Assigning Evaluation and Management (E/M) Codes o A 7-year-old is brought into the office unexpectedly by his mother on a very busy clinic day. He is coughing and wheezing. He has no known history of asthma‚ but frequently gets like this while playing soccer. He is in moderate distress. An H&P and physical exam is performed. As there is no previous history of asthma within the patient the issue is an extended problem focused with E/M Code 99202 due to the fact the mother reports it happening
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Tuberculosis is an infectious disease that affects the lungs. It can start out like a normal flu‚ with coughing being the number one symptom. After a while‚ the virus attacks the lungs with more vehemence‚ causing internal bleeding. This internal bleeding is visible when the infected coughs. If left untreated‚ the infected will literally cough themselves to death. Today I will talk about the history of Tuberculosis in the United States. During my speech I will discuss Consumption in the early 19th
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Nursing Management of Patient with Type 2 Diabetes Mellitus and Anxiety A.C. is a 41 year old female‚ with a medical history of diabetes mellitus type II (T2DM)‚ anxiety‚ hypertension (HTN)‚ cerebrovascular disease (CVD)‚ end stage renal disease (ESRD)‚ bacteremia‚ diabetic gastroparesis‚ and methicillin-resistant Staphylococcus aureus (MRSA)‚ who was admitted to the hospital for a fever. The patient is allergic to penicillin and Regland6e. The patient had a transesophageal echocardiogram (TEE)
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What is COPD? Chronic Obstructive Pulmonary Disease is a progressive disease that constricts airways and dramatically hinders a person’s ability to breathe. It affects around 13% of Australians aged 40 or over. It causes mucus or blood-filled coughing‚ chest tightness and severe shortness of breath. The disease is comprised of Chronic Bronchitis‚ Asthma and Emphysema‚ with the seriousness of it being judged by four levels‚ each level increasing in severity. To this day‚ there is no known cure
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Asthma Asthma is a lung disease that makes breathing difficult for millions of Americans‚ both young and old. There is no cure for asthma‚ but the good news is it can be managed and treated so you can live a normal‚ healthy life. (http://www.lung.org/lung-disease/asthma/) Asthma is characterized by recurrent episodes of wheezing‚ shortness of breath‚ chest tightness‚ and coughing. Sputum may be produced from the lung by coughing but is often hard to bring up. During recovery from an attack
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A. Patient Diagnosis: Acute Respiratory Failure (hypoxic and hypercapnic) Patient Intervention: gait training – progressing from walker to cane B. Pathology for Diagnosis: Acute Respiratory Failure can result from any irregularity in the components of the respiratory system. Moreover‚ patients who go into cardiogenic shock because of hypoperfusion often experience respiratory failure. “Respiratory failure may result from either a reduction in ventilatory capacity or an increase in ventilatory demand
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Cricoid Pressure Summer Magdaleno SJVC-STT11 Abstract Airway management is the most important clinical skill for anesthesia care providers‚ emergency physicians‚ and other care providers that help with ventilation and oxygenation to the lungs. Cricoid pressure was discovered in 1961‚ by Dr. Sellick‚ therefore cricoid pressure is also known as Sellick’s maneuver. The cricoid pressure is used to reduce the risk of aspiration prior to induction of anesthesia and continued until the endotracheal tube
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CHRONIC DISEASES A chronic disease is an illness that is prolonged in duration‚ does not spontaneously resolve‚ and is usually not cured completely. Examples of chronic diseases are rheumatoid arthritis‚ lung cancer‚ and heart disease. Heart disease is an illness that involves the blockage or narrowing of the blood vessels. It is the leading cause of death in the US with approximately 81.1 million people‚ or one in every three adults living with heart disease. The illness causes swelling in feet
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NOSOCOMIAL INFECTIONS Nosocomial Infection is an infection that occurs in a hospital of hospital-like setting. Approximately 10% of American hospital patients contract this infection. There are three factors as to why nosocomial infection exists: 1. A high prevalence of pathogens. 2. A high prevalence of compromised hosts. 3. Efficient mechanisms of transmission from patient to patient. These three factors alone lead not just to a higher chance of transmission
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HAI presentation script Crystal N. Singer (Slide 1) Good afternoon everyone‚ Did you know that healthcare associated infections are in the top ten leading causes of death in the United States? According to Agency for Healthcare Research and Quality (2010)‚ “Healthcare-associated infections‚ also known as HAI’s are the most common complication of hospital care‚ resulting in 1.7 million infections and ninety-nine thousand deaths each year.” It is unfortunate that so many people suffer each
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