OPERATIVE REPORT
Patient: Putul Barua
Patient ID: 135799
Room #: CCU-4
Date of Surgery: 01/08/2015
Admitting Physician: Simon Williams, MD, Pulmonology
Surgeon: Simon Williams, MD
Preoperative Diagnosis: Recent-onset hemoptysis, history of tuberculosis.
Postoperative Diagnosis: No tuberculosis lesions seen.
Name of Procedure: Bronchoscopy.
Specimens Removed: Blood clots.
INDICATIONS: Mr. Barua requires bronchoscopy because of recent-onset hemoptysis and a remote history of
tuberculosis.
PROCEDURE: Patient was routinely premedicated with 25 mg of Demerol with 2 mg of Versed also used.
About 4 ml of 4% Xylocaine was used during the procedure. The glottis, epiglottis, pseudocords, and cords
were normal. Upper trachea was normal. Lower trachea and carina were normal. A few small, scattered thrombi
present were easily suctioned. The right upper lobe was observed. No endobronchial was detected. The right
lower lobe and right middle lobe were free of endobronchial lesions. The left side was entered; the left upper
and lower lobe was investigated with no endobronchial lesions detected. We obtained no brushings because of
the patient’s INR and the fact that he became hypoxic very quickly. We had to do the procedure very quickly
and discontinue it as soon as possible. No further significant hypoxia was observed.
(Continued)
OPERATIVE REPORT
Patient: Putul Barua
Patient ID: 135799
Date of Surgery: 01/08/2015
Page 2
The lowest level of hypoxia observed was about 86%, which was immediately reversed with an increase in
oxygen therapy.
DIAGNOSIS: Evidence of old hemorrhage. No new lesions seen. Recommend close followup.
_________________________
Simon Williams, MD, Pulmonology
SW:vw
D: 01/08/2015
T: 01/08/2015