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.
I. Statement Of Facts Mr. Smith was admitted into the ICU of John Marshall Hospital on July 2, 2009. He was admitted because of respiratory problems. While in the ICU, Mr. Smith developed symptoms completely unrelated to his respiratory problems. Suddenly, Mr. Smith was experiencing cognitive impairment known as psychosis.
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.
At one point of time the doctor drained 8 fluid ounce of pus from an abscess under Gages scalp which would otherwise leaked into his brain. Within a couple of days gage exposed part of his brain got infected with a fungus, resulting from September 23-October 3 he lapsed into a comatose state. His family taught it was the end of him and prepares him a coffin, Doom, a-dum-dum-dam, but again he recovered. WHAT!!!!!!!! (Is he a cat or something- 9 lives)?
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.
Age Specific Case Study Roberto Calderone, is an 82-year-old retired army general. He was with a myocardial infarction. He was monitored and treated with aspirin 325 mg and started on a beta blocker to control his hypertension. Several nurses have commented on him being a “difficult patient” as he is “stubborn and wants to control everything” while he is at the hospital. Mr. Calderone has been observed to order his wife to “get this” and “get that” in a rather brusque manner and when she steps out of the room, he does the same to the nurses.
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.
Pt: 44 y/o WM CC: Pt was short of breathe and gets tired quickly. Rapid heart rate and feels a little weak. HPI: Patient presents with mental status changes and was found to be in atrial fibrillation with rapid ventricular rate. He was on medication but has not been taken them for over a year because he thought he was all better. Patient is visiting aunt and was brought into the ER and was mini-altered.
Kathleen Lowe The Bournewood case H L is a adult male who is autistic & with profound learning difficulties. He lived in Bournewood hospital from the age of 13 for more than 30 years. In 1994 he was discharged into the community to live with Mr & Mrs E. On 22 July H L became agitated at his day care centre & Was admitted to the accident & emergency department at Bournewood hospital under sedation. Due to the sedation he did not resist admission so doctors chose not to admit him using the powers of mental health act. H L was compliant & never attempted to leave hospital.
Nursing Home Intentional Tort Glen Rodebush, a man Alzheimer's disease, was a resident of the New Horizon Nursing Home. One symptom he showed with his Alzheimer’s disease was reported to be combativeness. One day Rodebush's wife arrived at the nursing home, and found large welts and red marks on Rodebush's face. She immediately contacted Rodebush’s physician and had him examined. The doctor gave his opinion that the red marks had been caused by slaps of a human hand and that the marks were between six and twelve hours old.