Case Studies—Digestive System Operative and Emergency Department Reports - Operative Report
Abstract from Documentation:
A. Refer to the range of hernia repair codes. What documentation is needed before the code is selected?
B. Did the repair include implantation of mesh?
C. Time to Code:
A. Type of hernia (inguinal), age of patient (over five years), if it was reducible, incarcerated, or strangulated (reducible), initial or subsequent repair (initial)
B. Yes
C. Index:
Hernia, Repair, Inguinal
Code(s):
49505-LT Repair initial inguinal hernia; age five years or older; reducible
(Note that the implantation of mesh code is not assigned. Code 49568 is reserved for implantation during an incisional or ventral hernia repair.)
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You are called to see a 3-year-old child who is in moderate respiratory distress. His mother says that he has appeared well during the day, but for the past two nights, he has been waking up around midnight with a high-pitched cough that sounds like a dog barking. You find the child lying in bed, looking very tired and miserable. Axillary temperature is 99.7°F. Respirations are stridorous at
30/min, with suprasternal retractions and accessory muscle use. On auscultation of the chest, no wheezing or crackles are heard. All of the following would be included in the management of this patient EXCEPT: a. administration of high-concentration, humidified oxygen. b. performing direct laryngoscopy to be sure the airway is not obstructed. c. administering racemic epinephrine by nebulizer. d. transporting to the hospital in the position of comfort.
You are the first on the scene of a 72-year-old patient in cardiac arrest. You have your medical supply kit, oxygen, and an AED. At least 4 to 5 minutes of high-quality CPR has been provided by the police officer who arrived before you. You have confirmed an open airway, apnea, and pulselessness. Which of the following should you do next?
A) Apply the defibrillator pads and shock as indicated. B) Contact medical direction before taking any action. C) Perform one-rescuer CPR until additional personnel arrive. D) Perform bag-valve-mask ventilations with supplemental oxygen for 30 seconds before applying the defibrillator pads.
Protocol refers to:
A. handwriting. B. policies and procedures. C. movement from place to place. D. improper and contemptible actions. E. None of the above
As healthcare providers, we need to understand why some ethnicities, cultures, and religions have unique beliefs so that we can explain and educate them as to why different healthcare approaches to are not followed
a. True b. False