SURGICAL HISTORY History of Present Illness: The patient is a 27-year-old male complaining of right lower-quadrant abdominal pain, nausea, and
My last resort was to offer the GP out of hour’s service but this was also refused by my patient.
There was no documentation dated after the procedure performed on August 28, 2014, or before the date of service billed in this appeal. The medical documentation did not highlight acute symptoms warranting the need for the service in question.
After review of the clinical information provided by Kings Brook Jewish Medical Center, the Medical Director has denied your admission to Kings Brook Jewish Medical Center. It was determined that the clinical information did not justify an inpatient stay. Acute inpatient hospitalization was not medically necessary. You are a 26 year old male who presented to the emergency room with complaining of difficulty swallowing. You experienced throat pain, severe right jaw pain and edema (fluid) for the duration of 2 days prior to your hospital admission. You had an intermittent toothache for the past 2 years, but did not see dentist. You had a temperature of 97.7 at the time of admission. Your exam showed that you had tonsils that was noted as moderately red and swollen with
This patient also had a gastrostomy tube placed due to being unable to tolerated feeding by mouth. He receives formula feedings through this tube for nutrition. Along with this patient coming in due to undetectable Tacrolimus levels, he has also come in for Failure to Thrive. With this, it means that he was either incorrectly being fed or not being fed at
1. Discuss potential postoperative laparoscopic abdominal surgery complications. Include assessment findings, diagnostic evaluation, and nursing measures designed to prevent these complications from occurring.
The following case study addresses the care I provided to a patient who was brought in by ambulance to the emergency department after a gunshot wound. I am a DNP resident who is assisting emergency department physician to take care of this patient. This case incorporates that following doctoral competencies. LL was transported
During this reporting period there have been no appointments to attend. Mr. Rife continues to work without any restrictions. He has pain to the left arm which he is tolerating until the surgery date on 5/3/17. The post operative appointment has not been scheduled yet. Mr. Rife wants to miss as little time as possible from
Joshua is a 31-year old who presents from CRU from UPC. He is ACOT for wanting to leave valley hospital against medical advice. He was admitted to Valley Hospital on voluntary basis for increased depression and anxiety. BHR have a hx of OD and hanging. He is allergic to vicodin.
A week after initial admission, the patient is on the medical surgical floor recovering from his transverse colostomy five days ago. At 1200 vital signs are as follows, temperature 99.1; pulse 96; respirations 18; blood pressure 141/69; pulse ox is 94% on 1L NC in AM. The patient appears acutely ill and lays in bed with his eyes closed even when family comes into the room to check on him. He is alert and oriented to person, but not place or situation. He appears lethargic and is slow to respond to questioning, this appears to be due to recent administration of pain medication. Pupils are equal round and reactive to light and grips are week bilaterally in hands. Abdomen is firm, distended, and non-tender. Colostomy site appears to be
I am writing you in regards to my psychiatric evaluation of the above-named individual, conducted at Sweetwater Home Board and Care on November 5, 2012. I was requested by his wife to evaluate the patient psychiatrically because of the difficulty he has been experiencing recently in terms of confusion and agitated
Interpreting a Living Will after Stroke An eighty-three-year-old man named Mr. Duffy had a cardiovascular accident in the right thalamus section of his brain. The CVA has caused numerous medical problem and severe cogitative impairments. A nasogastric feeding tube was inserted, but it was pulled out by the patient. The
DOI: 8/24/2008. Patient is a 55-year-old female manager who sustained injury to her neck and back when she slipped and fell while walking down a set of pull out stairs. Per OMNI, she is diagnosed with cervical strain with radiculopathy and lumbar radiculopathy. She underwent C5-6 partial corpectomy and fusion in 05/31/2011.
Answer: Yes, there is a problem with gastric bypass surgery and extended release medications. The absorption of the extended-release medication will decrease after gastric bypass surgery, immediate release form medication should be recommended to this patient. I will recommend bupropion immediate-release tablet, take 100 mg tablet by mouth twice daily for 3 days, and may increase to take 100 mg tablet by mouth three times daily.
The patient returned to the clinic after his admission to Johnson Memorial Hospital twice. The first admission was from 10/31-11/3/2017 to address his major depressive disorder and substance abuse. It was recommended for the patient to seek a high level of care-outpatient psychiatric services, PHP/IOP. Then the patient was readmitted on 11/4/2017-11/06/2017 due to a bicycle accident and alcohol consumption on 15 shots. Its also documented that part of his admission was for suicidal ideation of which the patient denied having suicidal ideation during the second admission, but admits to having sucidial ideation during the 1st admission. The patient is scheduled to attend an appoinment through CHR tomorrow at 8:30am to complete an assessment