Medicine, 01.11.2020 19:40 tareas7009

Appropriate procedure/service. A 42-year-old white male was referred to a gastroenterologist by his primary care physician because of a two-month history of gross rectal bleeding. The new patient was seen on Wednesday, and the doctor performed a comprehensive history and exam. Medical decision making was of moderate complexity. The patient was scheduled for a complete diagnostic colonoscopy four days later. The patient was given detailed instructions for the bowel prep that was to be started at home on Friday at 1:00 p. m.

On Friday, the patient was registered for outpatient surgery at the hospital, moderate conscious sedation (15 minutes) was administered by the physician performing the procedure, and the flexible colonoscopy was started. The examination had to be halted at the splenic flexure because of inadequate bowel preparation. The patient was rescheduled for Monday and given additional instructions for bowel prep to be performed starting at 3:00 p. m. on Sunday.

On Monday, the patient was again registered for outpatient surgery at the hospital, moderate conscious sedation (30 minutes) was again administered by the physician performing the procedure, and a successful total colonoscopy was performed. Diverticulosis was noted in the ascending colon and two polyps were excised from the descending colon using the snare technique. The pathology report indicated the polyps were benign.

Day of Encounter: Wednesday

Diagnosis:

Diagnosis Code:

Procedure: Level 4 E/M service, office, new patient (decision for surgery)

Procedure Code:

Day of Encounter: Friday

Diagnosis:

Diagnosis Code:

Procedure: Sigmoidoscopy (Colonoscopy was halted at sigmoid colon due to inadequate bowel prep)

Procedure Code:

Day of Encounter: Friday

Procedure: Moderate (conscious) sedation

Procedure Code:

Day of Encounter: Friday

Diagnosis:

Procedure Code: K62.5

Day of Encounter: Monday

Diagnosis:

Diagnosis Code:

Procedure: Colonoscopy, total, with removal of polyp

Procedure Code:

Day of Encounter: Monday

Procedure: Moderate (conscious) sedation

Procedure Code:
,

Day of Encounter: Monday

Diagnosis:
,

Diagnosis Code: D12.4

Answers: 2

Show answers

Another question on Medicine

Medicine, 04.07.2019 10:10

What is crystallographic data processing and structure determination? what are the physical infrastructures of x-ray crystallographic structural biology? who can tell me detailed information? any would be appreciated. in advance!

Answers: 1

Answer

Medicine, 09.07.2019 19:10

A10-year-old girl suffered from a rare malignancy in her brain and around her spinal cord. she had surgery, and most of the tumor mass was removed, but residual tumor remained in the brain and around the spinal cord. the girl's doctors informed her parents that chemotherapy and radiation were possible treatment options but could cause serious problems such as sepsis, a permanent loss of iq and stature, and even death. the parents wished to proceed with the therapy. while their child was undergoing aggressive chemotherapy and radiation, the parents did independent research and read of several drugs being administered for cancer in other states that were unapproved by the federal drug administration (fda) and were illegal in their home state but were touted by physicians using them as miracle cures." furthermore, one of the girl's doctors released the girl's medical records to another physician to get a "second opinion" without informing the parents. this particular physician is a member of the same country club as the parents. he happens to share facts from the medical records with other members who end up telling the girl's parents. the couple sued their child's physician for failure to disclose alternative treatments, thus depriving them of informed consent. the couples also sued the child's physician for sharing their daughter's records in violation of the girl's privacy. how should the court rule in both cases? did the child's physician involved follow the law? did he act ethically in either situation? explain your answer. under the doctrine of informed consent, should a physician be responsible for informing patients of all treatment options, even if some of the treatments are illegal or not yet proven effective?

Answers: 3

Answer

Medicine, 09.07.2019 19:10

Sam and joan have been married for 25 years and have three children: max, who is 23; janet, who is 19; and sarah, who is 15. janet has just been diagnosed with a mental illness. describe the objective and subjective burdens each family member may experience. describe the meaning this diagnosis may have to janet’s parents, younger sibling, and older sibling.

Answers: 1

Answer

Medicine, 09.07.2019 19:20

Anurse is instructing a client who has a new prescription for a daily dose of lovastatin extended release. which of the following information should the nurse include in the teaching? a. report to the clinic for quarterly monitoring of kidney function while taking this medication. b. mix with applesauce after crushing if the medication is difficult to swallow. c. avoid consuming dairy products while taking this medication. d. take the medication with the evening meal.

Answers: 3

Answer

You know the right answer?

Appropriate procedure/service. A 42-year-old white male was referred to a gastroenterologist by his...

Questions