Bundle: Understanding Health Insurance: A Guide To Billing And Reimbursement, 14th + Law, Liability, And Ethics For Medical Office Professionals, 6th ... For Green's Understanding Health Insu
14th Edition
ISBN: 9780357014738
Author: Michelle Green
Publisher: Cengage Learning
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A diagnosis of schizoaffective disorder requires that psychotic symptoms sometimes occur outside of mood episodes
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CC: Up multiple times at night to urinate but only dribbles, lightheaded when standing up, sometimes can’t make it to the bathroom in time, difficulty with intimacy.
HPI: 65 year old white male present to clinic today with above complaints. Pt with long h/o UTIs and one episode of sepsis. Treated 2 weeks ago with Cipro 250 mg BID for 3 days. New complaint of erectile dysfunction. Denies fever, chills, nausea, vomiting, abdominal pain, diarrhea, constipation, anorexia. Feels light headed when getting out of bed, but it resolves after a minute. Has not fallen. Denies spinning sensation. Denies chest pain, SOB, palpitations or diaphoresis.
PmHx: HTN, chronic UTIs, DM type 2, obesity, OA, insomnia
Meds: Metformin 1000 mg BID Terazosin 10 mg daily
Amitriptyline 25 mg qhs Metoprolol succinate 50 mg daily
Ibuprofen 800 mg BID…
Tobacco and Alcohol use would be considered this type of Determinant of Health:
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- A mothers consumption of alcohol during pregnancy can cause ___________________. cerebral palsy Down syndrome fetal alcohol syndrome genetic disordersarrow_forwardPain is classified as a ________________________ diagnosis sign symptom syndromearrow_forwardMatch the term listed in Column A with its definition from Column Barrow_forward
- Major warning signs of adrenal disease include abnormal blood pressure, abnormal electrolytes, and unexplained weight change. Group of answer choices True False no references, just homework.arrow_forwardWhat would be a subjective for this case study A 52-year-old white female has been experiencing bone pain over the past several years after menopause. She states, “The pain is becoming worse, and it is keeping me from doing my daily activities.” She currently complains that any weight-bearing activity causes her severe discomfort. She now reports having “hot spells” at different times throughout the day with some trouble sleeping for the past 3 months. She also complains of some vaginal dryness that she admits is bothersome. She is not taking any medication. She has been using a soy herbal supplement and vitamin E 400 IU daily. She is up to date on all her gynecological exams, and past mammograms have been normal as have her health maintenance exams. She does not smoke or use alcohol. Her system reviews are unremarkable excluding today’s complaint. She lives alone in a one-story house and works at a car plant. She has three children and one grandchild. Her daughter lives in close…arrow_forwardA 46-year-old man with a history of HTN and GERD comes to a clinic complaining of increased fatigue, shortness of breath, and cough. He has noticed feeling tired more easily for the past 3 months, but the difficulty breathing and cough appeared 2 weeks ago. After questioning him further, he says he had the same sexual partner for the past 8 years. They do not use condoms. He also said that he smokes about 1 pack of cigarettes per day. The patient Works as a truck driver; reports distant history of intravenous drug use in his 20s and drinks alcohol occasionally. The patient is also complaining of recurring mouth sore, painful urination accompanied with clear discharge. Question: Given this information, what is your assessment of the patient's condition?arrow_forward
- Sarah, age 68, was recently widowed after 40 years of marriage. She reports that since her husband died, she has started to smoke again. She also reports difficulty sleeping, more pain from her rheumatoid arthritis, and episodes of shortness of breath. She begins to cry when asked about her usual daily activities and hobbies. She has stopped taking her blood pressure medication over the last month and avoids discussing her financial status. What risk factors are present that may predispose her to an altered health status?arrow_forwardAn older adult client is known to be taking 14 different medications. What is the greatest risk for the client? Financial hardship Missed doses Adverse drug interaction Nonadherencearrow_forwardA 14 year old girl is small in stature and appears younger than her age. She has not started menstruating, and her parents are concerned that she is not growing taller nor entering puberty. She has frequent headaches, and is having difficulty seeing the board at school, even though she sits near the front of the room. She feels cold, even when the room is warm, and she is often constipated. Her parents are concerned. She is in the 30th percentile for height and weight, significantly below her peers. What hormones are of LEAST concern in this person? a.) GH b.) GnRH c.) Insuline d.) TSHarrow_forward
- Case scenario A daughter goes to visit her elderly mother, who lives alone. The mother wants to remain as independent as possible, but her ability to prepare meals has recently declined. As a result, her nutritional status and health have declined. When the daughter arrives at her mother's house, she finds her mother still in bed and incoherent, clammy, and hot to the touch. She calls 911, and her mother is rushed to the emergency department (ED). In the ED, her mother is found to have a fever, and she is unable to answer questions about how she has been feeling lately. The care team consults with the daughter about ordering laboratory analysis, and she gives her consent for the blood draw. Additionally, the daughter consents to the placement of a urinary catheter because the mother is not able to collect a urine specimen independently. CBC results Reference Range Reference Range WBC 16.6 × 103/uL 4.8–10.8 × 103/uL Neutrophils 88% *25% bands 60%–70%…arrow_forwardSally Conner is a 60-year-old who recently suffered a stroke at home. She has been moved into Real Nice Long Term Care facility for recovery. Her vital signs are normal but complains of intermittent mild headaches. She has left sided weakness in her arm and leg, and currently spends most of her time in bed. She suffered from CVA last month which has left her debilitated and dependent with self-care. She has difficulty with swallowing and requires assistance with feeding. You will assist her with brushing her teeth, provide a partial bed bath, help her change her gown, and change her bed while she is in it. Question: If patient has weakness on the left side, where should you best approach the patient and why?arrow_forwardPathophysiology _________ causes disruptions in feedforward mechanisms can always be attributed to disruptions in positive feedback contributes to an increase in homeostasis occurs because of disruptions in homeostasis all the abovearrow_forward
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