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.
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.
Points Awarded 24.00 Points Missed 2.00 Percentage 92.3% Diagnosis Shiri's husband, Alum, notices that her left eyelid is drooping and she tells him she is experiencing double vision. After another choking episode, Alum brings his wife back to the healthcare provider who now thinks she may have myasthenia gravis. Her healthcare provider administers a Tensilon (edrophonium chloride) test to help confirm the diagnosis of myasthenia gravis (MG). 1. Which response to the test indicates that Shiri has myasthenia gravis?
The numbness in his lips and face made it almost impossible for him to communicate, but the hospital staff managed to at least understand the address he gave them and they sent an ambulance. As Dr. Westwood was rushed to the hospital, his breathing became increasingly labored. The patient presented in the ED with diaphoresis, motor dysfunction, paresthesias, nausea, and an ascending paralysis that started in his legs and spread to the upper body, arms, face, and head. The patient was cyanotic and hypoventilating. Within 30 minutes of presenting in the ED, Dr. Westwood developed bradycardia with a BP of 90/50 mmHg.
According to articles online about half of patients with kidney failure receive treatment and are cured. Scenario B Chronic renal failure: Mr. Hodges, a 73-year-old man, has had congestive heart failure for the past 5 years. His doctor has told him that his heart is not functioning well, needing more and more medicine to maintain circulatory function. He has noticed that he
I could see the catheter bag hanging from the bed which was filling up with blood instead of urine. I thought I was going to bleed to death as I can not accept blood transfusions, due to my religious beliefs. After a week in the hospital, the fluid in the catheter bag started gradually turning yellow. On day seven, the doctor came to my room and gave me the best news that I have heard in a long time. He said “Kerry you can go home but will need to follow-up with your doctor”.
Meet the Client: Bert Graham Sixty-three-year-old Bert Graham visits the health care clinic complaining of increasing fatigue and difficulty breathing. Physical assessment findings include a rapid, irregular heart rate of 138 beats per minute, BP of 140/86, and a respiratory rate of 28. His breath sounds are clear with fine crackles in the bases bilaterally. He has positive jugular vein distention (JDV) bilaterally and 1+ pitting edema of his ankles bilaterally. His initial medical diagnosis is heart failure (HF).
The patient knew this colleague worked at the hospital. Over the next six weeks, the patient noticed an increase in cancelations of appointments with his patients. The dentist called a few of his long term patients and they explained that though the sympathized with him, they no longer feel safe in his care. Within two months after, the dentist’s practice virtually collapsed. The colleague, who the dentist knew, signed an affidavit stating that the nurse’s aide in the radiology holding area called him the day of the biopsy and informed him of the dentist’s HIV status.
Discharge Plan Needs Mr. Trosack will need to have physical therapy to rehabilitate himself after his fall and hip replacement. He will need to be able to negotiate stairs with bags of groceries. He will need to shower and use the bathroom independently. He needs to understand the importance of his new medications and might even need assistance with medication administration. Social Isolation His lack of mobility will affect his social visitation, and he is a widower as is his brother who is also elderly and we don’t know if he will be able to make daily visits.
Hunting the nightmare bacteria Frontline investigates the alarming rise of deadly type of bacteria that our modern antibiotics cannot stop. This video is about three different cases of infection that is becoming impossible to treat. First case appear in Tucson, Arizona, May 2011. Addie an 11 years old, physically perfect. She start complaining to her mom about pain in her hip, next day took her to the hospital where they said she had symptom of a virus but days after the pain spread and the fever got worse.