ī hysterectomy is the surgical removal of the uterus. For example, an older female patient with prolapsing uterus may have a bladder displacement. Because the reproductive system is so closely related to the urinary system, urologists also work closely with gynecologists. The gynecologist may prefer to perform the required surgical procedures himself or herself, whereas other gynecologists diagnose and treat patients but prefer to have a general surgeon perform surgical procedures, such as a hysterectomy. If she continues to have problems, she is to follow-up with her primary care physician. If it is ovulatory pain, this may dissipate when her menstrual cycle kicks in off the contraceptive pill. Instructions for her to take ibuprofen 600 to 800 mg (milligram) every 8 hours as needed should the pain return. She feels comfortable right now without any pain whatsoever. After talking to the patient regarding ovulatory pain, she does feel that this possibly may be the etiology. Urinalysis unremarkable.ĪSSESSMENT: Right adnexal pain, rule out mittelschmerz. On palpation over the right adnexal region, there is mild tenderness. HEENT (head, ears, eyes, nose, throat) is unremarkable. OBJECTIVE: On examination, this is a pleasant female in no acute distress. With further questioning she does admit to having a similar pain almost 4 weeks ago at the same site. She does state that in August she quit taking contraceptive pills because she would not quit smoking so this was discontinued. With further questioning she denies any vaginal discharge or itching. At the time, she felt like there was a bump at the site, and the pain at this time went away after she took ibuprofen. She states that the pain was bad it was like spasm. She states that she had excruciating pain earlier today that caused her to bend over in discomfort. In reality, she points to the right adnexal region. SUBJECTIVE: The patient is a 26-year-old female with complaint of low abdominal pain. Frequently performed office procedures are the Pap smear, colposcopy, and cervical biopsy, as well as implantation of contraceptives such as an intrauterine device, Norplant, and diaphragms. Conditions often treated are fibrocystic breast disease, female genital system cancer, vaginitis, cervicitis, sexually transmitted diseases, endometriosis, menopause, premenstrual syndrome, infertility, and pregnancy. The physician examines the patient, obtains a Pap smear, and based on abnormal test results refers the patient to a gynecologist with a request for a cervical biopsy.Ĭommon reproductive presenting complaints are dysmenorrhea (painful menstruation), abnormal vaginal bleeding, abnormal Pap smears, nipple discharge, vaginal discharge, and pelvic pain. For example, an established patient presents to her primary care physician with complaints of spotting between menstrual cycles. Often, the gynecologist is an obstetric and gynecology specialist (OB/GYN), and patients are referred to the specialist for more complex diagnosis, treatment, and/or delivery. A gynecologist specializes in female genital diagnoses and treatment. Friday at Swicegood Funeral Home.Female genital disorders are treated by all types of physicians, such as family medicine, internal medicine, and other types of primary care physicians. The family received friends from 7 to 8:30 p.m. Saturday at Hillcrest Baptist Church, with interment at Danville Memorial Gardens in Danville, Va. She is also survived by five grandchildren, Trina-Marie Anderson, Suzanne Lane, Thomas, Michael and Jonathan Francis, and four great-grandchildren as well as many nieces and nephews.įuneral services will be at 2 p.m. Her survivors include her sister, Evelyn Crittendon, and her brother, Calvin Hardy, as well as a son, Anthony Russell Francis and his wife, Vicky, of Smyrna, Tenn., and her daughter, Marie F. Hardy, and brothers, Benjamin and Garnet Hardy, and sisters, Ethel Arlene Hardy and Edna Hardy Price. She was preceded in death by her husband, Matthew Russell Francis, and her parents, George C. She loved her family and the word of the Lord and led many souls to Jesus during her journey here on Earth. She was 78 years old and a member of Hillcrest Baptist Church in Danville, Va. Gladys Hardy Francis went home to be with the Lord and her beloved husband, Russell, on Dec.
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