HIMT 222 Practice exercise for Bacteria
HIMT 222 Practice exercise for Bacteria essay assignment
HIMT 222 Practice exercise for Bacteria essay assignment
Q1: Code the following cases. Include disease, morphology codes and the codes for any procedures
- Staphylococcus pneumonia
- Allergic extrinsic asthma
- Acute bronchitis – culture grew Haemophilus influenzae
- CAL with bronchiectasis
- COPD with Asthma
- Acute gingivitis
- Chronic gastritis due to H.pylori
- Acute appendicitis with perforation
- Dermatitis due to insecticide
- Decubitus ulcer of elbow with partial thickness skin loss
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Case study
- This 5-year-old patient admitted as a case of tonsillitis with dehydration
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- 41-year-old woman with obstructive sleep apnoea admitted for CPAP for 3 days
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- This 58-year-old patient with a history of chronic obstructive pulmonary disease presented with an infective exacerbation of her COPD. She was admitted to ICU, intubated and ventilated for 8 hours.no organism was isolated from either sputum or blood cultures. she was started on broad spectrum antibiotics with a marked improvement.
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- This 7-year-old boy with recurrent tonsillitis and glue ear was admitted to hospital for surgery. He underwent a tonsillectomy, adenoidectomy for enlarged adenoids and bilateral myringotomy with insertion of grommets under a GA. He was discharged home the following day. ASA123456 E
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- Chronic alcoholism patient with hepatitis C carrier was admitted for a colonscopy following recurrent PR bleeding. the patient was given midazolam 5 mg, fentanyl 100 micgm and propoofol 30mg IV for sedation (ASA 123456 E). A hyperplastic colonic polyp was found and excised via coloscopy.no source of bleeding was found .D &A team counselled patient regarding his alcohol consumption.
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This 64 year old male presented with haematemesis, malaena and anaemia.his Hb on admission was 96 and he was transfused with 2 units of packed cells. he underwent endoscopy under sedation that showed an actively perforated and bleed duodenal ulcer, gastric varices and barrett’s oesophagus. the perforated ulcer was Overswing with selective vagotomy and the varices were banded. He was started on Losec 20mg b.d. and will need a repeat scope in 6 weeks to confirm heling. ASA 123456 E
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- An 53 year old man was admitted for repair of a recurrent bilateral inguinal hernia with mesh. The repair was performed without complication under GA ASA 3. He is an ex-smoker.
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- Laparoscopic cholecystectomy under GA
ASA 1 2 3 4 5 6 E pathology report was Cholelithiasis acute cholecystitis
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- patient admitted with diarrhoea and vomiting samples for adenovirusantigens was positive and adenoviral enteritis was diagnosed with dehydration
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- Solar keratosis of two lesions (forehead and hand), both excised using local anaesthesia
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DISCHARGE SUMMARY
Name of Patient Date of Admission 02/08/2016
Medical Record No. Date of Discharge 06/08/2016
Age/Sex 49/F Attending Physician
PROVISIONAL DIAGNOSIS: Paraumbilical hernia.
FINAL DIAGNOSIS: Gangrenous and obstruction Paraumbilical hernia
Summary of History and Physical Examinable:
The patient is a 49-year-old female, presented to OPD complaining of paraumbilical swelling for 4 months, increasing in size with pain. She has history of constipation. No diarrhea. No vomiting. The patient surgical history of paraumbilical hernia repair. Irrelevant family history. Not known of any allergies. On examination, the patient looks well, oriented, vitally stable and afebrile. Pain score is 0.
nutritional status is normal. Psychological status is normal. Activity is normal.
Investigations:
Laboratory, CBC, coagulation profile, urine electrolytes, and random blood sugar.
Operation/Procedure Performed:
Laparoscopic paraumbilical hernia repair with mesh under general anesthesia.
CROSS CONSULTATION:
None.
HOSPITAL COURSE:
Now, the patient is discharged in good condition. She looks hemodynamically stable, and afebrile. Abdomen was soft and lax. No tenderness. The patient developed distention postoperatively, then the distention subsided. Now, the patient is discharged in good condition. No abdominal distention. Bowel sounds are audible.pt ambulating well on regular diet. passed bowel motion.
DISCHARGE PLAN: Follow-up in OPD after 5 days.
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