Evaluation and Management Coding Practice:
S: Monica Sullivan was seen in the office by Dr. White on 12/13 for the second time. She presented with a chief complaint of dizziness and weakness; she stated that she wanted to have her blood pressure checked.
O: Patient has been on Vasotec 5 mg and Hydrodiuril 25 mg. BP has been going up at home. Patient has felt ill, weak, and dizzy, with headache for three days. Cardiovascular exam was normal. BP of 130/110 and pulse rate of 84. Her temperature is 98.6°F and normal.
A: Accelerated hypertension. Bell's palsy.
P: Increase Vasotec to 5 mg a.m. and 2.5 mg p.m. SMA & CBC.
E/M category/subcategory: Office or Other Outpatient Services, Established Patient
Determine the extent of history obtained: BLANK problem focused
Determine the extent of examination performed: problem focused
Determine the complexity of medical decision making: moderate complexity
CPT E/M code: 99212
*Please answer the "BLANK" word
Monica Sullivan was seen in the office by Dr. White on 12/13 for the second time, so here The blank word is "problem focused," as an evaluation and management (E/M) visit is a crucial factor in determining the appropriate level of E/M coding.
What is a problem-focused health service?Monica Sullivan's history was problem-focused in this case, as the doctor only obtained information related to her primary complaints of dizziness and weakness; later, it was also problem-focused, as the doctor only performed a cardiovascular exam and took the patient's blood pressure, pulse rate, and temperature.
Hence, Monica Sullivan was seen in the office by Dr. White on 12/13 for the second time, so here The blank word is "problem focused," as an evaluation and management (E/M) visit is a crucial factor in determining the appropriate level of E/M coding.
Learn more about the problem-focused health service here.
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Explain musclecontraction based on neuroelectrical factors, chemical interactions, and energy sources.
Answer:
Neuroelectrical Factor
1. Potassium ions (K+) are greater inside the muscle cell than outside, whereas sodium ions (Na+) are greater outside than inside.
2. The inside of the cell is negatively charged electrically, whereas the outside is postively charged.
3. Nerve impulse reaching a neuromuscular junction causes axon endings to release the neurotransmitter acetylcholine
4. This makes the cell membrane permeable to Na+. They rush in creating an electrical potential. K+ begin to move out to try to restore the resting potential but cannot do so because so much Na+ rushes in.
5. This causes the muscle cell to generate its own impulse called the action potential, which penetrates deep into the muscle fiber via the T tubules
6. This action potential causes the sarcoplasmic reticulum to release Ca+ into the fluids surrounding the myofibrils
7. The Ca++ stops the action of the inhibitor substances troponin and tropomyosin (which kept actin and myosin apart), thus causing the contractile process to occur.
Chemical Factor
1. Ca++ combines loosely with myosin to form activated myosin
2. Activated myosin reacts with ATP, attached to the myosin, and releases energy from the ATP to form actomyosin
3. Myosin filaments have cross bridges that now connect with the actin and pull the actin filaments in among the myosin filaments
4. A sliding process occurs: the width of the A bands remain constant but Z lines move close. By now the sodium-potassium pump kicks in to restore the resting potential. Ca++ gets reabsorbed and contraction ceases
Energy Sources ATP
1. Glycolysis: glucose to pyruvic acid, net gain eight ATP if O2 present, if no O2 then lactic acid forms with net gain of two ATP.
2. Krebs citric acid cycle: pyruvic to CO2 + H2O + 30 ATP (28 ATP + 2 GTP)
3. Phosphocreatine in muscle cells: phosphocreatine --- creatine + PO4 ---ATP
4. Free fatty acids: fatty acids --- CO2 + H2O + ATP
Explanation:
The physician has ordered meperidine 75 mg IM. On hand you have a vial that contains 25 mg/mL. How many mL will you inject?
Answer: 3
Explanation: 25 mg = 1 mL
The Howard University College of Nursing and Allied Health Sciences, while cognizant of the nature of society and the health care delivery system, has as its purpose the development of students who can effectively and efficiently address the diverse and complex health care needs of society. Describe your interest in the health care industry and how the College of Nursing and Allied Health Sciences can be instrumental in your development as a leader caring for underrepresented populations.
Answer:
From a young age, I realized that I like helping others, then I discovered my interest in medicine and science, which lead me to pursue a career in health.
As I investigate the branches that the health industry has, I became interested in physical therapy and kinesiotherapy. These allied health sciences are as important as a physician or any other professional in the health industry. They give mobility back to an injured person and also prevent future problems.
The College of Nursing and Allied Health Sciences would be of great help for me since I can study the mentioned health sciences and help people in my native American community. They are humans beings with extreme potentials to make the world a better place. Also, they teach the younger generations the community's traditions. Studying physical therapy can help me to teach them how to do the right movements to prevent injures, and cure them when they have a physical problem.
In conclusion, the College of Nursing and Allied Health Sciences would be my opportunity to fulfill my desire to help others and help my community to thrive.
Explanation:
In this essay, we write a brief introduction that can catch the reader's attention. Then, we develop the main paragraphs, explaining our interest in the health care industry and how the institution can help you as a leader caring for underrepresented populations, which, in this case, is a native American community. Lastly, we write a final paragraph reaffirming why we would like to be a part of the College of Nursing and Allied Health Science.
Are there two species of humans in this world
Which of the following is an example of an entrepreneurial inventor?
A medical secretary who reorganizes the office paperwork
A physiotherapist who uses a new stretching technique she just read about
A heart surgeon who designs an artificial heart valve that improves heart functioning
A dentist who sells electric tooth brushes
DO NE
Answer:
c
Explanation:
A glass jar contains 1 red, 3 green, 2 blue, and 4 yellow marbles. If a single
marble is chosen at random from the jar, what is the probability that it is yellow
or green? A glass jar contains 1 red, 3 green, 2 blue, and 4 yellow marbles. If a
single marble is chosen at random from the jar, what is the probability that it is
yellow or green?
Which two major body systems help regulate acid-base balance in the body? Provide an example of how each of these systems accomplishes these tasks?
Answer:
How acid-base balance is maintained including the role of the kidney and lungs as means of excreting excess acidic or basic ions.
Explanation:
The lungs and kidneys are two major systems that work on a continuous basis to help regulate acid-base balance in the body.
The physician has ordered metronidazole 2 gm po. On hand you have 500 mg tablets. How many tablets will be given?
Answer:
4
Explanation:
1000mg equals 1gm
The physician has ordered acyclovir 200 mg tid. On hand you have 200 mg capsules. How many capsules will be given per day?
dose, and how much total drug you will thus need to fill the patient's prescription. ... an ear infection, are 30-50 mg/kg/day, with the total daily dose given as three separate ... between 200mg and 333mg, it would be easiest to have the parents administer ... use full dosage forms for tablets and capsules whenever possible.