Diagnostic Success: A Case Study

The patient that I have chosen for my diagnostic reasoning paper is a 47-year-ol-Hispanic female. The presenting problem that I have chosen to use as my patient’s chief complaint is back pain. The only other clues that I have to use in order to help narrow my focus is that she is a female, she is 47-years-old, and she is Hispanic. I do not know how long she has been experiencing pain or how severe her pain is. Given these parameters, I will “cast a wide net” as I evaluate my patient and create my list of differential diagnoses.

The second most likely diagnosis is dehydration. According to Arant and Canavan (2009), the diagnosis can be determined by if there has been vomiting, diarrhea, or decreased oral intake. The patient has had decreased tear production, a capillary refill time of more than two seconds, and decreased skin turgor (Arant & Canavan, 2009). All of this points to dehydration.

Diagnostic coding is one of the most critical parts of medical coding. If the correct diagnostic code is not selected, a claim may be denied (Deborah Vines, 2013, pp. 88-125). Using the ICD-9-CM, diagnosis coding became mandatory for Medicare claims since the Medicare Catastrophic Coverage Act of 1988. In 1948, the ICD came under the direction of the World Health Organization, which assisted in tracking deaths and sicknesses to help make statistical assessments of international health and disease trends (Deborah Vines, 2013, pp. 88-125). Medical terminology plays a key role in proper diagnosis coding. You must be able to read and understand the physician’s documentation to identify the appropriate codes for medical conditions that pertain

Often people forget that the community in which they live in plays a vital role on their lifestyle. Your community may influence you on how you experience others culture, it may predispose you to certain illnesses and crimes due to location. It may influence you to think big and want better for your future and your children’s future base on the people you are surrounded by. Communities sometimes influence its member’s careers paths base on merely the need of that community. The purpose of this paper is to assess the community of Stapleton, its demographic, needs and issues both

Sounds good. Can you also send as email if possible. This way is more faster for everybody. Here is the information I will need.

Changes to the health care market occur rapidly, bringing the need for stability in purchasing various products and services. Since 2007, our national medical sales distributor, Diagnostic Connections strives to provide the best products and services to our sales representatives. In turn, our highly qualified sales team uses various marketing, sales, medical consulting and management techniques to deliver superiority products.

Statistical data reveals that 25% of adult Americans have a mental illness and more than half of the U.S. population will develop a mental illness at some point during their lifetime (CDC; APA). "Major Depressive disorder is a leading cause of disability for ages 15-44. Major depressive disorder affects approximately 14.8 million American adults or 6.7 percent of the U.S. population age 18 and older in a given year” while anxiety affects …40 million…adults ages 18 and older…” (NIMH; APA). Comparatively, cardiovascular, diabetes, epilepsy, obesity, cancer, and asthma, and other chronic diseases are surfacing with increased frequency among the mentally ill (CDC; APA). The aforementioned finding elicits question about medical care

Misdiagnosing is something that happens often and can result in medical malpractice. When seeking medical advice you put your trust into the health care provider to take the appropriate measures to determine the correct diagnosis. However, there are times that providers can make mistakes which leads to an improper or delayed diagnosis. Failing to properly diagnose a patient can prevent patients from receiving the correct treatment. By receiving improper treatment patients are at a risk of further injuries and possible fatalities. “The most common missed diagnoses for adults were cancer and heart attacks. Other that were commonly-occurring were appendicitis, ectopic pregnancy, and bone fractures. For children, the most missed diagnoses were

I completely agree with you when you said having Diagnostic teams is important in providing quality healthcare. A holistic approach should be taken in treating patients instead of just independently working to find the diagnosis. It is important to acknowledge every profession that is involved in caring for a patient. In the ever changing world of health care, it is becoming very difficult for one individual to properly treat and care for individuals independently. These is because of the complex nature of some treatments.

Mr. Henderson is a very pleasant 71-year-old gentleman with hepatitis C who presents to oncology clinic for evaluation and treatment of locally advanced hepatocellular carcinoma. In 10/2016, the patient underwent a screening ultrasound due to having hepatitis C. The ultrasound revealed a right liver mass. In 11/2016, he subsequently, underwent a CT scan which revealed a 5.1 cm x 4.2 cm left liver mass and a 6 mm right middle lobe density. In 12/2016, the patient underwent a CT-guided biopsy of the liver mass which revealed a moderately differentiated hepatocellular carcinoma. In 02/2017, the patient underwent an MRI of the abdomen which revealed a 5.2 x 5.4 cm left hepatic lobe mass. The main portal vein is widely patent. There was no

Focal nodular hyperplasia (FNH), defined as a nodule composed of normal-appearing hepatocytes in an otherwise normal liver (30), is the second most common benign hepatic tumor after hemangioma. Histopathologically, FNH is categorized into two major groups: (i) classic (80%) and (ii) nonclassic (20%). The nonclassic-type is further subcategorized as the telangiectatic FNH (15%), FNH with cytologic atypia (3%) and mixed hyperplastic and adenomatous FNH (2%). Three key elements are present in classic FNH lesions including an abnormal nodular architecture, cholangiolar proliferation, and malformed vessels. In nonclassic-type, the cholangiolar proliferation is always present but one of the other two elements may be missing (31). In approximately

Advancement in diagnostic technologies has transformed the healthcare industry. Often seen as an expensive luxury, the use of the right medical technology can decrease the overall cost of treatment and create positive outcomes. Chronic diseases are on the rise because of the aging population. Long term degenerative diseases such as diabetes, congested heart failure and chronic pulmonary disease are increasing healthcare costs and creating financial burden on healthcare providers. Technology has allowed physicians to find disease earlier, with greater acuity, and treat or prevent manifestations of complex disease. The cost savings of treating and or preventing disease over the lifetime of the patient or the course of the disease will out way

The diagnostic tools that I have seen used at the clinic where I do my practicum includes incision and drainage (I & D) of the abscesses, rapid strep throat testing, influenza swab, urine dip-stick testing, and slit lamp examination.

The quality of healthcare diagnostics and treatment heavily relies on information about the patient’s condition. EHRs

Liver biopsy and histological assessment of the liver has now taken on an important role in clinical management. Therefore liver biopsy currently has two major roles: