4. A 68-year-old male presents to the office complaining of pronounced weakness on the right side of his body and slurred speech for the past 24 hours. Based on the examination, the physician orders an MRI to investigate a possible transient ischemic attack (TIA). The range of codes that would be used for this patient would be Codes 390-459 because the treating physician ordered and MRI to rule out a transient ischemic attack. These codes are for Diseases of the Circulatory System 5.
By the time he was admitted to the hospital on September 14, his muscles were weak and his ribs were showing. Baby Pierre had only gained half a pound in the six months since his birth. The doctors kept him alive by feeding him through a tube threaded through his nose and into his stomach. He gained weight and strength for a while, then suddenly took a turn for the worse. On November 30, baby Pierre vomited blood and died.
Finally, after several months of increasing frustration and decreasing health, he is diagnosed with amyotrophic lateral sclerosis, or ALS. Within two months, he is in a wheelchair with a surgically placed feeding tube. Six months after being diagnosed, he passes away in his sleep from respiratory failure. He was
Van Whitfield is an accomplished author and has written for shows such as “The Wire” and “The Chapel” show. He has earned 6 Ben Franklin Award nominations including Best Author and Best New Voice in Books. During his session at Drexel he shared something with us that he had never shared with anyone to this day. He talked about his experience when he had a heart attack and was put in a comma because the doctors didn’t think he was going to live. He said that the day of his heart attack he knew something was wrong with him and went to the doctor to get some medication.
Niskayuna Hospital 1234 Meadowview Drive Niskayuna, New York (518)345-1000 REPORT May 7, 2010 McDonnell, Joseph CHIEF COMPLAINT: Numbness, partial paralysis of his left side of his face, crocodile tears, increased thirst, some loss of taste, and experiencing pain in both ears. HISTORY OF PRESENT ILLNESS: Mr. Joseph McDonnell is a 50 year old man with Type II Diabetes. He administers insulin as part of his treatment and tests his glucose levels regularly. He has no history of hypertension or stroke. He had Sarcoidosis three years ago and it was treated with Prednisone prescription at onset to control severe rash symptoms and then with Dexamethasone afterwards, to clear the redness, swelling and irritation.
KJ states that he has had right knee pain for about a month. His pain gets excruciating during the night. He has a diagnosis of pseudo gout. He states he has never seen an orthopedist for this and he does have a history of DJD. HEALTH PERCEPTION-HEALTH MANAGEMNET
Case Scenario: Carl Fowler, a 46-year-old man, presents to a health clinic for a check-up. He was last seen in the clinic three years prior when he had acute bronchitis. A year ago, he was told that his blood pressure was "a little high" when he donated blood. His past medical history consists of a fractured clavicle sustained when he was playing a pickup game of football at age 24. The fracture healed without complications.
Discharge Plan for Henry Trosack Healthcare Issues Healthcare Issue #1) falls with Injury requiring Surgery Mr. Trosack had a fall down the stairs and broke Right hip which required surgery to repair. Patient is two weeks out of surgery and likely needs further Physical Therapy. A fall with injury is serious. This is important because this patient may have further falls. Mr. Trosack’s home is on the second floor of an apartment building without an elevator.
Identify sites where a pulse may be taken in the hospitalized patient 5. Discuss common errors in blood pressure assessment Timothy Smith is a 46 year old male patient. He has returned to the unit from the recovery room for post-op hernia repair under general anesthesia. You take his vital signs 99F, P/80, RR/18, BP-120/84, O2Sat 94% RA, 3/10 pain abdomen. Focused Questions: 1.
We sat patiently waiting to hear from the doctor. When the doctor finally came in, he asked if the patient had had a recent major heart attack and when we replied that he had not, he seemed not to believe us. His heart valve had disintegrated and all of his blood had begun to rush backwards causing all of his other major organs to shut down on him. The doctor said he had to have had a major heart attack within the last ten days in order for that valve to deteriorate the way it did. The doctor told us that this man was as sick as a man could be and still be alive.