Patient comes in today at 4 months of age for a checkup. she is growing and developing well. her mother is concerned because she seems to cry a lot when lying down but when she is picked up she is fine. she is on breast milk but her mother has returned to work and is using a breast pump but hasn’t seemed to produce enough milk. physical exam: weight 12 lbs. 11 oz., height 25in., ofc 41.5 cm. heent: eye: red reflex normal. right eardrum is minimally pink, left eardrum is normal. nose: slight mucous throat with slight thrush on the inside of the cheeks and on the tongue. lungs: clear. heart: w/o murmur. abdomen: soft. hip exam normal. genitalia normal although her mother says there was a diaper rash earlier in the week. assessment four month-old well check cold mild thrush diaper rash plan: okay to advance to baby foods okay to supplement with similac nystatin suspension for the thrush and creams for the diaper rash if it recurs mother will bring child back after the cold symptoms resolve for her dpt, hib and polio what e/m code(s) is/are reported?

What challenges did dallas face as a youth and as an adult? in “the girl-with-no-name”

17. explain why or why not you might choose to utilize alternative, complimentary, and integrative/or medicine. explain how these types of medicine are different from traditional (orthodox) medicine?

Samuel is a 63-year-old single man who works full time in a food processing plant. he has a history of esophageal cancer, which was treated successfully with anti-cancer drugs and surgery four years ago. his weight had been stable at 135 pounds until 6 months ago. since then, he has experienced an involuntary weight loss of 10 pounds. he complains of a poor appetite and being overly weak, tired, and irritable. he also complains of cracks at the corners of his mouth and a chronic sore throat, which concerns him, given his cancer history. his usual diet is fairly consistent. he states that he rarely eats breakfast because he starts work at 6 a.m. he eats two deli meat sandwiches, "usually pastrami or salami," and a soda at 10 a.m., and may eat a candy bar in the afternoon when he gets off work. he often prepares and eats a frozen dinner or pizza at home in the evening and routinely drinks "about four or five beers" before going to bed. occasionally, he cooks roast and mashed potatoes for dinner and may have cereal with milk for a snack before bed. he rarely eats vegetables or fruit. 1. considering samuel's alcohol consumption, which b vitamin may he be deficient in? a. pantothenic acid b. niacin c. riboflavin d. biotin e. thiamin