- Description
ANATOMY AND PHYSIOLOGY I
The Latest Version A+ Study Guide
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HCS 214 Entire Course Link
https://hwsell.com/category/hcs-214/
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HCS 214 Week 1 Importance of Anatomy and Physiology Summary
Write a 350- to 700-word response to the following question:
- Why is it important to understand anatomy and physiology as a medical coder and biller?
Include the following in your response:
- Your understanding of anatomy and physiology and coding and billing
- The relationship between anatomy and physiology and coding and billing
- Personal experiences with coding and billing
- Impact or ramifications for incorrect coding (for patients and providers)
Cite all sources. For additional information on how to properly cite your sources, log on to the Reference and Citation Generator resource in the Center for Writing Excellence.
Format your summary according to APA guidelines.
Click the Assignment Files tab to submit your assignment.
HCS 214 Week 1 Researching Medical Codes
Complete the University of Phoenix Material: Researching Medical Codes.
Click the Assignment Files tab to submit your assignment.
Researching Medical Codes
You have accepted a job in a medical office. After your first day, you realize that they do not have updated copies of coding books. You have ordered the books but it will some time before they arrive. In the meantime, you research current codes using the Internet.
Open your web browser and search for the following codes or medical descriptions listed. You may find it helpful to use the words such as ICD, ICD10, ICD10 conversion Code Search, and billing and coding codes to complete this task.
- After completing your web search, list four websites you may consider using for this activity. Discuss why you would choose to use these sites.
Based on the following sections, provide the code for the medical description or the medical description for the code. Remember to be specific about the codes and the description.
- Identify the following medical terms for the provided codes:
Medical code | Medical description |
P61.4 | |
J44.9 | |
F50.0 | |
Q61.2 | |
K85.9 | |
T28.1 | |
R94.31 |
- Identify the following codes for the provided medical descriptions:
Medical code | Medical description |
Other form of angina pectoris | |
Chronic adenoiditis | |
Unspecified Viral hepatitis without hepatic coma | |
Hypotension of hemodialysis | |
Elevated blood pressure reading without diagnosis of hypertension | |
Chronic gingivitis, plaque induced | |
Acute bronchitis unspecified |
HCS 214 Week 1 Major Health Care Facilities
Complete the University of Phoenix Material: Major Health Care Facilities.
Click the Assignment Files tab to submit your assignment.
Major Heath Care Facilities
Complete the following table to identify whether the terms provided represent a health care facility or department.
Medical Records Department | Rehabilitation | Laboratory | Urgent Care | Admissions | Intensive Care | Ambulatory Care |
Internal/Family Medicine | Long-term Care | Dermatology | Dietary | Clinics | Nursing Unit | Mental/Behavioral Health |
Health Care Facilities | Departments |
Complete the following table by matching the function to the health care facility or department:
Health Care Facility or Department | Function |
_____ Pediatrics | a. Are generally primary care providers and do not specialize in one specific form of treatment: The primary care provider in internal medicine is responsible for meeting the needs of patients of all ages and addresses a wide range of health concerns. |
_____ Hospitals | b. Department that oversees registering patients on admissions to a facility by verifying patient demographics and insurance information and provides consent forms for treatment |
_____ Admissions | c. Area or floor in a facility that specializes in the ongoing management and treatment of the patient: Most units are divided into a specialty unit to include medical surgical/telemetry, rehabilitation, post-operative, cardiology, intensive care, surgical intensive care, pediatrics, oncology, endoscopy, behavioral health, nursery, labor and delivery, dialysis, obstetrics, and orthopedics. |
_____ Urgent care | d. Patient financial services department assists patients with billing questions and financials during the patient stay |
_____ Medical Records Department | e. Inpatient facilities are equipped for patients to stay overnight and provide 24 hour services. A hospital is a self-contained facility that provides acute care to patients with injuries or illnesses. |
_____ Internal/Family Medicine | f. Ambulatory that is equipped to provide outpatient urgent treatment to a patient |
_____ Nursing units | g. Referred to as health information management: The area can be a centralized or decentralized location where patient medical records are stored and filed. Billing and coding may take place in the health information management department. |
_____ Financial Services | h. Is responsible for meeting the needs of infants, children, and teenagers and addresses a wide range of health concerns: The pediatrician is generally the primary care provider for pediatric patients. |
HCS 214 Week 2 Cardiovascular System—Analyzing a Progress Note
Complete the University of Phoenix Material: Cardiovascular System-Analyzing a Progress Note.
Click the Assignment Files tab to submit your assignment.
Cardiovascular System – Analyzing a Progress Note
Part 1
Using the following progress note, define the highlighted terms within the chart provided.
This patient was transported to the Emergency Room and is being assessed by the E.R. doctor on call.
Progress Note:
Patient is a 43 y.o. male who presents with history of one episode of severe chest pain mid chest at 08:00 today. He describes the pain as burning, tightness, squeezing pressure that radiates to the left arm. The episode lasted for approximately 10 minutes. The patient has a history of tobacco use, angina, arteriosclerosis, and hypertension. He used nitroglycerin SL x2 with moderate relief. His wife called 911 and he was transported to St. Simms Emergency.
While in the Emergency the patient had a subsequent similar episode. A 12 lead EKG negative, cardiac enzymes negative. Patient noted burning in the chest during the episode. Patient admitted to 24 hour observation.
Plan to rule out an acute coronary syndrome. Treat with Aspirin 81mg daily, Nitroglycerine 0.4mg SL for chest pain. May repeat every 5 minutes x3 dose, start Nexium 20mg. EKG, chest x-ray, vital signs every hour, cardiac stress test in the morning.
Impression: Angina, Hypertension, Tobacco use disorder, CAD.
Sue Green, DO
*Do not forget to include the sources for your definitions.
Medical term | Definition | Sources |
1. | ||
2. | ||
3. | ||
4. | ||
5. | ||
6. | ||
7. | ||
8. | ||
9. | ||
10. |
Part 2
Using the information in the progress note, decide which code correctly represents the diagnosis. Underline the code of your choice.
Medical term | Medical code |
Example: Angina pectoris
In this example, I20.9 was chosen as a correct code because it matches the doctor’s diagnosis as it discusses angina.
Let’s examine why the other codes are not appropriate to use.
I24.0 Code does not use the word angina.
K55.1 Code was not chosen because it talks about the intestines. This is not discussed in the doctor’s note.
J02.0 Code was not chosen because it talks about a Streptococcal sore throat. This is not discussed in the doctor’s note. | I20.9 Other form of angina pectoris
I24.0 Acute myocardial infarction
K55.1 Chronic vascular insufficiency of intestine
J02.0 Streptococcal sore throat
|
Hypertension | O2.839 Unspecified renal disease in pregnancy, without mention of hypertension, unspecified as to episode of care or not applicable
I87.309 Chronic venous hypertension without complications of unspecified lower extremity
O12.00 Edema or excessive weight gain in pregnancy
I10 Unspecified Essential hypertension |
Angina | I27 Other pulmonary heart disease
I26 Pulmonary embolism
I20.8 Other form of angina pectoris
K22.6 Gastroesophageal laceration-hemorrhage syndrome |
References
Centers for Medicare & Medicaid Services (23 Oct. 2015). “ICD-10-CM Diagnosis and Procedure Codes: Abbreviated and Full Code Titles.” Retrieved from
https://www.cms.gov/medicare-coverage-database/staticpages/icd-10-code-lookup.aspx
HCS 214 Week 2 Cardiovascular Provider Newsletter
Resources: Use your internet browser to search for newsletter templates.
Imagine you are an office manager at a health care facility that includes the following departments: cardiology, respiratory, gastroenterology, and urology. As the office manager, you have been asked to create a newsletter for new and existing patients. The newsletter will inform patients about different body systems, including their structure, function, and different diseases that affect that system. Patients will learn how a disease is diagnosed in a particular system and the type of doctor they will need to see if they have an ailment within a specific body system.
You will create four 260- to 350-word sections for your newsletter throughout Weeks Two through Five. Each section will focus on the body system covered for that week.
- Week Two: Cardiovascular
- Week Three: Respiratory
- Week Four: Gastrointestinal
- Week Five: Urinary
Think of your audience when writing your newsletter; make it informative as well as visually appealing.
Create an informative newsletter for your patients. Use the following prompts as sections for your newsletter:
Part 1: Cardiovascular and Circulatory System
- Identify the structure and function of the cardiovascular and circulatory system.
- Identify the major structures found in the system.
- Define the function of this system.
- Describe major diseases that affect the cardiovascular and circulatory system.
- Identify one to two major diseases that affect the system.
- Describe the disease(s) identified.
- Describe major laboratory and diagnostic tests that are used to assess cardiovascular and circulatory diseases.
- Using the disease(s) discussed in the previous prompt, identify the most common laboratory and diagnostic test used to assess the disease(s).
- Describe the test identified.
- Describe the main health care providers for the cardiovascular and circulatory department.
- Identify the main health care providers in this department.
- Describe the roles they play (to the patient, facility, or community) and the types of patients they see (typical demographics, age, gender, etc.).
Cite at least 2 peer-reviewed, scholarly, or similar references. For additional information on how to properly cite your sources, log on to the Reference and Citation Generator and Plagiarism Checker resources in the Center for Writing Excellence.
Format your assignment according to APA guidelines.
Click the Assignment Files tab to submit your assignment.
HCS 214 Week 2 Journey Through the Cardiovascular System
Resources: Textbook, Internet, and University Library
Imagine you are working in a physician’s office and you have been asked to design an informative diagram that will hang in the patient rooms. This diagram will be used by the physician as a visual aid to explain the journey of blood flow through the heart, lungs, veins, and arteries during a patient’s consult.
Complete the University of Phoenix Material: Cardiovascular System Worksheet.
Write a 175- to 350-word summary that discusses the importance of the cardiac system. How do you think the cardiac system will interact with the other systems discussed in this class (respiratory, gastrointestinal, and urinary system)?
Cite any sources. For additional information on how to properly cite your sources, log on to the Reference and Citation Generator resource in the Center for Writing Excellence.
Format your assignment according to APA guidelines.
Click the Assignment Files tab to submit your assignment.
HCS 214 Week 2 Week Two Knowledge Check
Complete the University of Phoenix Material: Week Two Knowledge Check
1.
Identify a type of connective tissue that is composed of a variety of cells and has a fluid-like component called plasma.
Blood
Lymph
Urine
Serotonin
2.
Which of the following statements is true of blood vessels?
The blood vessels that carry blood back to the heart are called arteries.
Veins keep branching out into smaller and smaller blood vessels, which ultimately become capillaries.
At the cellular level, the exchange of gases takes place in the capillaries.
The largest of the veins in the cardiovascular system are called venules.
3.
Identify a difference between veins and arteries.
There are a greater number of arteries in the cardiovascular system than veins.
The walls of the veins are thinner than those of the arteries.
Veins transport blood under a higher pressure than do arteries.
The capacity of arteries to hold blood is much greater than that of veins.
4.
Which of the following is responsible for converting the fibrinogen dissolved in the blood into fibrin during the process of blood coagulation?
Troponin I
Vitamin K
Thromboplastin
Thrombin
5.
Identify an accurate statement about the structure of the human heart.
The base of the heart is more proximal to the head than the apex of the heart.
The upper chambers of the heart are called ventricles.
The heart is located right below the diaphragm.
6.
Saul is rushed to the hospital after losing control at the wheel and crashing his car into a tree. His sister, Adiela, arrives at the hospital on hearing the news of the accident. The doctors ask Adiela her blood type as Saul is in need of an immediate blood transfusion. Saul’s blood type is AB-positive and Adiela claims that her blood type is A-positive. The doctors decide to proceed with the blood transfusion using Adiela’s blood. Why have the doctors agreed on using Adiela’s blood for the transfusion?
Because Saul’s blood plasma contains anti-A antibodies
Because Saul’s blood plasma contains neither A nor B antibodies
Because Adiela’s blood plasma does not contain anti-B antibodies
Because Adiela’s blood plasma contains both A and B antibodies
7.
What is the name given to the condition that arises due to the abnormal conduction or generation of electrical impulses in the heart?
Arrhythmia
Myocardial infarction
Peripheral vascular disease
Endocarditis
8.
Identify an accurate statement about right-sided heart failure.
This condition is a result of the muscles on the left side of the heart becoming too large to pump blood efficiently.
People suffering from this condition generally have extended neck veins.
This condition does not affect the size of the liver or spleen.
People suffering from this condition are less likely than others to be diagnosed with lung diseases.
9.
Eric has been diagnosed with a potentially life-threatening heart condition. Prior to diagnosis, Eric’s doctor, Ricardo, observed that the damaged muscle fibers in the left ventricle of Eric’s heart were having an adverse effect on its pumping efficiency. He also noticed that this decreased pumping efficiency was responsible for a buildup of vascular pressure and a subsequent leakage of fluid from the blood vessels into the surrounding lung tissue. Based on the information provided in this scenario, determine the disease from which Eric is suffering.
Congestive heart failure
Endocarditis
Arteriosclerosis
Cardiac tamponade
10.
Identify the blood condition in which there is a less than normal number of circulating red blood cells and abnormal or deficient hemoglobin.
Anemia
Polycythemia
Thrombocytopenia
Hematoma
11.
Identify an accurate statement about clotting disorders.
Thrombocytopenia is a condition that develops due to an abnormally high platelet count.
Coronary thrombosis can partially or totally block blood flow to a portion of the heart.
Hemophilia is a condition that is characterized by the unwanted formation of clots.
Coronary thrombosis does not increase an individual’s susceptibility to heart attacks.
12.
Chris, a diabetic, often complains of experiencing cramping in his legs whenever he engages in activities that involve a considerable amount of physical exertion. He experiences relief only when he rests his legs. On examination, Chris’s doctor, Harry, observes that the cramping is a result of insufficient blood supply to the legs. He suspects a buildup of plaque in the arteries in Chris’s legs. What is the most probable diagnosis of Chris’s condition?
Peripheral vascular disease
Hematoma
Aneurysm
Thrombocytopenia
13.
Which of the following statements is true about angiography?
The blood vessels can be clearly observed in an angiographic x-ray.
The process of performing an angiogram does not involve the use of radiocontrast agents.
An angiogram is most commonly used to visualize the blood flow in the coronary arteries.
An angiogram cannot be used to detect blood vessel problems.
14.
In an electrocardiogram, what does the P wave represent?
It represents the depolarization of the atria right before they contract.
It represents the depolarization of the ventricles right before they contract.
It represents the repolarization of the atria when they are at rest before the next contraction.
It represents the repolarization of the ventricles when they are at rest before the next contraction.
15.
Dr. Gerome wants to record his patient’s blood pressure. He places an inflatable cuff around his patient’s arm and a stethoscope over the brachial artery. While inflating the cuff, he listens to the pulse using the stethoscope. He stops inflating the cuff when the pressure rises to about 30 millimeters of mercury and when he can no longer hear the pulse. Then, he releases the valve to allow the cuff to slowly deflate and listens to the brachial artery. He starts hearing the pulse again. As the cuff pressure drops, the sound of the pulse decreases and then disappears. At this point, which of the following is true?
At this point, the cuff pressure is equivalent to the arterial pressure when the heart is in diastole.
At this point, the cuff pressure is equivalent to the arterial pressure when the heart contracts.
After this point, the actual systolic BP can be recorded.
Before this point, the actual diastolic BP can be recorded.
16.
Blood urea nitrogen (BUN) testing is often used as a diagnostic test to test the function of a particular organ. Identify the organ.
Uterus
Kidney
Spleen
Pancreas
17.
Which of the following is true of blood testing?
All blood samples are obtained from the arteries.
To determine the amount of oxygen in the body, arterial blood is collected and tested.
It requires a lesser amount of skill to obtain blood from the arteries than blood from the veins.
Problems with white blood cells cannot be determined through blood testing.
18.
Joana, a middle-aged woman, has never experienced any major health problems. For the last two months, she has been experiencing mild pain and discomfort in her chest on heavy physical exertion. During these times, she finds it difficult to breathe. On consulting a cardiologist, Joana is advised to undergo a certain test. The test requires her to walk on a treadmill at varying speeds, during which time her heart is monitored by an electrocardiograph (ECG) to detect any arrhythmias or abnormalities in her heartbeat. Based on the information provided in this scenario, identify the kind of test being conducted.
Polysomnography
Holter monitoring
Stress testing
Endoscopy
HCS 214 Week 3 Respiratory System–Analyzing a Progress Note
Complete the University of Phoenix Material: Respiratory System-Analyzing a Progress Note.
Click the Assignment Files tab to submit your assignment.
Respiratory System – Analyzing a Progress Note
Part 1
Using the following progress note, define the highlighted terms within the chart provided.
This patient was transported to the Pediatric Emergency Room and is being assessed by the E.R. doctor on call.
Progress Note:
Subjective: The patient is a 5 y.o. female who presents with her mother to the emergency room with a 3 day history of low grade fever 99.5, productive cough with yellow sputum, runny nose, and some wheezes. The patient has a history of asthma that is noted as being well controlled. She does have a history of pneumonia 12/2013. Her current medications include Flovent 44mcg 2 puffs bid, Proair inhaler 2 puffs every 6 hours prn. Patient has used Proair every 6 hours over 48 hours with little relief of symptoms.
Objective: Vital signs 99.8 orally, 100/60, pulse 88, respirations 26. Audible wheezes noted. Lungs fine expiratory wheezes throughout. Pulse ox 93% on room air.
Assessment: 5 y.o. with asthmatic exacerbation and acute bronchitis.
Plan: Portable chest x-ray, Xopenex aerosol 0.625mg x1, complete blood count, sputum culture, arterial blood gases: Start oxygen at 1 Liter, recheck pulse ox after aerosol. Consult pulmonologist for further orders.
Lisa Jones, PA
*Do not forget to include the sources for your definitions.
Medical term | Definition | Sources |
1. | ||
2. | ||
3. | ||
4. | ||
5. | ||
6. | ||
7. | ||
8. | ||
9. | ||
10. |
Part 2
Using the information in the progress note, decide which code correctly represents the diagnosis. Underline the code of your choice.
Medical term | Medical code |
Asthma with acute exacerbation | J44.9 COPD unspecified
J45.902 Asthma, unspecified type, with status asthmaticus
J45.901 Asthma, unspecified type, with (acute) exacerbation
J45.2 Mild intermittent asthma |
Bronchitis, acute | J68.0 Bronchitis and pneumonitis due to fumes and vapors
J22 Uspecified lower respiratory infection
J20.5 Acute bronchitis due to RSV
J20.9 Acute bronchitis |
Pneumonia | P23.9 Congenital pneumonia
J18.9 Pneumonia, unspecified organism
J12.89 Pneumonia, viral
J18.2 Hypostasis- Hypostatic pneumonia unspecified organism |
References
Centers for Medicare & Medicaid Services (23 Oct. 2014). “ICD-10-CM Diagnosis and Procedure Codes: Abbreviated and Full Code Titles.” Retrieved from
https://www.cms.gov/medicare-coverage-database/staticpages/icd-10-code-lookup.aspx
HCS 214 Week 3 Respiratory Provider Newsletter
Write a 260- to 350-word section for Part 2 of the newsletter you started in Week Two of the class. Include the following:
Part 2: Respiratory System
- Identify the structure and function of the respiratory system.
- Identify the major structures found in the system.
- Define the function of this system.
- Describe major diseases that affect the respiratory system.
- Identify one to two major diseases that affect the system.
- Describe the disease(s) identified.
- Describe major laboratory and diagnostic tests that are used to assess respiratory diseases.
- Using the disease(s) discussed in the previous prompt, identify the most common laboratory and diagnostic test used to assess the disease(s).
- Describe the test identified.
- Describe the main health care providers for the respiratory department.
- Identify the main health care providers in this department.
- Describe the roles they play (to the patient, facility, or community) and the types of patients they see (typical demographics, age, gender, etc.).
Cite at least 2 peer-reviewed, scholarly, or similar references. For additional information on how to properly cite your sources, log on to the Reference and Citation Generator and Plagiarism Checker resources in the Center for Writing Excellence.
Format your assignment according to APA guidelines.
Click the Assignment Files tab to submit your assignment.
HCS 214 Week 3 Major Function of the Respiratory System Summary
Write a 350- to 700-word response to the following:
- Describe the major function of the respiratory system. How would you apply the information you have learned to your own or a family member’s health and wellness.
Include the following in your response:
- Major structures of the system
- A brief description of each structure
- Function of the system and its structures
- Consider common diseases within the system
Format your summary according to APA guidelines.
Cite any sources. For additional information on how to properly cite your sources, log on to the Reference and Citation Generator resource in the Center for Writing Excellence.
Format your assignment according to APA guidelines.
Click the Assignment Files tab to submit your assignment.
HCS 214 Week 3 Week Three Knowledge Check
Complete the University of Phoenix Material: Week Three Knowledge Checks
1.
Which gas is necessary for the body to generate energy from glucose?
Oxygen
Carbon dioxide
Nitrogen
Argon
2.
In the context of the respiratory system, which of the following statements is true?
The respiratory system is not associated with the heart and circulatory system.
The respiratory system’s primary role is to remove excess oxygen from the body.
The respiratory system carries carbon dioxide from the lungs to the body cells.
The respiratory system is primarily responsible for bringing oxygen into the bloodstream from the atmosphere.
3.
Which of the following is a difference between ventilation and respiration?
Ventilation is the movement of air into and out of the lungs, whereas respiration is the process of gas exchange.
Ventilation includes both the processes of internal and external respiration, whereas respiration only refers to the process of internal respiration.
Ventilation is the process by which oxygen is added to and carbon dioxide is removed from the blood, whereas respiration does not involve any gas exchange.
Ventilation refers to the process of breathing out, whereas respiration refers to the process of breathing in.
4.
What kind of cells in the epithelium layer line the nose and most of the airways of the upper respiratory tract?
Transitional epithelium
Stratified cuboidal epithelium
Pseudostratified ciliated columnar epithelium
Non-ciliated pseudostratified columnar epithelium
5.
Identify an accurate statement about the upper airway of the respiratory tract.
The upper airway begins at the nose and ends at the bronchioles.
The pharynx is not part of the upper airway of the respiratory tract.
The upper airway reduces the humidity of inspired gases.
The vocal cords mark the end of the upper airway of the respiratory tract.
6.
John is suffering from a respiratory condition that makes it difficult for him to breathe. On being admitted to the hospital, his doctors decide to proceed with endotracheal intubation to help him breathe. In the context of the anatomical structure of the tracheobronchial tree, which of the following statements is true?
The proper placement of the tube is easy because there is no difference in the angle of branching between the two sides of the tracheobronchial tree.
The left mainstem branches off at a 20-30 degree angle from the midline of the chest, so the tube is more likely to pass into the left lung.
The right mainstem branches off at a 40-60 degree angle from the midline of the chest, so the tube is more likely to enter the left lung.
The tube should be placed in such a way that it sits just above the carina for proper ventilation to take place.
7.
What substance, when released, causes the nasal mucosa to secrete excessive mucus in allergic rhinitis?
Serotonin
Adrenaline
Noradrenaline
Histamine
8.
Identify an accurate statement about pleural space problems.
A pneumothorax is a condition that is characterized by the buildup of pus in the pleural cavity.
An empyema is a condition in which there is an excessive buildup of blood in the pleural cavity.
A hydrothorax refers to the buildup of blood serum in the space between the parietal and visceral pleura.
A hemothorax refers to the buildup of air inside the thoracic cavity, but outside the lungs.
9.
Since the age of five, John has been experiencing repeated episodes of wheezing, breathlessness, chest tightness, and cough. These symptoms are usually triggered by dust, pollen, or intense physical activity and occur particularly at night and early in the morning. During these periods, John finds it difficult to inhale and even more difficult to exhale. These episodes usually resolve on their own, but have now increased in severity and require medication. Based on the information provided in this scenario, from what condition is John most likely suffering?
Allergic rhinitis
Sinusitis
Asthma
Tuberculosis
10.
What lung volume measurement is best described as the amount of air that moves into or out of the lungs at rest during a single breath?
Vital capacity
Tidal volume
Residual volume
Inspiratory capacity
11.
In the context of normal lung volumes and capacities, identify the accurate statement.
Tidal volume (VT)is the volume of air forcefully inspired beyond a normal inspiration.
Residual volume (RV) is the amount of gas that moves into and out of the lungs at rest during a single breath.
Functional residual capacity (FRC) is equal to the sum of inspiratory reserve volume and tidal volume.
Expiratory reserve volume (ERV) refers to the amount of gas that is forcefully exhaled beyond a normal expiration.
12.
Jacob is an asthmatic patient. His condition has been increasing in severity in spite of medical treatment. To monitor his condition, Jacob’s doctor advises Jacob to undergo pulmonary function testing. When Jacob is made to undergo the peak expiratory flow rate (PEFR) test, which of the following is most likely to happen?
The doctor will try to decipher whether the airways have become broader than normal.
The doctor will measure the amount of air remaining in Jacob’s lungs at the end of a normal expiration.
The doctor will measure Jacob’s forced expiratory volume in one second.
The doctor will measure the maximum speed at which Jacob can rapidly expel air after taking the deepest possible breath.
HCS 214 Week 4 Gastrointestinal System–Analyzing a Progress Note
Complete the University of Phoenix Material: Gastrointestinal System-Analyzing a Progress Note
Click the Assignment Files tab to submit your assignment.
Gastrointestinal System – Analyzing a Progress Note
Part 1
Using the following progress note, define the highlighted terms within the chart provided.
This patient was assessed by an Urgent Care physician.
Progress Note
40 y. o. female presents with a 3 day history of stabbing pain and cramping in the lower abdomen. Patient complains of anorexia, vomiting, and diarrhea with fever. She feels week and dehydrated. Patient notes having this before one year prior. She had a colonoscopy and endoscopy at the time and was diagnosed with diverticulitis along with GERD.
Past Medical History: Diverticulitis, GERD, Cholecystitis in 2011.
Meds: Nexium 20mg every day
Allergies: Sulfa, PCN
Assessment: Vital Signs: T 101 degrees, P 110, R 18, B/P 144/92, occult blood test negative.
GEN: Appear to be in acute distress, dehydrated, bowel sounds hyperactive x4, tenderness to left and right lower quadrant with guarding.
Impression: Acute Diverticulitis of the colon, possible gastritis
Discussed with patient and planning transfer to University Hospital for direct admission.
- Bolling, CNP
*Do not forget to include the sources for your definitions.
Medical term | Definition | Sources |
1. | ||
2. | ||
3. | ||
4. | ||
5. | ||
6. | ||
7. | ||
8. | ||
9. | ||
10. |
Part 2
Using the information in the progress note, decide which code correctly represents the diagnosis. Underline the code of your choice.
Medical term | Medical code |
Anorexia | Z72.4 Inappropriate diet and eating habits
R63.0 Anorexia
F44.9 Dissociative disorder or reaction, unspecified
F50.00 Anorexia nervosa |
Gastritis | K29.70 Unspecified gastritis without mention of bleeding
K29.20 Alcoholic gastritis, without mention of bleeding
K29.81 Gastritis unspecified with bleeding
K29.40 Chronic atrophic gastritis, without mention of bleeding |
Diverticulitis | K92.0 Hematemesis
K57.10 Diverticulosis of small intestine without perforation or abscess without bleeding
K57.32 Diverticulitis of large intestines without perforation or abscess without bleeding
N32.3 Diverticulum of bladder |
References
Centers for Medicare & Medicaid Services (23 Oct. 2014). “ICD-10-CM Diagnosis and Procedure Codes: Abbreviated and Full Code Titles.” Retrieved from
https://www.cms.gov/medicare-coverage-database/staticpages/icd-10-code-lookup.aspx
HCS 214 Week 4 Gastrointestinal Provider Newsletter
Write a 260- to 350-word section for Part 3 of the newsletter you started in Week Two of the class.
Part 3: Gastrointestinal System
- Identify the structure and function of the gastrointestinal system.
- Identify the major structures found in the system.
- Define the function of this system.
- Describe major diseases that affect the gastrointestinal system.
- Identify one to two major diseases that affect the system.
- Describe the disease(s) identified.
- Describe major laboratory and diagnostic tests that are used to assess gastrointestinal diseases.
- Using the disease(s) discussed in the previous prompt, identify the most common laboratory and diagnostic test used to assess the disease(s).
- Describe the test identified.
- Describe the main health care providers for the gastrointestinal department.
- Identify the main health care providers in this department.
- Describe the roles they play (to the patient, facility, or community) and the types of patients they see (typical demographics, age, gender, etc.).
Cite at least 2 peer-reviewed, scholarly, or similar references. For additional information on how to properly cite your sources, log on to the Reference and Citation Generator and Plagiarism Checker resources in the Center for Writing Excellence.
Format your assignment according to APA guidelines.
Click the Assignment Files tab to submit your assignment.
HCS 214 Week 4 Journey of Food Through the Gastrointestinal System
Resources: Textbook, Internet, and University Library
Imagine that it is your first week working in the local urgent care facility and you notice that the diagrams in the office are not engaging for patients. You decide to create a new diagram that is visually appealing and informative for patients.
Complete the University of Phoenix Material: Gastrointestinal System Worksheet.
Write a 175- to 350-word summary that discusses the importance of the gastrointestinal system. How would you apply the information to your own or a family member’s health and wellness?
Cite any sources. For additional information on how to properly cite your sources, log on to the Reference and Citation Generator resource in the Center for Writing Excellence.
Format your assignment according to APA guidelines.
Click the Assignment Files tab to submit your assignment.
HCS 214 Week 4 Week Four Knowledge Check
Complete the University of Phoenix Material: Week Four Knowledge Checks.
1.
What is the 30-foot muscular tube that extends all the way from the mouth to the anus called?
The pharynx
The gastrointestinal tract
The gallbladder
The pancreas
2.
Which of the following statements is true of the processes involved in the treatment of food in the gastrointestinal system?
The process of ingestion occurs right before the process of mastication.
The process of absorption is immediately followed by the process of secretion.
Eliminating unusable materials from the body is done through the process of mastication.
The mechanical breakdown of the food in the mouth is known as absorption.
3.
Albert is eating grilled chicken for dinner. He uses his tongue to move the chunks of meat around in his mouth and his teeth to crush and grind them into pieces that are small enough for him to swallow. Which of the following functions of the gastrointestinal system has been exemplified in this scenario?
Absorption
Secretion
Mastication
Excretion
4.
What is the rhythmic wavelike muscular contraction of the esophagus that helps work the food down into the stomach called?
Propulsion
Vomiting
Segmentation
Peristalsis
5.
Identify an accurate statement about the pharynx.
The epiglottis is considered a part of the pharynx and not the larynx.
The pharynx is a passageway that is exclusively meant for the passage of air.
The airway to the lungs in the pharynx is blocked during swallowing.
The nasopharynx of the pharynx serves as a passageway for food.
6.
Khaled experiences a sharp pain to the left of his chest soon after eating a heavy lunch. He thinks he is experiencing a heart attack, panics, and rushes to his doctor. After a thorough examination, his doctor tells him not to worry as the pain in his chest is due to gastric juices of his stomach escaping into his esophagus due to the accidental opening of a certain sphincter in his gastrointestinal tract. Which sphincter does Khaled’s doctor refer to in this scenario?
The cardiac sphincter
The pharyngoesophageal sphincter
The pyloric sphincter
The anal sphincter
7.
In the context of the gastrointestinal system, which of the following statements is true about the stomach?
Most of the absorption of water and substances takes place in the stomach.
Most of the digestive work of the stomach is performed in the pylorus.
The layers of muscle in the walls of the stomach are all circular in orientation.
The stomach regulates the rate at which the chyme enters the small intestine.
8.
After being produced in the liver, in which part of the digestive system is bile stored?
The jejunum
The pancreas
The gallbladder
The duodenum
9.
From the assortment of dishes served at his college cafeteria, Ben chooses to eat nothing but fried pork sausages for breakfast. Two hours later, he ends up having severe indigestion. In the context of the digestive process, which of the following is most likely the reason for Ben’s case of indigestion?
Low activity of the digestive enzyme ptyalin
Low activity of the digestive enzyme lipase
Low activity of the digestive enzyme lactase
Low activity of the digestive enzyme pepsin
10.
Identify the oral disorder in which the gums become inflamed due to the buildup of plaque at the gum line.
Dental caries
Cheilitis
Cranker sores
Gingivitis
11.
Identify an accurate statement about dental cavities.
Even if a cavity is left untreated, systemic infection will not set in.
Tooth enamel deteriorates with the action of bacteria to form cavities.
A carbohydrate-rich diet will help prevent the formation of cavities.
A cavity is formed when alkaline substances produced by bacteria act on tooth enamel.
12.
Clark, a 50-year-old banker, notices the presence of white patches of tissue along the insides of his mouth. He visits his doctor, Dr. Richards, for a checkup. After a thorough examination, Dr. Richards asks him if he chews tobacco or uses snuff. When Clark admits that he is always in the habit of chewing tobacco, Dr. Richards attributes this condition to Clark’s habit. In this context, which of the following conditions does Clark most likely have?
Leukoplakia
Gingivitis
Cranker sores
Cheilitis
13.
Which of the following statements is true of gastroesophageal reflux disease (GERD)?
Untreated GERD does not lead to esophageal cancer.
Avoiding lying down immediately after a meal can help prevent GERD.
High caffeine intake can help prevent GERD.
The esophagus is protected from the acidic reflux of GERD by a thick mucosal lining.
14.
Which of the following conditions refers to the infection and the inflammation of the sacs in the intestinal tract?
Colorectal cancer
Duodenal ulcers
Diverticulitis
Hepatitis
15.
Chloe, a 30-year-old waitress, was recently arrested for the possession and use of narcotics. After the incident, she was taken to a rehabilitation center for treatment where she fell severely ill. After a thorough medical examination, Chloe’s doctor observed that the normal tissues in her liver had been replaced by fibrous connective tissues. Based on the information provided in this scenario, what is the most probable diagnosis of Chloe’s condition?
Hepatitis B
Cirrhosis
Jaundice
Pancreatitis
16.
Which of the following is true of stool color and its indications in the context of fecal testing?
Tan colored stool is an indication of the presence of hemorrhoids.
Red colored stool is an indication of common bile duct blockage.
Black colored stool is an indication of the ingestion of iron.
Green colored stool is an indication of bleeding from the lower GI tract.
17.
Which among the following is a procedure that involves looking for sources of bleeding, growths, or cancerous tumors in the large intestine?
Basic pulmonary function test
Colonoscopy
Electrocardiogram
Polysomnography
18.
Ciara experiences severe diarrhea and stomach cramps and is rushed to the hospital. She develops a high fever over the following days. Convinced that it is a case of an acute gastric disorder, the doctor orders the performance of a certain procedure as part of the diagnosis. A lit, tubular device, with a magnifying lens, is inserted into Ciara’s stomach to examine its interior. She is sedated throughout the procedure. What procedure is Ciara most likely undergoing in this scenario?
Gastroscopy
Laparoscopy
Colonoscopy
Bronchoscopy
HCS 214 Week 5 Urinary System–Analyzing a Progress Note
Complete the University of Phoenix Material: Urinary System-Analyzing a Progress Note.
Click the Assignment Files tab to submit your assignment.
Urinary System – Analyzing a Progress Note
Part 1
Using the following progress note, define the highlighted terms within the chart provided.
This patient is a resident in a Nursing Home and is being assessed by a local doctor.
Progress note:
Patient is a 68 y.o. male with history of kidney stones, urinary tract infection (UTI) and diabetes insipidus. Nursing staff reports a change in mental status, foul smelling urine, and increased incontinence with complaints of pain with urination.
On examination patient is alert. Patient notes having increased pain with urination and burning along with extreme pain in the lower abdomen at times. A urine culture was positive for e-coli bacteria. The urinalysis is positive for WBCs, RBC, and increased pH with results favorable for stone formation.
Plan to start Macrobid, increase fluid intake, repeat urinalysis and kidney function in the morning. Please catheterize the patient. Portable ultrasound in am. If positive will discuss possible cystoscopy and nephrology referral.
Impression: UTI, kidney stone
- George, M.D.
*Do not forget to include the sources for your definitions.
Medical term | Definition | Sources |
1. | ||
2. | ||
3. | ||
4. | ||
5. | ||
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10. |
Part 2
Using the information in the progress note, decide which code correctly represents the diagnosis. Underline the code of your choice.
Medical term | Medical code |
Urinary Tract Infection (UTI) | N39.0 Urinary tract infection, site not specified
P39.3 Urinary tract infection of newborn
N99.89 Other postprocedural complications and disorders of the genitourinary system
N36.9 Urethral disorder unspecified
|
Diabetes insipidus | N25.1 Nephrogenic diabetes insipidus
E23.2 Diabetes insipidus
P70.2 Neonatal diabetes mellitus
E11.9 Diabetes mellitus without complications |
Kidney stone | N28.1 Cyst of kidney, acquired
S37.009A Injury to kidney without mention of open wound into cavity, unspecified injury, initial encounter
D30.00 Benign neoplasm of kidney, unspecified kidney
N20.0 Calculus of kidney |
References
Centers for Medicare & Medicaid Services (23 Oct. 2014). “ICD-10-CM Diagnosis and Procedure Codes: Abbreviated and Full Code Titles.” Retrieved from
https://www.cms.gov/medicare-coverage-database/staticpages/icd-10-code-lookup.aspx
HCS 214 Week 5 Urinary System Provider Newsletter
Write a 260- to 350-word section for Part 4 of the newsletter you started in Week Two of the class.
Part 4: Urinary System
- Identify the structure and function of the urinary system.
- Identify the major structures found in the system.
- Define the function of this system.
- Describe major diseases that affect the urinary system.
- Identify one to two major diseases that affect the system.
- Describe the disease(s) identified.
- Describe major laboratory and diagnostic tests that are used to assess urinary diseases.
- Using the disease(s) discussed in the previous prompt, identify the most common laboratory and diagnostic test used to assess the disease(s).
- Describe the test identified.
- Describe the main health care providers for the urinary department.
- Identify the main health care providers in this department.
- Describe the roles they play (to the patient, facility, or community) and the types of patients they see (typical demographics, age, gender, etc.).
Cite at least 2 peer-reviewed, scholarly, or similar references. For additional information on how to properly cite your sources, log on to the Reference and Citation Generator and Plagiarism Checker resources in the Center for Writing Excellence.
Format your assignment according to APA guidelines.
Click the Assignment Files tab to submit your assignment.
HCS 214 Week 5 Major Function of the Urinary System Summary
Write a 350- to 700-word response to the following:
- Describe the major function of the urinary system. How would you apply the information you have learned to your own or a family member’s health and wellness.
Include the following in your response:
- Identify major structures of the system
- A brief description of each structure
- Function of the system and its structures
- Consider common diseases within the system
Cite any sources. For additional information on how to properly cite your sources, log on to the Reference and Citation Generator resource in the Center for Writing Excellence.
Format your summary according to APA guidelines.
Click the Assignment Files tab to submit your assignment.
HCS 214 Week 5 Week Five Knowledge Check
Complete the University of Phoenix Material: Week Five Knowledge Checks
1.
Which of the following parts of the urinary system is best described as an expandable sac that holds urine?
The urinary bladder
The kidney
The urethra
The ureter
2.
Identify a true statement about the urinary system.
The urinary system helps control the body’s fluid and ion balance.
The urinary system does not play a role in controlling blood pressure.
In the process of urine formation, the part of the filtrate that is secreted into the urine will eventually be reabsorbed into the body.
In the process of urine formation, the entire filtrate that is formed as a result of filtration is eliminated from the body.
3.
Jamie teaches human physiology at Cetrialwood University. To explain the organs involved in urine formation, he makes use of a structural model of the human urinary system. The model includes two bean-shaped organs, one positioned on the upper left-hand side and the other positioned on the upper right-hand side of an expandable, hollow sac. Here, each organ is connected to the sac by a tube of smooth muscle. The bottom of the sac opens out into a thin, muscular tube. After explaining all the parts of the model and their functions, Jamie asks his students to match the organs to their respective functions. Given below are some of the answers his students give him. Choose the most accurate one from the following.
The ureter is the expandable sac that stores urine.
The urethra is the thin muscular tube that transports urine from the kidneys to the urinary bladder.
The kidneys are the bean-shaped organs that filter blood to make urine.
The urinary bladder is the tubular structure that transports urine out of the body.
4.
Select an accurate statement about the anatomy of the kidney.
The innermost region of the kidney is called the renal cortex.
The renal medulla is the region of the kidney where the blood is actually filtered.
The blood vessels that bring blood into the kidneys for filtration are the renal veins.
The fibrous covering of connective tissue that surrounds the kidney is called the renal capsule.
5.
Mariah uses a model of a nephron to explain a certain step in urine formation in human beings. She points to the model and explains how blood flowing through the glomerulus is pushed into the Bowman’s capsule. She goes on to explain how the walls of the glomerulus and the podocytes of the Bowman’s capsule act as a sieve, allowing all the components of the blood to pass through, except for the blood cells and a few large molecules. Which step of urine formation is Mariah explaining in this scenario?
Glomerular filtration
Tubular secretion
Tubular reabsorption
Glomerular adsorption
6.
In the context of the blood vessels that supply blood to the kidneys, what are the arteries that originate from the arcuate arteries and supply blood to the renal cortex called?
Interlobar arteries
Cortical radiate arteries
Segmental arteries
Lobar arteries
7.
In the context of urine formation, identify a hormone produced by the hypothalamus that increases the permeability of the distal tubule and the collecting duct, which in turn increases the absorption of water when the blood pressure is low.
Testosterone
Atrial natriuretic peptide
Antidiuretic hormone
Epinephrine
8.
Which of the following statements is true of the processes involved in urine production?
Filtration is primarily responsible for controlling the concentration of chemicals in the urine.
Secretion is primarily responsible for moving fluid and chemicals from the blood to the nephron.
Secretion is the first step in the formation of urine.
Reabsorption helps in controlling the volume of urine.
9.
Abby is rushed to the nearest hospital after her car accidently swerves off the road and crashes into a tree. On examination, Dr. Richards observes that she has suffered major head injuries and has lost a lot of blood. He confirms internal bleeding and recommends immediate surgery. Along with other vital signs, Dr. Richards directs the medical staff to monitor Abby’s urine output. What effect is the trauma of the accident most likely to have on Abby’s urinary system?
The rate of glomerular filtration will decrease significantly.
The sympathetic output to the afferent arterioles will decrease.
The concentration of urea in Abby’s blood will decrease.
The blood flow to the glomerulus will increase significantly.
10.
Joshua used to be a healthy teenager. However, of late, he seems to be less focused and mentally disoriented. He eats less, hiccups frequently, and often complains of experiencing itching and cramping. He is always fatigued and had a very recent episode of seizures. Startled by these changes in Joshua’s health, his mother takes him to the hospital. After a thorough examination, Dr. Salim concludes that these symptoms are a result of the accumulation of nitrogenous wastes in Joshua’s bloodstream. Dr. Salim speculates whether Joshua is suffering from renal failure. He advises Joshua to follow a low-protein dietary plan and even remarks that kidney replacement therapy may be required if Joshua does not show any signs of recovery. Based on the information provided in this scenario, identify the current blood condition from which Joshua is suffering.
Anemia
Hematuria
Uremia
Septicemia
11.
What is true of polycystic kidney disease (PKD)?
It is a non-hereditary condition.
It does not affect infants.
It can be easily cured by taking medications.
It generally progresses to renal failure with age.
21.
Identify a condition that is marked by abnormally high levels of glucose in the blood, which is caused by the body’s inability to produce insulin.
Polycystic kidney disease
Diabetes mellitus
Ischemia
Uremia
12.
What is the inability to control urination called?
Incontinence
Cystitis
Nephritis
Uremia
13.
Ella has a history of urinary tract infections. She urinates frequently and cannot seem to control her urge to urinate at night. Lately, she has been experiencing severe pelvic and abdominal pains and has also noticed the presence of blood in her urine. Her doctor has advised her to drink lots of water and has prescribed certain antibiotics for her to take. Based on the information provided in this scenario, determine the condition from which Ella is suffering.
Diabetes insipidus ADH deficiency
Interstitial cystitis
Overactive bladder
Hyperglycemia
14.
Identify a true statement about urinary tract infections.
Urinary tract infections are always diagnosed through blood tests.
Urinary tract infections pose no threat to the kidneys.
Postmenopausal women are more prone to urinary tract infections.
The only treatment for urinary tract infections is kidney transplantation.
15.
Which of the following is a waste product produced through muscle metabolism that is primarily eliminated by the kidney?
Bilirubin
Protein
Glucose
Creatinine
16.
Layla is a senior aeronautical engineer who works with the National Space Research Agency of Batanglasia. For their latest space mission, Layla is required to undergo a thorough medical examination before joining the team. As part of the medical routine, Layla’s urine sample is sent for a urinalysis. On examining the urine sample, Eduardo, a laboratory worker, suspects that Layla may be suffering from a renal disorder. Which of the following signs might have triggered speculation?
The presence of crystals in Layla’s urine
The absence of color in Layla’s urine
The presence of urea in Layla’s urine
The absence of turbidity in Layla’s urine
17.
Identify an accurate statement about blood urea nitrogen (BUN) tests.
High BUN levels are an indication of increased urea secretion by the kidneys.
The BUN test is used to measure the amount of urea, the waste product of protein metabolism, in the blood.
The BUN test is most useful for assessing the functioning of the heart.
The BUN test is typically used to measure the concentration of creatinine, a product of muscle metabolism, in the blood.
18.
Which of the following is a possible causative condition for increased blood urea nitrogen (BUN) test results?
A low-protein diet
Overhydration
Gl hemorrhage
Intravenous therapy
19.
Select an accurate statement about the possible causative conditions for abnormality in urine color.
Red colored urine could be an indication of decreased fluid intake.
Orange colored urine could be an indication of untreated diabetes mellitus.
Nearly clear urine could be an indication of Addison’s disease.
Black colored urine could be an indication of Lysol poisoning.
20.
Sheila is a 28-year-old professional dancer. She follows a strict low carb, low salt diet to maintain her figure. Of late, she has been experiencing severe abdominal pains and has lost her appetite. She also gets tired very easily and urinates more often than usual. Sheila finally decides to seek medical help after collapsing during one of her practice sessions. After noting her symptoms, her doctor sends Sheila’s urine sample for a concentration analysis as he suspects a case of renal failure. Surprisingly, the test results turn out to be normal. Unconvinced, the doctor orders other urinary tests to be performed, which eventually confirm his suspicion. In this context, what is most likely the reason that the results of the concentration test came out to be normal, though Sheila had a serious renal disorder?
Because of the low salt diet
Because of a healthy liver
Because of Lysol poisoning
Because of excess sodium consumption