How to Answer This Hospital Outpatient Questions (Complete Guide)
This question tests key academic concepts commonly covered in coursework.
What This Question Is About
This question relates to this hospital outpatient and requires a structured academic response.
How to Approach This Question
Start by identifying the main issue, then apply relevant academic frameworks.
Key Explanation
This topic involves this hospital outpatient. A strong answer should include explanation, application, and examples.
Original Question
This is a hospital outpatient surgical visit. The history and physical was done the day before in preparation for today’s surgery but can be used for diagnostic purposes. You are coding the case for the hospital, not the physician. Dept of Pediatric surgery History and Physical Signed MRN Pediatric Surgery Indicationfor appointment: Evaluation of leftgroin bulge .. Sex Male H&P DOB Pagelof2 Age 9 Servicedate: 3:55PM HPI: isa 9 year-old boy with history of Trisomy 21 and Hirschsprung’s status post Soave pull-through who presents with history of a !eft groin bulge.The left groin bulgehas been intermittently seen by his parents over the past few weeks- it has been seen in both standing and sitting positions. Andrew’s parents have never tried to reduce the bulgemanually. On review, has rhinorrhea. He has no recent fever, vomiting, or change in bowelfunction – he has dailybowelmovements. He has no new rash. PMHx: 1. Trisomy 21 2. VSD 3. Hirschsprung’s 4. Seasonal allergies PSHx: 1. Levelingcolostomy 2. Swenson pull-through, colostomy take-down, and repair of parastomal hernia 3. Analdilation 4. Circumcision NKDA Medications: Current outpatient prescriptions:levothyroxine (SYNTHROID,LEVOTHROID)25 MCG tablet,Take 1 Tabletby mouth daily, Disp: 30Tablet, Rfl: 11 Zyrtec for seasonalallergies FHx: No familyhistory of bleedingdisorders or difficulty with anesthesia SHx: Familylivesin ROS:A pertinent review of the skin, head, eyes, ears, nose, mouth, throat, respiratory, cardiovascular,
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