The use of medical jargon is a known barrier to recieving and fully understanding health care. Decipher the two medical progress notes below. Translate this progress note into lay terms, as if your patient has no prior health care knowledge or experience. Provide a reference for any tools that you used to "translate". 1.Differential diagnoses remain broad with exact etiology still unclear. Most concerning at this time remains pericarditis because of the nature of chest pain and EKG changes. Acute coronary syndrome remains in differential but is less likely given the normal cardiac enzymes and the nature of the EKG changes. PE is very unlikely given the normal oxygenation and complete lack of risk factors. Dissection is unlikely as the patient has no history of HTN and symmetric blood pressures. If w/u for above life threatening causes negative will further expand differential to include GI, infectious, musculoskeltal and other causes of chest pain Plan: Serial EKG Stat ECHO Follow cardiac enzymes Morphine for pain control Continue ASA Hold Beta Blocker as SBP
The use of medical jargon is a known barrier to recieving and fully understanding health care. Decipher the two medical progress notes below. Translate this progress note into lay terms, as if your patient has no prior health care knowledge or experience. Provide a reference for any tools that you used to "translate". 1.Differential diagnoses remain broad with exact etiology still unclear. Most concerning at this time remains pericarditis because of the nature of chest pain and EKG changes. Acute coronary syndrome remains in differential but is less likely given the normal cardiac enzymes and the nature of the EKG changes. PE is very unlikely given the normal oxygenation and complete lack of risk factors. Dissection is unlikely as the patient has no history of HTN and symmetric blood pressures. If w/u for above life threatening causes negative will further expand differential to include GI, infectious, musculoskeltal and other causes of chest pain Plan: Serial EKG Stat ECHO Follow cardiac enzymes Morphine for pain control Continue ASA Hold Beta Blocker as SBP
Understanding Health Insurance: A Guide to Billing and Reimbursement
14th Edition
ISBN:9781337679480
Author:GREEN
Publisher:GREEN
Chapter4: Revenue Cycle Management
Section: Chapter Questions
Problem 8R
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The use of medical jargon is a known barrier to recieving and fully understanding health care.
Decipher the two medical progress notes below. Translate this progress note into lay terms, as if your patient has no prior health care knowledge or experience.
Provide a reference for any tools that you used to "translate".
1.Differential diagnoses remain broad with exact etiology still unclear. Most concerning at this time remains pericarditis because of the nature of chest pain and EKG changes. Acute coronary syndrome remains in differential but is less likely given the normal cardiac enzymes and the nature of the EKG changes. PE is very unlikely given the normal oxygenation and complete lack of risk factors. Dissection is unlikely as the patient has no history of HTN and symmetric blood pressures.
If w/u for above life threatening causes negative will further expand differential to include GI, infectious, musculoskeltal and other causes of chest pain
Plan:
Serial EKG
Stat ECHO
Follow cardiac enzymes
Morphine for pain control
Continue ASA
Hold Beta Blocker as SBP
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