Most likely diagnosis considering the clinical picture Localised chest pain over the sternum is a common symptom and can be an indicator of a large assembly of conditions. Commonly seen in cardiac diseases including angina pectoris‚ myocardial infarction and pericarditis (Patient.info‚ 2017). As well as in disorders of the gastroesophageal‚ psychiatric and pulmonary diseases; pneumothorax‚ gastro-oesophageal reflux disease‚ pleurisy‚ panic attack and pulmonary embolism (Kaski‚ 2016; Eslick‚ Jones
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troponin T blood specimen is obtained ‚ and the results indicate a level of 0.6 ng/mL . The nurse interprets that this result indicates a: Options: 1 . Normal level 2 . Low value that indicates possible gastritis 3 . Level that indicates a myocardial infarction 4 . Level that indicates the presence of possible angina Answer: 3 . 2- Question: A 22-year- old adult has a cholesterol blood test done at a screening clinic sponsored by a local health club. The nurse volunteering at the screening
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Makati College of Allied Health Studies J. P. Rizal Extension‚ West Rembo‚ Makati City Center of Nursing Name: _____________________________________ Group: _______________________ 1. A 42-year-old client admitted with an acute myocardial infarction asks to see his chart. What should the nurse do first? a. Allow the client to view his chart b. Contact the supervisor and physician for approval c. Ask the client if he has concerns about his care d. Tell the client that he isn’t permitted
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arteries‚ causing a decreased blood supply to the myocardial layer of the heart‚ and prevents the arteries from dilating. As a result the tissue is deprived of oxygen necessary to thrive‚ which in turn can lead to myocardial ischemia‚ leading to several types of infarctions. Depending on the area of the ischemia‚ there can be several complications. For example‚ a ST segment elevation myocardial infarction (STEMI) occurs when there is a myocardial insufficiency caused by an occlusion that has completely
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and shear injury; (2) platelet aggregation; (3) thrombus formation causing partial or total lumen occlusion; (4) coronary artery vasospasm; and (5) reperfusion injury caused by oxygen free radicals‚ calcium‚ and neutrophils. In patients with non-infarction ACS‚ spontaneous fibrinolysis of the thrombus occurs rapidly‚ minimizing ischemic insult; persistence of the occlusive thrombus‚ however‚ results in
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Read the article Diagnosis Coding and Medical Necessity: Rules and Reimbursement by Janis Cogley located on the AHIMA Body of Knowledge (BOK) at http://www.ahima.org. This article discusses how Medicare Carriers and Fiscal Intermediaries use coverage determinations to establish medical necessity. When the condition(s) of a patient are expected to not meet medical necessity requirements for a test‚ procedure‚ or service‚ the provider has the obligation under the Beneficiary Notices Initiative
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treatments vary‚ depending on your signs‚ symptoms and overall health condition. Acute coronary syndrome (ACS) refers to a spectrum of clinical presentations ranging from those for ST-segment elevation myocardial infarction (STEMI) to presentations found in non–ST-segment elevation myocardial infarction (NSTEMI) or in unstable angina. Pathophysiology Acute coronary syndrome is most often a complication of plaque buildup in the arteries in your heart. These plaques‚ made up of fatty deposits‚
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Acute sensory responses of nonsmokers at very low environmental tobacco smoke concentrations in controlled laboratory settings. Environ Health Perspect. 2001; 109 (10):1045–1052. Juster‚ Harlan R.‚ et al. "Declines in hospital admissions for acute myocardial in New York state after implementation of a comprehensive smoking ban." American Journal of Public Health 97.11 (2007): 2035-2039.
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pain and angina which is sometimes referred to discomfort‚ heaviness‚ aching‚ and burning. Angina is mostly felt in the chest‚ but can also be felt in the shoulders‚ arms‚ and neck. Some heart attacks come without any symptoms which are called myocardial infraction which occurs mostly with people that are diabetic. Heart attacks occur primarily in men. In women it takes more time to diagnose a heart attack than in men‚ because of two things. First in some parts of the world women don’t receive
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blockers to counteract stimulated adrenergic effects. He demonstrated that‚ by blocking the cardiac beta-receptors‚ these agents could cause inhibitory effects on the sinus node (chronotropic effect)‚ atrioventricular node (dromotropic effect)‚ and on myocardial contractility (inotropic effect).1 It is important to note that not all beta receptors (β-receptors) are the same. There are two clinically targeted types of beta receptors in the human body: beta 1 (β1) receptors which are mostly located on the
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