Date of Procedure: 11/14/---- HISTORY: Right lower quadrant pain. No previous studies. Abdomen: The lipases appeared unremarkable. The liver, spleen, gallbladder adrenals, kidneys, pancreas and abdominal aorta appeared unremarkable. The bowels seen on the study appeared thickened. Dilated appendix seemed consistent with acute appendicitis. All the structures of the abdomen appeared unremarkable. No free air was seen.
2. Upon admission to the hospital, Allen’s breathing was rapid and shallow, can you explain why? Pg. 969
bowel resection, and sigmoid colectomy. List at least five major potential complications for Infection (Leakage from Colon) Bleeding Blood Clots Damage to Internal Organs bulging of tissue through surgical incision colon blockage due to the formation of scar tissue incomplete joining of the reattached sections of your colon and rectum 8. After surgery, R.T. is admitted to the surgical intensive care unit (SICU) with a large
HISTORY AND PHYSICAL - CASE 2 Patient: Benjamin Engelhart Patient ID: 112592 DOB: 10/5/1966 Age: 46 Sex: Male Date of Admission: 11/14/2012 Emergency Room Physician: Alex McClure, M.D. Admitting Diagnosis: Acute Appendicitis HISTORY OF PRESENT ILLNESS: This 46-year-old gentleman with past medical history significant only for degenerative disease of the bilateral hips, secondary to arthritis, presents to the emergency room after having had three days of abdominal pain. It initially started three days ago and was a generalized vague abdominal complaint. Earlier this morning, the pain localized and radiated to the right lower quadrant. He had some nausea without emesis. He was able to tolerate p.o. earlier around
After you define each term, describe in 40 to 60 words the health care setting in which each term would be applied. Include at least two research sources to support your position—one from the University Library and the other from the textbook. Cite your sources in the References section consistent with APA guidelines.
A. location B. timing C. severity D. modifying factors 9. The review of systems (ROS) is documented for patient care purposes and also factors into the ________________ for the patient 's visit.
Bad Fish-Case Study Part I 1. Present the “Doctor’s Notes” portion of the case with a description or definition of the following terms or concepts:
Executive Summary of Accreditation Audit June 2012 I prepared and reviewed an accreditation audit for Nightingale Community Hospital to organize and ensure compliance with Joint Commission standards for our hospital. We are preparing for a site visit that should occur within the next 13 months. I have reviewed the current compliance status
A current LCD for the regional Medicare intermediary (Michigan - Region V) is shown in the example below. This LCD is for Erythropoiesis Stimulating Agents, L25211. The LCD is active and became effective on 12/1/2007 with an date of 11/01/2013 for the 10/22/2013 revision (cms.gov, 2014b). Question 8:
Instructions Complete the medical abbreviations chart. (Note that the medical abbreviations are the same as those highlighted in yellow in Jane Dare’s Health Record). In the second column, list what each of the individual letters in the abbreviation represents. In the third column define the context or meaning of the term that the abbreviation represents. Use simple terms. Finally, in the far right column, identify the source document. For example, face sheet, discharge summary, progress notes, or x-ray report.
. Study the sample page of a dictionary and answer the questions below. (5 pts.)
While taking Medical Terminology we had a competency project that included 10 case reports that contained about 5-7 bolded words and 2-3 bolded and underlined abbreviation. Each word had to be broken down by prefix, root and suffix, followed defining each word part to create a definition. For the abbreviation we had to define the meaning of each abbreviation.
The patient is a 73-year-old female who presents to the ED complaining of diffuse abdominal pain that started 3 days prior to admission. Her medical history is significant for atrial fibrillation, however she is not on anticoagulation because of previous GI bleed, type 2 diabetes mellitus, history of congestive failure, a history of uterine cancer, she had a TAH/BSO 8 years ago and postop radiation. She is not a good historian but does believe that she had a colonoscopy few years ago. The patient required narcotics in the emergency room. CT of the abdomen done ER reveals an enlarged heart, coronary artery is that calcifications moderate sized right-sided pleural effusion and small left pleural effusion with adjacent atelectasis, multiple
This is a review of the patient's ED record from 1/3. The patient is a 52-year-old gentleman who presents to the ED complaining of pain in the upper abdomen and shortness of breath. The patient had similar episodes in the past. He stated he was here a week prior with the abdominal pain, hiccups and the results of CT done at that time was negative. Now he has a right upper and right lower quadrant pain that began 2 days ago with nausea, vomiting, blood in the vomitus and cough with shortness of breath since that time. The patient's medical history is significant for history of sleep apnea, hypertension, COPD, asthma, ventral herniating, had a trach approximate 7 years ago he suffered a cardiac arrest and has prednisone-induced diabetes.
I. Preparation: I did not come in early to watch the set up of the unit for this appointment because I arrived an hour early in my last observation, and I feel pretty comfortable setting up and wiping down the unit. The student reviewed everything in the patient’s chart even though this was her fourth appointment with him. The treatment area, the maxillary left quadrant, needed local anesthetic before progressing forward with the procedure. She got a short needle ready for an injection to check off on an actual