Justina Toland- Tennant Unit 4 Assignment Chapter 4 Exercises and Review Chapter 4: Exercise 4.26 #4 49521 Hernia repair, inguinal, incarcerated Chapter 4: Exercise 4.31 #4 50920 Fistula, closure, ureter cutaneous Chapter 4: Exercise 4.34 #10 54322 Hypospadias, repair, one stage, meatal advancement Chapter 4: Exercise 4.37 #8 58956 Hysterectomy, abdominal, total Chapter 4: Exercise 4.41 #4 61312 Craniotomy, evacuation of hematoma Chapter 4: Exercise 4.43 #8 67700-RT Incision and drainage, abscess, eyelid Chapter 4: Review: Coding for Facility # 12 11305-LT Shaving, skin lesion Appendix C: Case Number #9 52630 Prostatectomy, transurethral 9. 52601 Prostate, excision, transurethral; or Prostatectomy,
On 1/20/2015 SO EMT Perez was dispatched to KC-304 regarding skin pain. SO EMT Perez knocked, announced his presence and was verbally invited in by the resident. The resident, a Mrs. Marian Fox stated that she has been having some severe skin irritation the last couple of hours and she wanted a second opinion on what she should do. SO EMT Perez performed an assesment which revealed the following; Blood Pressure 120/80, Pulse 64, no visible lesions or abrasions of the area where Mrs. Fox was complaining of pain and no other pain outside the ordinary. Mrs. Fox than decided to lay back in her bed.
As you know I have been trying to meet with you to discuss your case with you since January of this year. Specifically, you had appointments scheduled for January 20, 2017, January 24, 2017, February 9, 2017, February 24, 2017 and, March 21, 2017. You failed to keep any of these appointments. The reason I wanted to meet with you was to explain why I was not interested in pursuing this case.
On examination of the back, there is tenderness upon palpation midline of the lower lumbar and sacral region. Posture shift is to the left.
details emotional and frustrations of a caregiver to their patient recovering from traumatic brain injury. In the book Crimmins uses some humor and some embarrassed moments of her life to engage the reader into her suddenly chaotic life of caring for her husband. This book also focuses on informing the reader about Traumatic brain injury and the effects of severe brain damage to a patient. Brain
Gait Markedly antalgic. Equivocal Romberg. DTRs 2+ in the upper extremities and knees, trace at the ankles. Labs/Studies CAT scan and C-spine are as noted
Mucous membranes are moist and pink. Neck: Neck supply without thyromegaly, normal ROM. No lymphadenopathy.
A chest x-ray was also obtained which did not show any acute focal infiltrates, however it did show low lung volumes. At the present time, he states he is completely asymptomatic. He recently hiked Mount Major without difficulty and he is exercising on his treadmill on a daily basis, as well. He has no history of asthma, nor does he have any history of COPD PMH: Hypertension. Social History: The patient is married.
Annette’s reason for admittance at the hospital is an overall weakness, flu-like symptoms, and difficulty with breathing (Prizio, n.d.). She is diagnosed with diabetic acidosis, left upper lobe pneumonia, and a bacterial infection (Prizio, n.d.). Unfortunately, her condition becomes worse. Annette’s right lung collapses, her heart rate is irregular, and she has an episode of unresponsiveness that leads to mechanical ventilation (Prizio, n.d.). Annette has challenges weaning off the mechanical ventilation, which resulted in the placement of a tracheostomy and percutaneous endoscopic gastrostomy tube (Prizio, n.d.).
Their Struggle is Real Students sat in straight long rows as I gently placed a diagnostic assessment on their desk. As I continued placing the diagnostic assessment on each desk, I listened to the moans and groans of my students who resented the assessment. I could hear the females in my classroom sucking their teeth in disappointment, the males mumbling “Wait we Have an Essay”!.I looked out the corner of my eye watching students put their head down. Many students either stared blankly at their assessments with a look of confusion on their face, while other students raised their hand waiting to be called. Before I assisted any of my students, I explained the directions and the purpose of a diagnostic assessment.
The patient was diagnosed for polyps and multiple diverticula at the age of 68. The Patient suffers of painful osteoarthritis of both knees, shoulder hips. Patient?s mother deceased at the age of 79 from breast cancer and her father deceased at the age of 54 from heart attack. The patient noted with bilateral lower extremities edema, and claimed that she uses 2 pillows as a comfortable position to sleep,
CASE: Mrs Tan, 80 year old Chinese lady admitted to hospital post fall- was found on the bathroom floor and was unable to get up. Before falling, she attempted to get up from toilet bowl after passing motion but her knees buckles after one to two steps. There was no loss of consciousness. As she was unable to get up and did not have a pendent-alarm, she had to wait four hours before daughter come home from work. Ambulance was called and she was brought to accident and emergency unit.
She ordered a CT scan of Mrs. Adae 's chest to rule out the possibility of an aneurism, a CT scan of her abdomen to evaluate her liver, additional lab work, and thyroid testing, possibly to be performed on an outpatient basis. Mrs. Adae 's DischargeSummary, signed by Dr. Pesante, states, in part, "it just seems like [Mrs. Adae 's] problem may have moreso been either some kind of infectious process or possibly a thyroid abnormality." Also on July 1, three days after her discharge from CMH, the CMH laboratory reported to the resident on duty that Mrs. Adae 's blood cultures were showing "gram positive cocci in clusters. " The following day, the laboratory reported to Dr. Pesante that Mrs. Adae 's blood cultures were positive for staphylococcus aureus, a type of bacterial infection. Neither the resident on duty on July 1 nor Dr. Pesante contacted Dr. Bain or the attending physician on-call about Mrs. Adae 's blood culture results.
I will quickly assess this child overall appearance for distress, signs of dehydration by checking for the capillary refill, poor skin turgor, and dry mucous membrane. Measures the vitals signs- carefully determine the temperature. Then, inspect the skin for erythema, edema, induration, rashes, drying, cracking, and desquamation. Perform a complete eye examination- check for bilateral bulbar conjunctiva injection without exudate. Assess ears, nose, and throat for any signs of infection, the neck for lymphadenopathy and nuchal rigidity.
Items including a tuning fork, flashlight, reflex hammer and needles are used to help in diagnosing brain tumors, infections such as encephalitis and meningitis, diseases such as Parkinson’s disease, Huntington’s disease, amyotrophic lateral sclerosis and epilepsy. Some tests require the services of a specialist to perform and analyze results. Neuropsychological assessment provides both general and specific information about current levels of cognitive performance. An average or multiple score across multiple ability areas provides a general guide of how well a person functions cognitively at the current time. Based on the result of a neurological test, physical assessment, patient history, x-rays of the patient’s chest and skull, and any previous testing, physicians may order one or more of the following diagnostic tests to determine the specific nature of a assumed neurological disorder or injury.
