Case study 6

Operative note
History of present illness: Ms. Moore is status post lap band placement. The band was placed just over a year ago for morbid obesity, and she is here for a lap band adjustment. She has a history of problems with her adjustments. She has been under a lot of stress recently due to a car accident in which she was recently involved. Since the accident, she as been experiences problems with "not feeling full" she says that she is not really hungry but does not feel full either. She also says that she's hungry at night, she has difficulty waiting until the morning to eat. She also mentioned that she had a candy bar, which seemed to make her feel better.
Physical Examination: On exam, her temperature is 98; pulse 76; weight 197.7 pounds; blood pressure 102/72; BMI is 38.5. She has lost 3.8 pounds since her last visit. She was alert and oriented, and in no apparent distress.
Procedure: I was able to access her port. She does have an AP standard low profile.I aspirated 6 mL and added 1 mL, so she has got approximately 7 mL in her restive device. She did tolerate water post procedure.
Assessment: The patients status post lap band adjustments: she is doing well and had a total of 7 mL within her lap band. She tolerated water post procedure. She will return in two weeks for another adjustment as needed.

A. 43771
B. 43886
C. 43842
D. 43848