Will you please call and advise? Thank you in advance for your assistance.
Will you please call and advise? Thank you in advance for your assistance.
Mr. Barua is a 42-year-old gentleman from Bangladesh who presents with chest tightness, shortness of breath, and tachycardia. Dr. J.K. McClean of cardiology is evaluating his heart condition. The patient has had the recent onset of hemoptysis. He was treated for tuberculosis in Bangladesh 15 years ago. This has prompted the concern of whether his treatment for tuberculosis was adequate or whether there is another cause for his hemoptysis. The duration of his tuberculosis treatment was apparently adequate, according to his wife, but no records are available. In addition, the patient had thrombosis of the axillary artery treated last year at Hillcrest. He had an embolectomy and has been on Coumadin since. INR is significantly elevated at 16. Nonetheless, because of the cavitary lesions that are seen in the right and left upper lobes, the possibility of tuberculosis has been raised. Ancillary history was given by the patient’s wife, Nupur, with the patient translating for her from the Hindi language.…
FAMILY HISTORY: The patient was adopted and does not know her family history. She lives with her husband; she has one son living and well who is in the military.…
Findings: Ct scan of the chest was performed in 7 mm axial sections with no intrrveous contrast enhancement. Comparison is made to previous ct scans made during his admission last year. There is interval resolution of the previously noted cavitary lesions in both upper lobes. However, there is evidence of chronic residual infultrates or scarring in both upper lobes as well as in the mid- and lower-lung fields posteriorly. Heart again appears enlarged. There is evidence of mild bilateral pleural thickening. No interval pulmonary parynchimal or pleural based mass lesions. No mediastynal or hylar masses. No lymphadenopethy, no pleural effusions, and no significant lesions of the boney thorax.…
PLAN: Follow up with me at 9am tomorrow. Mother was given my pager number should the patient’s condition worsen overnight. I will be in touch with Dr. Phillips.…
1.) Documentation pertaining to his case history-Cherron was told by the senior counselor that during the active chart review, the senior counselor have noticed that Cherron would schedule his patient next appointment, but it does not reflect on the patient case history. For instance, Cherron scheduled Patient #3112 on September 7 to be seen again on 09/15/2017; however, no documentation in the case history as to whether or not the appointment was reschedule, cancel, and/or no show for the 15 of September.…
UNIT NO: F0N0 35 UNIT TITLE: Professional Issues in Computing Outcome 3,4,5 Assessment Team Name Computing Networking Sector Name Business, Computing and Land Based Professional Issues in Computing (F0N0 35) Assessment Instructions …
Diagnostic test results, clinical impressions, plan of care, and date of service should also be documented…
Employees should make two copies of the appointments for the day and place one on the physician’s desk. If there are more than one physician at the office then make sure each physician gets a copy of the appointments for the day. Once you give the physicians a copy of the appointments, take the other copy and go pull all medical records that are needed for the day and place them in a secure location where Medical Assistants can get them. Check the medical records to see if there is enough progress note space available for the physician to write notes, if not then add a new sheet. Also look over the medical records from previous visits to see if there was any lab work or treatments were ordered for the patient and see if the results are ready for the physician.…
The beginning of the counselling process starts when the client first meets the counsellor, the saying “first impressions count” is absolutely true for both the client and counsellor, the client will be very nervous and unsure what is about to take place.…
Mr. JK was assessed on Friday, October 16, 2015 at 10:30 am in your clinical setting were appointment was schedule by phone. Mr. JK is a 54 year…
HISTORY: Grace a 7-year-old girl has a history of severe behavioral problems, ADHD, bipolar disorder, borderline mental retardation, and significant past medical history of congenital hydrocephalous associated with myelination defect on MRI. Mother records no new concerns. Mother notes some brief improvements in the patient’s impulsiveness and distractibility after starting Neurontin. However, she feels that it is no longer effective. Since the last visit blood tests were obtained, and an MRI with repeat MR spectroscopy. Also, consultation with ophthalmology revealed normal hyperopia for age. Mother continues to express concern for the child’s violent behavior but notes that overall she is doing well in school. She has some difficulties with the arithmetic but she seems to be reading at or above grade level. Speech is sometimes disconnected and nonsensical, otherwise articulation is within normal limits. Patient continues to participate in special education at school, as well as, anger management group sessions at school, at least weekly. She is managed by a psychiatrist for psychotropic medications and sees a child phycologist for behavioral management therapy.…
1. The number of high school students that are graduating goes up after the school implements an after school program to assist children struggling with grades…
I would being by asking Mr. and Mrs. Lawson basic questions concerning the family’s history regarding any similar symptoms that other family members may have displayed. I would also ask if there were any changes in the family setting, such as relocating or if other family members have recently relocated. I would also ask Mr. and Mrs. Lawson specific details about the symptoms regarding Clara’s eating patterns, and sleeping patterns, and how long this has been occurring. I would also engage Clara into conversation, so that her direct responses could be included in the conversation, so that I would have a better understanding on the lack of eye contact when talking.…
Mr. and Mrs. Lawson brought their 4-year-old adopted daughter, Clara, to see Dr. Mason, a psychiatrist. Clara was polite in greeting Dr. Mason, but did not smile and kept her gaze down as she took a seat. Mr. and Mrs. Lawson sat next to Clara and began explaining their concerns. They described Clara as a quiet child who has recently begun throwing temper tantrums, during which she is inconsolable. Her sleep and eating patterns have changed, and she no longer wants to go to preschool.…
A document or a personal record of the health conditions which stands as a mutual agreement between patient and his/her health care professional is referred to as a “Care Plan”. Usually a person with a health condition of long term opts for a care plan as it is helpful in assessing the care required and to be provided. A care plan is generally opted by the patient by insisting it to their GP or any other healthcare professional as this could help in improving health conditions of the patient and work towards achieving goals which in some cases are quitting smoking, gaining weight, etc. A care plan helps in achieving all goals by taking all physical and mental conditions of the patient and by choosing best method in order to achieve the goals.…