case exam six (1)

Time left A 35-year-old woman comes to the physician because of progressive left flank pain over the past 2 weeks. She has a history of type 1 diabetes mellitus. Her temperature is 38°C (100.4°F). There is tenderness to percussion along the left flank. Passive extension of the left hip is painful. Her leukocyte count is 16,000/mm3. An axial CT scan is shown. The underlying pathology is most likely located in which of the following anatomical structures? O A. Left ovary B. Quadratus lumborum muscle O C. Iliacus muscle ○ D. Psoas major muscle

John Michael Jones was seen by Dr. Peters who has seen the patient previously in this office. History: Mr. Jones has been having a fever and shortness of breath the last two days. He is not on any present medications but has been taking an over the counter Nyquil, but this has not been working. Physical Examination: Dr. Peters listens to Mr. Jones chest and hears nothing of real concern. Dr. Peters tells Mr. Jones that he doesn't believe the patient has bronchitis but just the flu. Dr Peters documented he spent 12 minutes with the patient. Plan: Drink a lot of fluid, rest and return if it worsens. What is the correct E/M code for this scenario

Awakened in the early morning by screams and pounding on your front door, you rush to answer the door. You find Mrs. Winters, your older neighbor from across the street. She knows you are trained in first aid and CPR and asks you to please help her husband. As you hurry across the street, she tells you her husband had been feeling ill for several hours and then vomited. She says that he emerged from the bathroom clutching his chest and in apparent pain. He suddenly collapsed to the floor. As you enter the house, you find Mr. Winters lying motionless on the floor just outside of the bathroom. You want to help. How do you respond?

Ms. Cornwall is admitted with pyelonephritis. She has chills, and her temperature is 101°F. She is complaining of flank pain, frequency, and dysuria. Her urine has white blood cell casts, and her urine culture is growing Escherichia coli. Why does she have bacteria and white blood cell casts in her urine?

A 22 year old man is involved in a high-speed head-on collision wherein he is the driver, wearing a seat belt. He is taken to the ER and examined, where he is determined to have patterned bruising on the chest and lower abdomen from the seatbelt, but no other injuries. He is observed for 12 hrs in the hospital, and felt to be ready for release. The only change noted is on the chest x-ray, where the mediastinal area appears to have increased somewhat in size. This is felt to be unrelated to the trauma and the patient is sent home. He is found dead the next day. Autopsy shows a large amount of blood in the left chest cavity. What is the cause of death (in correct format for the Death Certificate)? What is the mechanism of death?