DRobinson_Mod1ConceptMatching_100118.docx - Instructions After reading the clinical description assign words or phrases from the paragraph to the term

DRobinson_Mod1ConceptMatching_100118.docx - Instructions...

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Instructions: After reading the clinical description, assign words or phrases from the paragraph to the term that best describes that concept. Note: Not all terms will have a match. IMPORTANT: As you re- view and identify items, please note you are not coding the scenario; coding has many rules associated with how an encounter is coded. This exercise is purely about your ability to recognize the pathophysiol- ogy and pharmacology concepts that are found within the excerpts. Contents Excerpt 1 ...................................................................................................................................................... 2 Excerpt 2 ...................................................................................................................................................... 3 Excerpt 3 ...................................................................................................................................................... 4 Excerpt 4 ...................................................................................................................................................... 5 Excerpt 5 ...................................................................................................................................................... 6 Excerpt 6 ...................................................................................................................................................... 7 Excerpt 7 ...................................................................................................................................................... 8 Excerpt 8 ...................................................................................................................................................... 9 Excerpt 9 .................................................................................................................................................... 10 Excerpt 10 .................................................................................................................................................. 11
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Excerpt 1 Kimberly is a 37-year-old white female who presented to her family doctor and was referred to radiation oncology department for consultation. While with the oncologist, Kimberly reported that both her mother and sister had breast cancer. She describes feeling heartburn for “a long time” and difficulty swallowing during the past 4 or 5 months. She feels like food occasionally seems to ‘catch’ in her throat, and describes pain immediately below the sternum that feels like a gnawing or burning. Other com- plaints include weight loss of 30 lbs. in the past 6 or 7 months, weakness and coughing at night. After performing an endoscopy and a biopsy of the esophageal tract, a cancerous tumor was identified and staged, and plans for radiation and an esophagectomy are underway. Diagnos(es) Cancerous malignant tumor/Esophageal tract cancer Prognosis NOS Etiology Genetics Signs Weight loss and coughing Symptoms Heartburn, difficulty swallowing, pain blow sternum and weakness Complications NOS Sequelae NEC Nosocomial NEC Treatment Radiation Procedure Endoscopy, Esophagectomy Examination of living tissue Biopsy Medical History Mother/Sister with Breast Cancer
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Excerpt 2 Jane is a 12 year old female who presents is being treated today for hypertension related to Congenital Adrenal Hyperplasia (CAH), which was discovered when a biopsy done of Jane’s mother’s placenta for genetic screening showed that both her parents were carriers for the gene. Fetal blood work completed confirmed an enzyme deficiency blocking gluticosteriod and mineralocorticoid hormones. Jane regularly receives hormonal treatment and future genitoplasty is being considered. Normal sexual functioning is anticipated with continued treatment. Diagnos(es) Hypertension related to CAH Prognosis Normal Sexual Functioning NSF Etiology Enzyme Deficiency Signs NOS Symptoms High Blood Pressure HBP Complications High Blood Pressure HBP Sequelae NOS Nosocomial NEC Treatment Regular Hormonal Treatment Procedure Genetic Screening Examination of living tissue Biopsy of placenta fetal blood work done to confirm con- genital adrenal hyperplasia diagnosed as fetus Medical History Genetic screen reflected both parents carried the gene
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Excerpt 3 James is a 43 y.o. male who complains of chest congestion and dry cough for 30 days. He has had a his-
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