Patients with the following primary diagnoses are to be admitted to the Surgery Service.

(Surgery Admissions  memo – original signed document- update July 2016)

  • Lower GI Bleeds
  • Pancreatitis with gallstones or if the patient requires an ICU admission.
  • Diverticulitis (with or without abscess)
  • Appendicitis
  • Bowel obstruction (large or small bowel)
  • Bowel perforation.
  • Cholecystitis (including acalculous cholecystitis)
  • Cholangitits/choledocholithiasis
  • Liver abscess
  • Post-operative complication (including DVT) within 30 days of surgery goes to service that operated on the patient.
  • Animal bites (except to upper extremity distal to the elbow, which goes to the service covering hand)
  • Frostbite/ burns (except to upper extremity distal to the elbow, which goes to the service covering hand)
  • Incarcerated Hernia
  • Spontaneous primary pneumothorax. (This excludes those patients with underlying pulmonary disease as the probable cause of the pneumothorax, such as COPD, TB, PCP or other HIV-related disease)
  • Perirectal abscess that requires admission.  Many can be operated on as ambulatory surgery case.
  • Cellulitis
    • General cellulitis – Alternates with medical service
    • Special Cases: 
    • Surgical service – if patient is critically ill; as this suggests necrotizing fasciitis*
    • Hand service  – Hand/Arm distal to elbow
    • Facial service – if it involves the face