_________ Dr. Crews is concerned about the gangrene occurring in her foot and asked me to evaluate the situation.
Fill in the blank with correct word.
Question 2
S: This established patient comes in stating that her legs are swollen and tender to touch. She has had a little bit of shortness of breath and just has not been feeling normal. PAST MEDICAL HlSTORY: Congestive heart failure, hypertension, and gastritis. MEDICATlON: Warfarin, potassium, Lasix, Clonapam, metoprolol, Dilantin, and orneprazole. ALLERGIES: PENICILLIN.
S: This established patient comes in stating that her legs are swollen and tender to touch. She has had a little bit of shortness of breath and just has not been feeling normal. PAST MEDICAL HlSTORY: Congestive heart failure, hypertension, and gastritis. MEDICATlON: Warfarin, potassium, Lasix, Clonapam, metoprolol, Dilantin, and orneprazole. ALLERGIES: PENICILLIN.
O: VITAL SIGNS: As noted. O2 saturations 88. GENERAL: Alert and oriented. HEENT: Unremarkable. LUNGS: There are a few crackles in the lungs. HEART: Regular rate and rhythm. EXTREMITIES: There is 2+ edema. LABORATORY/DIAGNOSTIC: Normal CBC. Comprehensive panel shows a BUN that is slightly elevated, otherwise unremarkable. Her BNP is high at 442.
A: Congestive heart failure, peripheral edema
P: We will have her double up her Lasix taking 2 a day and potassium 2 per day for the next 5 days and then go back to her regular medications. If she is still having swelling problems, she is to let us know.
ICD-9-CM diagnosis code(s): ___________________ __
___________________ ___________________ ____________
ICD-10-CM diagnosis code(s): ___________________ __
___________________ ___________________ ____________
CPT code(s) with modifier, if applicable: ___________________ __
What will be an ideal response?
Arthroscopic surgery involves the surgery of a joint with the use of a flexible arthroscope and othe
Gangrene of the toes and foot as a result of an infection often means eventual amputation.
Apply lotion to the foot, lower leg, and thigh if accessible. Apply strokes from distal to proximal.
How to evaluate angles using cosine, special triangles, the unit circle (Part 2)
Evaluate the limit