In general, what other types of infections might cause the current intracranial findings?   Do you think the patient has a good prognosis based on the pathological findings?   Could the patient be at risk for a CNS infection because of the craniotomy procedure?

3-2-1 Code It
6th Edition
ISBN:9781337660549
Author:GREEN
Publisher:GREEN
Chapter11: Cpt Surgery I
Section: Chapter Questions
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A craniotomy was scheduled for excision of left-sided intracranial lesion. When Dr. Nelson reached the lesion, he noted an encapsulated mass filled with purulent material. He took two sets of cultures and proceeded to remove the capsule and purulent collection. He had the circulating nurse look back at the referring physician’s history and she read that the patient had two root canal procedures performed on the left upper side a few months ago.  

  1. What type of lesion did Dr. Nelson find and remove?  
  2. Is there a relationship between the patient’s history and the findings at surgery?  
  3. In general, what other types of infections might cause the current intracranial findings?  
  4. Do you think the patient has a good prognosis based on the pathological findings?  
  5. Could the patient be at risk for a CNS infection because of the craniotomy procedure?

Please answer questions 3, 4, and 5.

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