Clinical Examination and Medications Quiz

Patient presents with acute renal failure, severe acidosis, and moderate hyperkalemia after dehydration.
History of chronic kidney disease (CKD) with a baseline creatinine of 1.8 two weeks prior.
Current lab results show BUN of 99 and creatinine of 3.6.
Diagnoses include acute renal failure (N17.9), dehydration (E86.0), stage III CKD (N18.3), and mild hypotension (I95.9).
Treatment plan includes bolus of normal saline and bicarbonate infusion; labs to be repeated in eight hours.

Patient presents with multiple superficial ulcers and controlled edema in lower legs.
Ulcers assessed as almost partial thickness skin lesions, without cellulitis.
Foot pain treated with a nerve block using a mixture of lidocaine and marcaine.
Assessment notes ulcers on feet and edema in lower extremities; foot pain treated with nerve block.
Diagnosis codes reported may include L97.511 and L97.521 for ulcers, R60.0 for edema, and M79.672 for unspecified foot pain.

Patient complains of occipital headaches after a cabinet fell on her.
Physical exam shows tenderness across the superior trapezius but full strength in upper extremities.
Assessments include cephalgia (R51) and thoracic somatic dysfunction (M99.02).
Plan involves physical therapy for muscle massage; follow-up in one month.

Patient presents with right shoulder injury from a supermarket revolving door incident.
Complains of anterior and posterior chest wall pain but no neurological deficits.
Diagnostic imaging shows no fractures; chest wall contusion noted.
Diagnosis codes include S20.211A and S20.221A for contusion, S49.91XA for shoulder injury following external cause, and W23.0XXA for injury from door.

20-year-old pregnant female at 25.3 weeks gestation presents with spotting after wiping.
No abdominal pain or contractions reported; fetal movement present.
Lab results reviewed as within normal limits; ultrasound negative for placenta previa.
Diagnosis codes include O47.02 for threatened premature labor and Z3A.25 for the specific gestational age.

Patient complains of heel pain for six months with no signs of inflammation.
Diagnosis of heel spur (M77.30) noted; treatment includes weight reduction and injections.
Suggested orthotics for better footwear.

Patient sustained three facial lacerations requiring closure, including forehead and eyelids.
Extensive local anesthesia utilized, with multi-layer closure performed.
Diagnosis codes include S01.111A for forehead laceration, S01.81XA for eyelid laceration, and tV00.811A for unspecified injury related to forcible impact.

22-year-old male presents with a right forearm radial shaft fracture with potential joint subluxation.
Open reduction and internal fixation performed, with robust fixation achieved.
Diagnosis code reported is S52.351A for comminuted fracture.

2-month-old boy diagnosed with congenital hydrocephalus; monitored for symptoms like decreased eye mobility.
Decision made for shunting procedure after discussing options with family.
Diagnosis code is Q03.9 for congenital hydrocephalus.

67-year-old female patient reports abnormal vaginal discharge; routine Pap and pelvic exam performed.
No significant findings, and lab tests sent for further analysis.
Diagnosis codes include Z01.411 for routine examination and N89.8 for unspecified vaginal discharge.