What conditions you would code, provide the correct codes? Joan Schmidt, a 15-year-old female, reports to the hospital urgent care clinic for a headache and wheezing. Following the examination, she is discharged with an acute frontal sinus infection, recurrent, and exacerbated asthma due to environmental dust allergies.
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What conditions you would code, provide the correct codes?
Joan Schmidt, a 15-year-old female, reports to the hospital urgent care clinic for a headache and wheezing. Following the examination, she is discharged with an acute frontal sinus infection, recurrent, and exacerbated asthma due to environmental dust allergies.
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- Hello, I have to choice an article and summarizing it and connect it with Pathophysiology. I chose the article “Paraneoplastic Syndromes: An Approach to Diagnosis and Treatment” It is for free and the link is: https://www.mayoclinicproceedings.org/action/showPdf?pii=S0025-6196%2811%2960214-0 2. Provide a write-up summarizing the article. Within your document, include how the information connects to Pathophysiology, and why it is relevant. 3. Aim to include 150 - 200 words in the summary. Thank you in advance!A lethargic 22-month old black female was presented by her mother to the emergency room at 2:15am on a Sunday. The child had a history of a runny nose, hoarse cough and low-grade fever (-99F) for the past 48 hours. The mother was concerned about the forced and noisy breathing of the child. The pediatrician examined the child and found cloudy eyes and mild inflammation of the ears, but no overt signs of bacterial infection (no significant changes in the eardrums). The throat of the child was red and coated with mucus. The larynx was swollen and raw. The physician performed a rapid Strep test and found it was negative. Throat swabs were taken for culture. The physician placed the child in a room with a warm vaporizer for about 30 minutes. This dramatically improved the breathing of the child. 1. What is the infectious agent that caused this case? 2. Do you believe that this is a bacterial or viral disease? Why? 3. What further treatment is indicated for this case?Please code the E/M code and any other procedures for the following case from your CPT coding book and add modifier if applicable: Location: Family medical center Encounter Date: 9/7/xx Provider: Snow Valley, MD Patient: Heather Williams Gender: F Age: 43-year-old established patient Chief Complaint: Rash, diabetes, HTN and shortness of breath after taking amoxicillin. Patient was placed in observation after an allergic reaction to the antibiotic. The amoxicillin was discontinued. Has severe dermatitis covering arms, stomach and legs. Patient was admitted to observation for further treatment and supervision. Later in the day the dermattis began fading and breathing became normal. Patient was discharged on the same date. Physician performed a detailed exam and a detailed history, and medical decision making was moderate. Diagnosis: Localized dermatitis and shortness of breath due to amoxicillin.
- Discuss, using the text, how you believe this case should be decided. Remember to reference specific ethical principles from the text: "A 13 year old girl, suffering from toxic shock syndrome, is sent directly from school to a local emergency room. Treatment is ordered, including fever-reducing medication and a strong course of intravenous antibiotics. The parents arrive just as the medication and equipment arrive in the emergency room. They announce they are Christian Scientists and wish to take their daughter home." The clinical approach to this case requires the application of the procedure by which medical indications, patient preferences, projected quality of life and contextual features be applied. How would you decide it given our readings so far?List 3 (three) potential differential diagnoses for this patient's complaints.A 55-year-old female was transported to the floor after recovering from a surgical procedure. An epidural catheter with morphine was placed for post-operative pain control. Upon arrival, the patient complained of nausea and a headache prompting the on-call physician to prescribe, “Demerol 75mg every three hours for pain.” The preprinted medication orders from anesthesia stated “No narcotics, sedatives, or other respiratory depressants to be given during infusion of epidural medication and for 12 hours after epidural is discontinued except by order of anesthesia.” The nurse had not reviewed this order prior to obtaining and administering the new order for Demerol, a narcotic. Twenty minutes later, the patient was found unresponsive and aggressive resuscitation efforts were implemented, resulting in intubation and mechanical ventilation of the patient. When brain activity was not found, the family made the decision to take the patient off of life support and the patient died shortly…
- Case scenario A 90-year-old woman with Alzheimer’s lives in a nursing facility. A nurse notices that she has been coughing frequently and seems warm to the touch. She performs an evaluation on the woman and confirms a fever with a dry cough. She also notices that her throat seems inflamed and irritated. The woman is unable to answer questions about how she has been feeling lately to provide a history for the nurse. The nurse ensures that the woman is comfortable and returns to the nursing station to review that patient’s chart. The nurse finds that within the year that the patient has been in the nursing facility, she has had two respiratory infections diagnosed as pneumonia. The nurse calls the physician, worried that the patient may be developing pneumonia again. Review the CBC results for this patient. 1. Pneumonia is an infection of the lung that can be caused by a virus, bacteria, or fungi. What initial laboratory analysis would help to determine whether an infection is present?…Case scenario A 90-year-old woman with Alzheimer’s lives in a nursing facility. A nurse notices that she has been coughing frequently and seems warm to the touch. She performs an evaluation on the woman and confirms a fever with a dry cough. She also notices that her throat seems inflamed and irritated. The woman is unable to answer questions about how she has been feeling lately to provide a history for the nurse. The nurse ensures that the woman is comfortable and returns to the nursing station to review that patient’s chart. The nurse finds that within the year that the patient has been in the nursing facility, she has had two respiratory infections diagnosed as pneumonia. The nurse calls the physician, worried that the patient may be developing pneumonia again. Review the CBC results for this patient.A 57 year old male presented to the Tulane Emergency department at 4:00 AM with the acute onset of right-sided facial drooping, speech slurring, and difficulty with lifting his right upper extremity. Upon presentation, he is unable to communicate with medical staff, as he cannot get any words out; when asked about his birthday, he attempted to speak but was unable to produce any words, but he was able to write his birthdate down correctly when asked to do so. He was unable to lift his right arm, turn his head toward the right side, or He has a strong history of heart issues, dating back to his 40’s when he suffered from a myocardial infarction (heart attack) which required two stents placed in his left anterior descending (LAD) artery. He was prescribed Plavix (Clopidogrel) and aspirin 80 mg daily after his heart attack, and he was advised to stop smoking. He had successfully stopped smoking for 2 months prior to restarting. He currently smokes 2 packs of Marlboro Menthol Light…
- Put an evidence-based conclusion regarding the causative agent of Isabella’s disease. Also should include supporting evidence from the CSF stain and the descriptions of the possible pathogens. Case StudyIsabella is a 24-year-old nursing student. She works full-time in the local emergency department. Earlier in the week, she began to feel tired and run down. She had a severe headache, fever, and her neck felt stiff. At work, there had recently been an increase in influenza cases, so she initially thought she might be getting sick with the flu. She decided to take a few days off to rest and took acetaminophen (Tylenol) for the pain. The symptoms persisted and worsened over the next few days. Her roommate convinced her to go to the emergency room for medical attention. Alex, the physician’s assistant that Isabella frequently works with, observed that Isabella was running a high fever, had a visibly stiff neck, and complained of a headache. These are common signs and symptoms of…Your patient is on the respiratory unit at the general hospital. He has been there now for 2 weeks, and his condition is worsening. His main complications are pneumonia, breathlessness, and anorexia. His condition is complicated further as he is diabetic, and his blood glucose levels are fluctuating. He is very weak and he most likely be admitted into the ICU after the change of shift. The doctors are monitoring his input and output, as well as daily electrolytes and blood counts. This morning the potassium level came back very low and potassium chloride (KCl) has been added to his IV. His right lung collapsed this afternoon, and he had a chest tube inserted which is connected to a suction machine. In preparing for the end of shift you need to calculate his 12-hour fluid balance. Here is the information that you will need to complete your task: My Vlad has a continuous IV of NS with 20 meq KCl infusing at 100mL/hr He took in a total of 4 x (6oz) glasses of water 4 oz jello at breakfast…A Rapid Response Team (RRT) was called to the medical-surgical unit to evaluate a patient who was admitted 4 days ago with pneumonia. The primary nurse called the RRT team due to recognizing the following early clinical manifestations of acute respiratory distress syndrome (ARDS): a. Bradycardia and increased work of breathing b. Respiratory distress and frothy sputum c. Dyspnea and tachypnea d. Cyanosis and apprehension