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A 48-year-old Caucasian female who is a recovering IV drug abuser presents with general malaise anorexia abdominal pain and slight jaundice She is currently staying in a womens shelter and

A 48-year-old Caucasian female who is a recovering IV drug abuser presents with general malaise, anorexia, abdominal pain, and slight jaundice. She is currently staying in a womens shelter and looking for a job. She is divorced, with two grown children whom she hasnt been in contact with for years. Students are to respond to all of the following questions: What additional subjective data (list 5) would you collect? (5 points: 1 point for each appropriate subjective data) What additional objective data (excluding laboratory or diagnostic studies, list 5) would you collect? (5 points: 1 point for each appropriate objective data) List and prioritize differential diagnoses (list 4) you would consider. For each differential diagnosis proposed, list specific information from the case study or from data you have suggested that supports the diagnosis. (10 points: 1 point for each appropriate diagnosis, 1.5 points for each RATIONALE of diagnosis) What laboratory or diagnostic studies should be considered to assist with or confirm the diagnosis and what would be the EXPECTED FINDINGS of these studies? (5 points: 2.5 points for appropriate studies, 2.5 points for expected findings of studies) Outline your treatment plan: Recommended prescription therapy: (5 points) – 2 points for appropriate prescriptive therapy (including dosing) – 3 points for RATIONALE of therapy Recommended non-prescription (OTC, complementary) therapy (list 2): (5 points) – 1 point for each non-prescription therapy, including dosing, if applicable – 1.5 points for each RATIONALE of therapy Propose referrals to other health care professionals and indicate the purpose (goal) of the referral. (3 points: 1 point for appropriate referral, 2 points for RATIONALE of referral) Describe patient/family teaching topics (list 3) that would be appropriate for this case. (3 points: 1 point for each DISTINCT and SPECIFIC topic) Identify any cultural, socioeconomic, religious or psychosocial issues (list 3) that you have considered in your treatment plan. (3 points: 1 point for each DISTINCT and SPECIFIC issue) Case specific question(s). (3 points) Would you ask the patient to return to the office for a follow-up visit? If so when? Would you recommend any specific follow up for family members? Is Jenny G. a public health risk to other persons staying in the womens shelter? Do you have a responsibility to report the diagnosis to Public health officials for tracking? Identify preventative care that would be appropriate for this patient (immunizations, screenings, etc.). (2 points: 1 point for appropriate preventative care, 1 point for RATIONALE of preventative care) Which Centers for Medicare & Medicaid Services Evaluation & Management (CMS E&M) code would you assign this visit? Provide rationale for your answer. (1 point: 0.5 point for appropriate code, 0.5 point for RATIONALE of code)

Feb 05 2020 View more View Less

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