During a chart audit, you come across the following note for…
During a chart audit, you come across the following note for a 72-year-old patient admitted with confusion and right arm weakness: “Neuro exam intact.” Based on weeks 1–5 content, identify at least three components of a focused neurological assessment that should have been documented in this patient. (3 points) Explain why the documentation “neuro exam intact” is inappropriate in this case, and describe one specific system-level risk that arises when vague documentation is used. (2 points)
Read DetailsA 76-year-old male with a medical history significant for he…
A 76-year-old male with a medical history significant for heart failure with reduced ejection fraction (HFrEF) of 30% to 35%, COPD, and iron deficiency anemia is admitted for acute dyspnea on exertion with wheezing. CBC reveals a hemoglobin of 6.2 g/dL and hematocrit of 20%. A packed red blood cell transfusion is initiated. Seven hours later, the patient developed worsening dyspnea with an oxygen saturation of 72% on room air. The temperature is 99.2 °F (37.3 °C). Lung sounds show rales bilaterally. The neck veins are distended, and the patient develops hypertension. CBC shows a WBC of 10,100 and a platelet count of 237,000. What is the most likely diagnosis?
Read DetailsA 7-year-old boy is brought to his pediatrician by his moth…
A 7-year-old boy is brought to his pediatrician by his mother for recent fatigue and intermittent fevers over the past month. She also reports that her son has appeared much paler recently. Vital signs at today’s visit are within normal limits. Physical examination is significant for pallor, petechiae, lymphadenopathy, and hepatosplenomegaly. A complete blood count reveals anemia, thrombocytopenia, and neutropenia. A peripheral blood smear is shown (see image). Bone marrow aspiration reveals 47% lymphoblasts. You suspect that the patient has acute lymphoblastic leukemia (ALL). Which of the following genetic disorders is associated with increased risk of developing this condition?
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