A 46-year-old man with a history of HTN and GERD comes to a clinic complaining of increased fatigue, shortness of breath, and cough. He has noticed feeling tired more easily for the past 3 months, but the difficulty breathing and cough appeared 2 weeks ago. After questioning him further, he says he had the same sexual partner for the past 8 years. They do not use condoms. He also said that he smokes about 1 pack of cigarettes per day. The patient Works as a truck driver; reports distant history of intravenous drug use in his 20s and drinks alcohol occasionally. The patient is also complaining of recurring mouth sore, painful urination accompanied with clear discharge. Question 1.Identify your treatment goals for the patient.

A 46-year-old man with a history of HTN and GERD comes to a clinic complaining of increased fatigue, shortness of breath, and cough. He has noticed feeling tired more easily for the past 3 months, but the difficulty breathing and cough appeared 2 weeks ago. After questioning him further, he says he had the same sexual partner for the past 8 years. They do not use condoms. He also said that he smokes about 1 pack of cigarettes per day. The patient Works as a truck driver; reports distant history of intravenous drug use in his 20s and drinks alcohol occasionally. The patient is also complaining of recurring mouth sore, painful urination accompanied with clear discharge. Question 1.Identify your treatment goals for the patient.

Understanding Health Insurance: A Guide to Billing and Reimbursement

14th Edition

ISBN:9781337679480

Author:GREEN

Publisher:GREEN

Chapter6: Icd-10-cm Coding

Section: Chapter Questions

Problem 48R

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A 46-year-old man with a history of HTN and GERD comes to a clinic complaining of increased fatigue, shortness of breath, and cough. He has noticed feeling tired more easily for the past 3 months, but the difficulty breathing and cough appeared 2 weeks ago. After questioning him further, he says he had the same sexual partner for the past 8 years. They do not use condoms. He also said that he smokes about 1 pack of cigarettes per day. The patient Works as a truck driver; reports distant history of intravenous drug use in his 20s and drinks alcohol occasionally. The patient is also complaining of recurring mouth sore, painful urination accompanied with clear discharge. Question: Given this information, what is your assessment of the patient's condition?
Mr. Morningstar has no history of serious medical conditions. Although he tested negative for RPR, HBsAg and HIV, he confided that he used to have sex with both men and women in the Bar he owned in Los Angeles a year ago. According to him, that was before his relationship with Ms. Decker. He also mentioned that before they travelled here in the Philippines two weeks ago, he shared a few bottles of beer and Kansas-style barbecue with his brother named Amenadiel in Midtown Missouri. Will you accept Mr. Morningstar as a Donor for Patient Chloe Decker? What are the following parameters that you will consider in order to accept or defer Mr. Morningstar as a Donor for Patient Chole Decker? Justify your answers.
Mr. Morningstar has no history of serious medical conditions. Although he tested negative for RPR, HBsAg and HIV, he confided that he used to have sex with both men and women in the Bar he owned in Los Angeles a year ago. According to him, that was before his relationship with Ms. Decker. He also mentioned that before they travelled here in the Philippines two weeks ago, he shared a few bottles of beer and Kansas-style barbecue with his brother named Amenadiel in Midtown Missouri. He also offered you (the interviewer) a sachet of crystal clear methamphetamine. Will you accept Mr. Morningstar as a Donor for Patient Chloe Decker? What are the following parameters that you will consider in order to accept or defer Mr. Morningstar as a Donor for Patient Chole Decker? Justify your answers.
For each female patient seeking contraception , select the method that is medically contraindicated for that patient 1. A woman with multiple sexual partners 2. A woman with a history of deep vein thrombosis 3. A woman with moderate cystocele 4. A woman with severely reduced functional capacity as a result of chronic obstructive lung disease 5. A woman with a known latex allergy METHODS A. Oral contraceptives B. IUD C. Condoms D. Laparoscopic tubal ligation E. Diapraghm
For each female patient seeking contraception , select the method that is medically contraindicated for that patient 1. A woman with multiple sexual partners 2. A woman with a history of deep vein thrombosis 3. A woman with moderate cystocele 4. A woman with severely reduced functional capacity as a result of chronic obstructive lung disease 5. A woman with a known latex allergy METHODS A. Oral contraceptives B. IUD C. Condoms D. Laparoscopic tubal ligation
A 40-year-old woman presents with a "skin rash." Questioning reveals easy bruising on minimal trauma, menorrhagia, and frequent| bouts of epistaxis. She is not taking any medications, and there is no history of toxic exposures. Physical examination reveals multiple petechial hemorrhages, most prominently on the dependent portions of the lower extremities. Splenomegaly is not detected. Laboratory studies reveal marked thrombocytopenia, and a bone marrow aspiration reveals increased numbers of megakaryocytes. Which of the following is the most likely mechanism of this disorder? Physical destruction of platelets while negotiating through partially block microvasculature. DIC with consumption of platelets and coagulation factors Myeloid stem cell suppression in bone marrow, with inability to produce platelets Intravascular spontaneous lysis of platelets due to increased osmotic fragility Antibody-mediated platelet destruction.
A 65-year-old woman gives a 1- to 2-month history of progressively cold and numb fingertips. The symptoms are persistent but episodic. She is a non-smoker. She also has a history of leukemia. Her feet are normal, and physical examination is otherwise unremarkable. All pulses are present. Her blood count and peripheral blood smear show: Hemoglobin (Hb) 90 g/L White blood cells (WBC) 14.6 × 109/L (neutrophils 67%) Platelets 1246 × 109/L Giant platelets RBCs (vary in size) Neutrophils (irregular forms) Other tests are normal What possible developments in hematology might help diagnose the patient? List all that apply. What are the terminologies in Hematology that are aligned with the patient’s case? List all that apply and explain why. By reviewing the timeline history of hematology, what are the specific contributions that will help solve the patient’s disease? List all that apply and explain why. NOTE: Kindly answer all the questions please. Thank you
A 65-year-old woman gives a 1- to 2-month history of progressively cold and numb fingertips. The symptoms are persistent but episodic. She is a non-smoker. She also has a history of leukemia. Her feet are normal, and physical examination is otherwise unremarkable. All pulses are present. Her blood count and peripheral blood smear show: Hemoglobin (Hb) 90 g/L White blood cells (WBC) 14.6 × 109/L (neutrophils 67%) Platelets 1246 × 109/L Giant platelets RBCs (vary in size) Neutrophils (irregular forms) Other tests are normal What possible developments in hematology might help diagnose the patient? List all that apply. What are the terminologies in Hematology that are aligned with the patient’s case? List all that apply and explain why. By reviewing the timeline history of hematology, what are the specific contributions that will help solve the patient’s disease? List all that apply and explain why.
Patient is a 70 year old male with Parkinson’s disease, depression, HTN, and insomnia. He fell at hometwo weeks ago fracturing his forearm and bumping his head. He states that he was going into the kitchento make breakfast and his slipper caught the corner of the floor rug. He has no known drug allergies.Allergies NKDA Current MedicationsLevodopa/Carbidopa (Sinemet®) 25/250mg po TIDFluoxetine (Prozac®) 20mg po daily at bedtime (started 2 weeks ago)Amlodipine 5mg PO once dailyKetorolac (Toradol®) 10mg po every 6 hours prn arm pain x last two weeksDiazepam (Valium) 10mg po at bedtime for sleepPMH Parkinson’s DiseaseDepressionHTNInsomnia1. Discuss possible reasons this patient fell.2. List common side effects of Levodopa/Carbidopa3. He states that he doesn’t think his antidepressant is working. How will you address his concern?4. Which of his medications might be causing the insomnia? How could this be addressed?5. List some general education points regarding sleep hygiene.6. Do you have…
Patient is a 70 year old male with Parkinson’s disease, depression, HTN, and insomnia. He fell at hometwo weeks ago fracturing his forearm and bumping his head. He states that he was going into the kitchento make breakfast and his slipper caught the corner of the floor rug. He has no known drug allergies.Allergies NKDA Current MedicationsLevodopa/Carbidopa (Sinemet®) 25/250mg po TIDFluoxetine (Prozac®) 20mg po daily at bedtime (started 2 weeks ago)Amlodipine 5mg PO once dailyKetorolac (Toradol®) 10mg po every 6 hours prn arm pain x last two weeksDiazepam (Valium) 10mg po at bedtime for sleepPMH Parkinson’s DiseaseDepressionHTNInsomniaWhich of his medications might be causing the insomnia? How could this be addressed?
Patient is a 70 year old male with Parkinson’s disease, depression, HTN, and insomnia. He fell at hometwo weeks ago fracturing his forearm and bumping his head. He states that he was going into the kitchento make breakfast and his slipper caught the corner of the floor rug. He has no known drug allergies.Allergies NKDA Current MedicationsLevodopa/Carbidopa (Sinemet®) 25/250mg po TIDFluoxetine (Prozac®) 20mg po daily at bedtime (started 2 weeks ago)Amlodipine 5mg PO once dailyKetorolac (Toradol®) 10mg po every 6 hours prn arm pain x last two weeksDiazepam (Valium) 10mg po at bedtime for sleepPMH Parkinson’s DiseaseDepressionHTNInsomnia 1. His wife tells you that he has started having hallucinations. Which medication might be causing this?Discuss why this happens.
Patient is a 70 year old male with Parkinson’s disease, depression, HTN, and insomnia. He fell at hometwo weeks ago fracturing his forearm and bumping his head. He states that he was going into the kitchento make breakfast and his slipper caught the corner of the floor rug. He has no known drug allergies.Allergies NKDA Current MedicationsLevodopa/Carbidopa (Sinemet®) 25/250mg po TIDFluoxetine (Prozac®) 20mg po daily at bedtime (started 2 weeks ago)Amlodipine 5mg PO once dailyKetorolac (Toradol®) 10mg po every 6 hours prn arm pain x last two weeksDiazepam (Valium) 10mg po at bedtime for sleepPMH Parkinson’s DiseaseDepressionHTNInsomnia 5. List some general education points regarding sleep hygiene