1. A 23-month-old infant with a heart condition presented to the ED. The physician examined the infant and , after reviewing the patient's history of a heart condition, ordered a transport to a specialty cardiac hospital. This specialty hospital is 150 miles away from the current hospital. The physician accompanies the patient in the ambulance to monitor blood pressure and pulse oximetry and to review portable ECG tracings. It takes 1 hour and 44 minutes to transport the patient to the cardiac hospital
2. An 56-year-old established patient presents to her doctor's office with chest pain and shortness of breath. The doctor orders an ambulance to take the patient to the ED to be checked out. From the ED the patient is admitted for some
…show more content…
The physician performs a problem focused history and physical examination with straightforward decision making 99201
19. A 21-year-old patient with a recent history of drug abuse is admitted to a rehab center for treatment. In the patient's second week of treatment, she complains of low back pain and is seen by the same physician who evaluated her medically upon admission. At this time, the physician documents a problem focused interval history, an expanded problem focused examination, and MDM of low complexity
20. A patient was in an automobile accident and is complaining of a minor headache and no other apparent injuries. History gathered from bystanders states that the patient was not wearing a seat belt and hit his head on the windshield. A 15-minute loss of consciousness was noted. The patient was then admitted for 24-hour observation to rule out head injury. A comprehensive history and exam are performed by the physician. The MDM is of moderate complexity.
21. Dr. Lewis treated an established patient in the office who complained of a 3-month history of fatigue and weight loss. An detailed history was performed, exam was detailed and MDM was high. What code would be used?
22. An office consultation is performed for a postmenopausal woman who is complaining of spotting in the past 6 months with right lower quadrant tenderness. A comprehensive history and physical are
The goal of communications is to make ethics a live, ongoing conversation. If ethics is something that is constantly addressed, referenced frequently in company meetings, and in personal conversations among managers and employees, then people are more aware and more willing to defend the company’s policies when they see or hear of problems. Employees will hold other employees responsible and accountable for living the company’s values.
Nursing assessment within 24 hours, Nutrition and hydration status, Functional status living, Social, spiritual, and cultural variables. Liza was admitted to the intensive care right away which wasn’t appropriate. The first step in the evaluation of a patient presenting with syncope consists of obtaining a detailed history and conducting a physical examination including blood pressure (BP) measurements and standard ECG. In this case, the nursing staff started began performing nervous system checks after 18 hours of her admission which is in my opinion was not appropriate because that should have been done right away after her arrival to the emergency room and after doing these evaluations, they should’ve decided on whether she was supposed to be admitted to intensive care or not. Also, the results of these tests would help them determine if a CT scan was needed and if needed, it should’ve been right away. In my opinion, Liza’s admission processes were not handled properly by the nursing staff at the hospital and her treatment was delayed. If all the processes were done on time and all the tests were done right away, her condition would not have worsened and she could have been started on anticoagulants for cerebral infarction. Patients have a better chance of survival and recovery if these drugs are taken within 12 hours of the incident. Most patients are administered these drugs within 90 minutes of hospital arrival.
9. A 72-year-old patient with a history of breast cancer has a suspicious mass in her uterus. A biopsy was done. The determination was that the patient had a carcinoma in situ of the uterus. The physician who conducted the surgery called a face-to-face meeting with his fellow surgeons, the patient and the patient's family and discussed the case and the patient's outcome for 30 minutes.
This is my fourth semester attending Lamar Institute of Technology. The thing that seemed to be most difficult was that most students are not offered outside opinions on teachers and the classes offered. It seems like a challenge due to the fact that as students he or she does not know what he or she are getting into.
For this assignment, I will use the websites, lab and materials from this week and complete an internet search of my own on chromosomes. I will write a two- page essay that explains how conditions caused by extra or missing chromosomes reflect a meiotic error. I will also choose two conditions or diseases to review. Also, distinguish among the modes of inheritance.
I narrowed search to include articles that have been peer reviewed and published between 2005 and 2015
When I first took the test to see what I scored, I was surprised with many of my results.
An adjusting journal entry or an adjusting entry, involves an income statement account (revenue or expense) along with a balance sheet account (asset or liability) and typically relates to the accounts for accrued expenses, accrued revenue, prepaid expenses and unearned revenue. (Investopedia.com, n.d.) When accounts are not updated to show the correct transactions or a mistake has been made, adjusting entry will provide insight in order to ensure all entries are appropriately recorded. This action will then reflect the accurate amounts of expenses and revenues. Once this is done, a business may close accounts for the ending period.
Patient 1 – Two individuals come to the emergency department with head injuries. One is a 25 years old, has just been in a motor vehicle accident (MVA) and has a temporal lobe injury. The other, 65 years old, has increasing confusion after a fall that happened earlier in the week.
D-The patient arrived on time for her appointment. Reported stable on her dose, but requested to decrease her current methadone to 49mgs as she wishes to be stabilized at a lower dose. This writer completed the dose change request. The patient asked this writer about the status of her take home bottle because she need her bottle in order to apply for a travel bottle as she is getting married next month. This writer then informed the patient, this writer had sent a message to the clinic's TEAM about the urgency of her request to take into consideration for approval, at which the patient thanks this writer for her efforts. Then the patient shared about her husband's friend, who had passed away and his funeral is this weekend.
There is a statistical difference in the current level of democracy between North and South Africa.
Case :- A 17-year-old female presents to her local hospital 's E.R. at 7:45 in the morning on a school day. She appears apprehensive and uncomfortable. She winces and splints her chest to the right side when she coughs. She is examined by the attending resident.
inflow of patients is higher than the available beds. You are treating an elderly man who is breathless and cyanosed. While you assess whether he has chronic obstructive pulmonary disease or heart failure, he becomes drowsy and starts gasping. You quickly intubate him with some difficulty, prolonging his period of hypoxia, and put him on ventilator support. You then get a phone call from a senior consultant in the hospital that an important social activist is about to arrive with chest pain and will need to be admitted. You are directed to
Chest pain syndrome, rule out myocardial infarction. She was admitted to telemetry, where 3 sets of cardiac enzymes and troponins were measured, and she was given supplemental oxygen, nitrates and Coreg were started. After 3 sets of cardiac enzymes were documented to be negative, the patient was discharged and she was instructed to call my office for scheduling of an outpatient stress myocardial perfusion scan, to evaluate for obstructive
Joanna is an experienced nurse taking care of Mrs. Kelly, who was Joanna’s patient many times in the past for her primary problem which is COPD. This time Mrs. Kelly was admitted with complaints of abdominal pain what was different from her primary diagnoses. Her vital signs were with normal limits and no significant changes from privies results, but for the nurse she looks sick, and Joanna know that something is wrong. She calls the resident doctor, but he tell her to watches and calls back with series changes. Joanna multiple attempts to report that something needs to be done to evaluate the cause of Mrs. Kelly pain was ask to calm down. However nobody took patient symptoms series and the next day patient died.