A Traumatic Quinceañera A 15 year old, previously healthy female presented to the pediatric emergency department with 3 days of hematemesis, worsening abdominal distention, and diffuse abdominal pain. Her emesis began as non-bloody, non-bilious, however over the past 2 days has progressed to become biluous and grossly bloody. She has had no bowel movement and no known flatus for 2 days. On the day of presentation, she was seen by her pediatrician who ordered an abdominal CT and subsequently referred
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what it means to perform quality ICD-10-CM coding for the physicians' office. Performing quality ICD-10-CM coding for the physicians office is crucial because that is how payment is ensured. The patient is billed for the services provided at the hospital/clinic by the physician. The coder has to ensure that they are certified coders. Performing quality ICD-10-CM coding is when the coder codes everything properly. For a doctors visit, you could possibly have multiple symptoms where the physician has
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Medical Assistant Law and Rules § 43-34-44. Role of medical assistants clarified Nothing in this article shall be construed to prohibit the performance by medical assistants of medical tasks, including subcutaneous and intramuscular injections; obtaining vital signs; administering nebulizer treatments; or other tasks approved by the board pursuant to rule, if under the supervision by a physician in his or her office; provided, however, that this shall not require on-site supervision at all times
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In “Our Scars Tell the Stories of Our Lives”, Dana Jennings describes the physical scars he endured over his lifetime. The author explains several details about each of his many scars that cover his body. Whether it be an accidental happening as a child or a lifesaving surgical scar during his adulthood, Jennings recalls a vivid story of each and every scar. Throughout the writing a majority of the authors scars came from accidents or uncontrollable events such as acne on his face or a spigot of
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Intensive Care Units (ICUs) have undergone an impressive improvement and expansion over the last 50 years. In 1958, approximately 25% of community hospitals with more than 300 beds reported having an ICU. By 1997, more than 5,000 ICUs were operational in hospitals across the United States (7). Evidence has shown that the presence of specialized critical care teams which include an intensivist physician reduce patient mortality and morbidity (8, 9). The medical literature strongly supports the premise
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Moreover, as Kesey introduces him as “not a regular visitor”, highlights the importance of McMurphy, and the central role in which he comes the Jesus of the institute. However, essentially there are two McMurphys. The one who has conned his way into the institute, and describes himself as being “in and out” of institutions his whole life, knowing how to play the system, is directly contrasting with the typical American man of the 1950s. Which is a clear representation of God’s role diminishing, as
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VITAS Hospice Bereavement Meeting Observation VITAS Healthcare is a for profit organization providing hospice and palliative care services in 14 states and the District of Columbia in the United States (VITAS hospice and palliative care, n.d.). The 14 states are California, Connecticut, Delaware, Florida, Georgia, Illinois, Kansas, Missouri, New Jersey, Ohio, Pennsylvania, Texas, Virginia, and Wisconsin (Hospice locations, n.d.). The goal of the services is to provide comfort measures and support
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Plastic surgery is a branch of medicine that is used to reconstruct deformities, repair parts of the body and treat injury, as well as to enhance natural beauty. Ethical issues or dilemmas, as will all branches of medicine, continually and increasingly plague plastic surgery. One such ethical dilemma is the recent trend of performing plastic surgery on patients with disabilities, specifically those with Down syndrome. There are many reasons why people undergo plastic or cosmetic surgery. For children
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higher pay due to working harder than most people with any paying job does. Most people don’t really think highly of doctors. They often tend to think they only want their patient’s money. People don’t know that doctors spend most of their time in hospitals or clinics. They usually don’t get breaks because they’re busy trying to help all these patients get the right treatment they need. With a higher pay, doctors will get the salary they deserve and be able to afford to take care of their own families
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This essay will examine evidence relating to the use of episiotomies in preventing severe perineal trauma during childbirth. This is defined as third and fourth degree tearing and obstetric anal sphincter injuries (OASIS). An episiotomy is an incision into the tissues surrounding the opening of the perineum. The procedure is typically performed during a difficult birth. Often, it is used as a preventative measure to enlarge the opening in a controlled manner, to make delivery easier and to avoid
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