Operative report
preoperative diagnosis: squamous cell carcinoma, scalp.
postoperative diagnosis: squamous carcinoma, scalp.
procedure performed: excision of squamous cell carcinoma, scalp with yin-yang flap repair
anesthesia: local, using 4 cc of 1% lidocaine with epinephrine.
complications: none.
estimated blood loss: less than 5 cc.
specimens: squamous cell carcinoma, scalp sutured at 12 o’clock, anterior tip
indications for surgery: the patient is a 43-year-old white man with a biopsy-proven basosquamous cell carcinoma of his scalp measuring 2.1 cm. i marked the area for excision with gross normal margins of 4 mm and i drew my planned yin-yang flap closure. the patient observed these markings in two mirrors, so he can understand the surgery and agreed on the location and we proceeded.
description of procedure: the area was infiltrated with local anesthetic. the patient was placed prone, his scalp and face were prepped and draped in sterile fashion. i excised the lesion as drawn to include the galea. hemostasis was achieved with the bovie cautery. pathologic analysis showed the margins to be clear. i incised the yin-yang flaps and elevated them with the underlying galea. hemostasis was achieved in the donor site using bovie cautery. the flap rotated into the defect with total measurements of 2.9 cm x 3.2 cm. the donor sites were closed and the flaps inset in layers using 4-0 monocryl and the skin stapler. loupe magnification was used. the patient tolerated the procedure well.
what cpt® and icd-10-cm codes are reported?

Jordan is now 19-years old. as an infant, jordan reached many gross motor skill milestones, such as holding his head up, rolling over, sitting, and standing, at normal times. however, he was considered a "late walker" because he took his first steps at 17 months. by 2 years old, his parents noticed a hyperlordotic posture while he was standing. a gower's sign and trendelenberg gait were noted by age four. throughout his childhood, he suffered progressive muscle weakness, especially in the proximal musculature of the arms, pelvis, and legs. he required orthotic braces to assist his walking and was confined to wheelchair ambulation by age 13. at 16, he was hospitalized with bronchitis requiring antibiotic treatment, but recovered. jordan has a history of progressive muscle weakness, but no history of muscle pain or spasm, chest pain, or irregular heartbeat. the only medications that he normally takes are calcium and fluoride supplements. jordan has three siblings. his older and younger sisters have never had any major medical issues. jordan's older brother is also to a wheelchair with problems similar to jordan's. no other immediate or distant family members have musculoskeletal issues.1. jordan’s history aligns most closely with which diagnosis? a. amyotrophic lateral sclerosisb. multiple sclerosisc. duchenne muscular dystrophyd. myotonic dystrophy2. jordan had a biopsy of the left gastrocnemius muscle when he was 5 years old. based on your answer for his diagnosis, describe the microscopic pathological changes that the pathologist would have noted.3. explain, in your own words, why jordan’s brother appears to have the same disease and why his sisters are unaffected.

Which describes autonomy? which describes autonomy? reaching reproductive maturity bending to peer pressure being independent following abstract thinking

Religion can people engage in healthier behavior but in the meanwhile it can also harm health. true or false