Meet the Patient: Jeff Dickson Traumatic Brain Injury Jeff Dickson is a 17-year-old admitted to the Emergency Department via ambulance following a motor vehicle accident (MVA). He is accompanied by his parents and two of the three friends who were in the vehicle with him. Another friend, who was driving the vehicle, was transported to a different hospital by LifeCare Helicopter. A basilar skull fracture is a linear skull fracture that extends over the base of the frontal and temporal lobes. The nurse knows that this particular type of fracture can cause damage to the nerve pathways, cranial nerves, or vital centers.
The code 01996 should be used only for each subsequent day if a long-term epidural is used for pain control. The correct answer is 01967 and 01968. The disproportion was specified as cephalopelvic; thus, the correct ICD-9-CM code is 653.41. ICD-10-CM Code(s): O65.4 ICD-10-CM Rationale: The Alphabetic Index main term is Delivery with subterms complicated by, obstruction, due to, fetopelvic disproportion. 6.3. a.
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.
Patient is visiting aunt and was brought into the ER and was mini-altered. Patient was given Geodon and Haldol to calm him and EKG was done. EKG showed A. fib with heart rate as high as 170. He was put on Cardizem drip and admitted for further evaluation. The patient denies symptoms of any chest pain, fever, nausea or vomiting.
The article says that allografts are often used, and septic arthritis is a rare complication that comes from the surgery. Four people were interviewed in the article, discussing how their problems with the surgery. A sixteen year old girl from Florida sought medical care for swelling and redness of her knee. She was diagnosed with septic arthritis. She went through six weeks of therapy and had the allograft and screw removed from her knee.
An ambulance arrives and the emergency medical technician (EMT) stabilized Grace before transporting the infant to the Emergency Center. This information is reported to the nurse by the EMT upon the infant’s arrival to the Emergency Center. Assessment When the nurse enters the room she finds Grace crying in her mother's arms. The nurse and Wendy calm Grace, and then the nurse auscultates the infant's lungs. Coarse bilateral wheezes are detected, but the infant does not appear in acute distress at this time.
10 months later, in the spring of 1994 distressing symptoms brought Mrs. Alexander to a different doctor. After another x-ray and a biopsy Mrs. Alexander was diagnosed with incurable non-small cell lung cancer stage IIIa. With treatments including unsuccessful surgery for the metastasis, lymph node removal, extensive chemotherapy and radiation, her cancers, while not cured, were put into remission in or about October 1994. Because the cancer was in remission at the time the complaint was filed, the trial court granted summary judgment to defendants. In the courts opinion, Mrs. Alexander had no current compensable injury and the appellate court agreed.
language Jenny is 38 years old and 22 weeks pregnant . Her obstetrician found on ultrasound what looks like a heart abnormality in the growing fetus . He referred her to a cardiac surgeon who advised surgery in utero to repair the heart During the surgery the doctor successfully repaired the heart abnormality but damaged a blood vessel leading to the heart , creating a significant future risk of death to the child after birth Consider each of the following situations 1 . Discuss the present legal position of the surgeon on the facts above[->0] br should Jenny sue the surgeon 2 . What difference would it make if the child died before its birth as a result of the damaged blood vessel 3 .
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.
The men for the most part suffered minor injuries, but the women's were more severe. (Marino) Mrs. Hutton was killed immediately when the car rolled over her. Mary Houghton was still in her seat when the car stopped at the bottom. She had back pain and her face had been crushed. (Mrs.) Mr. Widders ran for help and doctors came.