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Case Study

Case Study. 47 year old female Weight = 505 lbs Height = 5’6” BMI = 81.5

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Case Study

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  1. Case Study • 47 year old female • Weight = 505 lbs • Height = 5’6” • BMI = 81.5 • Medical History: Asthma, sleep apnea, pulmonary hypertension, arterial hypertension, diabetes, DVT, osteoarthritis, non union of tib-fib fracture, bedrest for 1 year. Mother reports that she had a “draining sore spot” on her coccyx before admission

  2. Surgery & Initial Postop Course • Roux en Y gastric bypass on August 2, 2002 • Initial Postoperative Course • Ventilator dependency • Tracheostomy • Atrial fibrillation • Stroke • Fluid and electrolyte imbalances • Diarrhea from tube feeding • Sepsis from TPN • Acute renal failure • Rashes from plastic allergy and Candida

  3. One Month Postoperatively • Height = 5’6” • Weight = 395 lbs • BMI = 63.7 • Albumin = 2.7 • Still on ventilator in AICU • Renal failure recovering– off SLED • Multiple skin and wound problem

  4. Bariatric S1 Overview

  5. Bariatric S1 Ulcer 1eSeptember 5, 2002

  6. Bariatric S1 Ulcer 1fSeptember 5, 2002

  7. Bariatric S1 Ulcer 1gSeptember 5, 2002

  8. Bariatric S1 Ulcer 1hSeptember 5, 2002

  9. Bariatric S1 ThighSeptember 10, 2002

  10. Bariatric S1 Finger DepthSeptember 10, 2002

  11. Bariatric S1 PackingSeptember 10, 2002

  12. Bariatric S1 Packing 2September 10, 2002

  13. Bariatric S1 PackedSeptember 10, 2002

  14. Bariatric S1 Ulcer 1aSeptember 12, 2002

  15. Bariatric S1 Ulcer 1bSeptember 12, 2002

  16. Bariatric S1 Ulcer 1cSeptember 12, 2002

  17. Bariatric S1 Ulcer 1dSeptember 12, 2002

  18. Bariatric S1 CloseSeptember 18, 2002

  19. Bariatric PU1September 18, 2002

  20. Bariatric S1PU3September 18, 2002

  21. Bariatric DressingSeptember 18, 2002

  22. Bariatric S1 OR69-19-02

  23. Bariatric S1 OR59-19-02

  24. Bariatric S1 OR49-19-02

  25. Bariatric S1 OR39-19-02

  26. Bariatric S1 OR29-19-02

  27. Bariatric S1 OR19-19-02

  28. Bariatric S1 postop vacSeptember 26, 2002

  29. Bariatric S1 postop vac2September 26, 2002

  30. Bariatric S1 PU410-9-02

  31. Bariatric S1 PU310-9-02

  32. Bariatric S1 PU210-9-02

  33. Bariatric S1 PU110/9/02

  34. Bariatric S1 Breast Fold 1around 9-5-02

  35. Bariatric S1 Breast Fold 2around 9-19-02

  36. Bariatric S1 healing breast fold10-9-02

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