Venous Thromboembolism

CAC software needs integration to the EHR in case from selected EHRs or multiple systems like radiology, transcription, laboratory, emergency department, and others common to health systems. To obtain the documents required for the NLP engine to encode the documents and present the outcomes, as well as the source of the codes inside the documentation to a coder for examination and authentication is the reason integration is required.

The diagnosis is not the main concern of emergency department. Their main job is the short term, immediate, acute management to save patient’s lives. Emergency residents first will ask the intern to take focused history and do a proper physical examination after that the intern will explain the case briefly to the resident then they go with the team to see the patient . They will perform electrocardiogram (ECG), Portable X-ray, or ultrasounds, if needed. Many tests can be ordered, such as blood test, body fluid analysis, computed tomography (CT scan) or Magnetic resonance imaging (MRI). Some procedures need to be done like suturing, central line or urethral catheterization. patients usually do not need an admission In the acute care unit,

Pulmonary embolism is defined as a blood clot or blockage in the lungs. A pulmonary embolism can be small or massive. Either small or massive can cause serious complications in an individual. Breathlessness, chest pain, coughing up blood (hemoptysis), a mildly raised body temperature, tachycardia, and sometimes no symptoms at all are all acute symptoms of a pulmonary embolism. Severe breathlessness, chest pain, feeling faint, and some cases cardiac arrest are all symptoms of a chronic pulmonary embolism (Hartree, 2014).

Based on the ventilation perfusion scan, the patient reveals a high probability of pulmonary embolus. Lack of fever indicates that the patient is not responding to inflammation or fever. The patient should be asked about prothrombotic conditions which include pregnancy, cancer, immobility, injury, surgery, smoking, diabetes, obesity, sickle cell thalassemia disease, heart failure, renal failure, elevated cholesterol level, polycythemia vera, heparin use, and estrogen use (Kyrle, 2009). An irregularly irregular pulse indicates atrial fibrillation, which is a risk factor for thrombotic stroke and may be an indicator of hyperthyroidism (Kumar, 2010). The patient is tachycardic with a pulse of 110. Lung rales may be heard in patients with heart failure. The patient also presented with a respiratory rate of 20/min although no mention of audible rales mentioned. Pedal edema may be seen in heart failure and renal failure. The family history of her father dying of pulmonary embolism is an important factor contributing to treatment for hypercoagulation. Assess liver and spleen size palpating for masses or tenderness (Kyrle, 2009). Also assess for recent surgery and signs of trauma or thrombophlebitis (Porth, 2015). Recommended tests for patients with suspected hypercoagulable consist of CBC, lipid profiles, and TSH test (Kumar, 2010). A hypercoagulation panel and D-dimer test are needed for monitoring anticoagulant therapy (Kumar, 2010). CBC results will reveal an increase in RBCs. Elevated platelet counts could indicate thrombocytosis or a reaction to an inflammation or infection. Low platelet count indicates idiopathic thrombocytopenia (Kumar, 2010). The chemistry profile will show elevated glucose levels in patients with diabetes and elevated BUN and creatinine in patients with renal failure (Kumar, 2010). A lipid profile may indicate

Deep vein thrombosis (also known as “DVT”) occurs when a blood clot (thrombus) forms in one or more of the deep veins in the body, however usually it often occurs in the legs. The most common symptom is leg pain or swelling, but it can also occur without any symptoms. Sometimes certain medical conditions can affect the development of DVT, especially if the condition has to do with how the blood clots. Another way DVT can come about is if someone does not move for a long time, such as a patient who is be confined to a hospital bed. Deep vein thrombosis is very serious because blood clots in the veins can break loose, travel through the blood stream, and possibly lodge into the lungs, which in turn blocks the blood flow causing a possible pulmonary embolism.

When documentation of patient medical records began, patient information was documented by a nurse and communicated to a doctor and other health care team members by means of handwritten charts. Accuracy of patient information depended upon the legibility of the documentation, and it is a widely known stereotype that a doctor’s handwriting is messy and indecipherable. These charts, because of their handwritten nature, have resulted in an estimated annual 98,000 deaths due to misunderstandings (Allen, 2013). As the technology became more advanced, it became of great importance to ensure proper communication amongst health care team members and to prevent unnecessary deaths.

A pulmonary anagram are very rare while testing these days but it was where dye was injected and a clot or clots could be identified on imaging studies. This is considered an invasive test. A CT scan of the chest with angiography can be done. Contrast material (dye) is injected into an intravenous line in the arm while the CT is being taken, and the pulmonary arteries can be visualized. There are some limitations of the test, especially if a pulmonary embolism involves the smaller arteries in the lung it is very important that the contrast material used during the CT angiogram be timed appropriately so that the bolus of dye is not diluted as it travels through the

In fact, Natural Language Processing in mix with The Systematized Nomenclature of Medicine has been connected to pick up knowledge from unstructured substance, for example, doctor/nursing notes and radiology/pathology results. Call focus notes are handled, alongside a patient 's history, to anticipate the probability of crisis room visits and

The cause of venous insufficiency is due to a weakening of the valves that help push the blood up the leg back to the heart. When these valves become weak, the blood does not move well and pools in the vein. Venous surgery involves an incision through which the surgeon can pull out the affected vein. Sclerotherapy is a minimally invasive treatment in which the wall of the vein is irritates and collapses causing the vein to be absorbed by the body and disappear. In either case, the blood travels to the heart through a deeper, healthier vein inside the leg.

Diagnostic tests carried out comprised of blood tests, an electrocardiogram (ECG), chest x-ray and a Computed Tomography Pulmonary Angiography (CTPA).

Explored the Overdiagnosis of Coronary Artery Disease Detected by Coronary Computed Tomography Angiography. Authors expressed need to implement Choosing Wisely protocol for management of diagnosis.

Pulmonary embolism is defined as an obstruction of any pulmonary vessel This obstruction can form as a result of a clot or emboli. Essentially, the clot originates from a small distant vessel that rapidly migrates to the pulmonary system. Which in turn result in serious complications and/or symptoms that lead to mortality. Both men and women are equally affected by similar causative factors as well present with similar manifestations. Numerous causes and risk factors have been identified, with such evidence health care professionals and researchers alike have narrowed the gap to establishing accurate diagnostic practices. Clinical manifestations that are present, such as a simple cough to a severe symptom such as hypotension are problematic

I found an interesting article regarding the" Validity of International Classification of Disease Codes to Identify Ischemic Stroke and Intracranial Hemorrhage among Individuals with Associated Diagnosis of Atrial Fibrillation", and the researchers of

Chest pain is a common presentation to Emergency department (ED) where the patients have extensive risk for death and other cardiac complexities such as cardiac arrest and acute heart failure (1). Coronary artery disease (CAD) is the most common cause of death, claiming 7.4 million lives in 2012 (2). Prompt identification, early intervention and appropriate disposition is possible with rapid and accurate risk stratification (3). The aim of this study is to determine the efficacy of using the Thrombolysis in Myocardial Infarction (TIMI) score as a risk stratification tool for patients presenting to ED with chest pain.

After word embedding, the generated vectors will be processed for NER and relation extraction, especially about medical adverse effects. There are a couple of common methods for such tasks, such as rule-based system, CRFs, and deep learning. One or multiple LSTM layers are used to extract the context from the input vector representations at each time step[14]. The performance of LSTM layers can be adjusted by deploying different LSTM unit structure, tuning the input, output and forget gates, as well as modifying the activation function.