NR 511 Study guides, Class notes & Summaries

Appendicitis - ️️-Risk: 10-30yo, men, low fiber, high fat/sugar/carb diet -S: Mild to severe colicky epigastric or periumbilical pain, but in 24 hours, moves to RLQ and exacerbated by walking or coughing.May radiate to testicles. maybe vomiting, sensation of constipation, but diarrhea present. low grade temp. chills & sudden cessation of pain=perforation -O: HTN/Tachy, flex R knee up to relieve pain when recumbent, guarding, rebound tenderness. -Dx: + Rovsing, Psoas, Obturator, McBurn...

What are common causes of N/V associated with gastritis? - ️️Alcohol, NSAIDs, ASA, ABX, and illicit substances What is the most common cause of nausea and vomiting? - ️️Acute Gastroenteritis (AGE) What are some manifestations of AGE? - ️️Nausea, vomiting, and diarrhea, fever, abdominal pain. May also include fatigue, malaise, anorexia, tenesmus and borborygmus. How is the severity of AGE gauged? - ️️Dehydration secondary to profuse watery diarrhea, fever greater than 101º...

Define diagnostic reasoning - ️️Reflective thinking because the process involves questioning one's thinking to determine if all possible avenues have been explored and if the conclusions that are being drawn are based on evidence. Seen as a kind of critical thinking. What is subjective data? - ️️Anything the patient tells you or complains of regarding their symptoms Chief complaint HPI ROS What is objective data? - ️️Anything YOU can see, touch, feel, hear, or smell as part...

DIAGNOSTIC REASONING AND DIFFERENTIAL DIAGNOSIS - ️️Taking a client history OLDCARTS Specificity and Sensitivity Reimbursement Clinical Decision-Making OLDCARTS - ️️Onset, Location, Duration, Characteristics, Aggravating Factors, Relieving Factors, Treatment, Severity True or False: the history of the present illness is a breakdown of the client's chief complaint - ️️True Specificity: Low - ️️Getting a positive result when it is not present- a high number of false pos...

Medical coding - ️️ICD10 codes are used for medical coding Medical billing - ️️CPT codes are used for medical billing CPT Codes - ️️The CPT manual and PFS offer three levels of CPT codes: 1. Category I—codes used in contemporary medical practice 2. Category II—tracking codes used for new or performance measurement 3. Category III—temporary coding used for new procedures, technology, and services ICD10 codes - ️️Developed to offer international comparability in the col...

All of the following medications are used for the control of nausea and vomiting. Which medication works by affecting the chemoreceptor trigger zone, thereby stimulating upper gastrointestinal motility and increasing lower esophageal sphincter pressure? 1.Anticholinergics, such as scopolamine (Donnatal). 2.Antidopaminergic agents, such as prochlorperazine (Compazine). 3.Antidopaminergic and cholinergic agents, such as metoclopramide (Reglan). 4.Tetrahydrocannabinols, such as dronabinol (Ma...

Sensitivity - ️️Few false negatives Specificity - ️️Few false positives Predictive Value - ️️Likelihood person has disease 3 key components that determine risk-based E&M codes - ️️History Physical Medical Decision Making Complexity of a visit is based on three criteria (aka MDM) - ️️Risk Data Diagnosis

Rubeola - ️️Measles -reddish purple macular and papular rash. b. Rubella - ️️German measles "rose-pink" macules and papules c. Varicella: - ️️Chicken pox urticarial (or itching) erythematous macules & papules turn into vesicles & pustules. d. Roseola - ️️light pink, erythematous macules and papules face, neck, and extremities.

High specificity - ️️high percentage of healthy individuals will show a normal result Low specificity - ️️-getting a positive result when it i not present -a high number of false-positives- meaning that a healthy person has a disease when they actually do not Sensitivity - ️️the proportion of true positives out of all patients with a designated condition If a diagnostic study has a high specificity: - ️️then a high % of health individuals will show a normal result If a di...

What are common causes of N/V associated with gastritis? - answer Alcohol, NSAIDs, ASA, ABX, and illicit substances What is the most common cause of nausea and vomiting? - answer Acute Gastroenteritis (AGE) What are some manifestations of AGE? - answer Nausea, vomiting, and diarrhea, fever, abdominal pain. May also include fatigue, malaise, anorexia, tenesmus and borborygmus. How is the severity of AGE gauged? - answer Dehydration secondary to profuse watery diarrhea, fever great...