39 year old female had a sebaceous cyst on her right upper back.the cyst was infiltrated with 1/2% xylocaine with epinephrine for local anesthesia. an elliptical incision made and excision of 6cm was made. cyst was freed from tissue the wound closed with 3-0 vicryl stitches. what is the ice-10-cm, cpt,
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39 year old female had a sebaceous cyst on her right upper back.the cyst was infiltrated with 1/2% xylocaine with epinephrine for local anesthesia. an elliptical incision made and excision of 6cm was made. cyst was freed from tissue the wound closed with 3-0 vicryl stitches. what is the ice-10-cm, cpt, apc codes and why?
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- Clinical History:A 25-year-old woman had pelvic pain, fever, and vaginal discharge for 3 weeks. On physical examination, she has lower abdominal adnexal tenderness and a painful, swollen left knee. Laboratory studies show WBC count of 11,875/mm3 with 68% segmented neutrophils, 8% bands, 18% lymphocytes, and 6% monocytes. Gram negative rods were found. Photo includes gram stain. When reviewing the patient’s paperwork, what type of information would you look for, or perhaps ask patient if not listed on the paperwork? What type of specimen would you collect? What tests would you run to ID the causative agent? Typical treatment? Advice for patient? no references, just homework please include referencesA- B ↑ ↑ C- An image of a hematocrit blood test is shown. Indicate which layer refers to the buffy coat. A B ОсIn two complete sentences tell me the definition of a reticulocyte and why would we see an increase of them in the circulating blood BIUA - A - I E E 3 X x, = E Paragraph 12pt fr
- A 62-year-old male, his back has been red and swelling for 1 week. At first it was a small piece of skin induration of about 3×2cm, with multiple pus spots, then the skin swelling area expanded, infiltrating edema appeared, local pain increased, the surface skin was purple-brown with area about 6×5cm, the body temperature was 39.2℃, and he had diabetes history for 10+ years. The following treatment measures are incorrect for this patient: Remove pus and inactivated tissue The incision line should exceed the edge of the lesion The incision can be filled with yarn One-stage suture of the incision Make a "++" incisionMacropreparation No 3 Leukoplakia of the tongue Description of macropreparation: Diagnosis: Leukoplakia Micropreparation No 3 Leukoplakia of the tongue Staining: hematoxylin and eosin MAN Mark the corresponding elements in the picture: 1 - keratosis 2- multi-layered flat epithelium 3 - keranocytes 4- acanthosis 5- own plate 6-lymphomacrophagic infiltration of the underlying connective tissue Description: Name the outcomes of the process:A 56-year-old man complained of progressive fatigue and malaise. His physical examination was generally satisfactory, with a pulse of 90 beats per minute, and multiple lymphadenopathy and hepatomegaly. No bacteria were found in cerebrospinal fluid smears of lumbar puncture, but a flagellum, elongated nucleus with blue and red cytoplasm were found in the blood by Giemsa staining of thin blood smears. The family reported that the patient had been engaged in transportation business in Africa for many years. 1. What do you think is the most likely disease for this patient? Malaria Dengue fever African sleeping disease Toxoplasma encephalitis Bacterial meningitis 2. What do you think is the most likely pathogen for this patient? Plasmodium vivax Toxoplasma gondii Plasmodium falciparum Plasmodium malariae Trypanosoma brucei gambiense 3. What do you think is the most direct basis for the diagnosis of the pathogen? From Africa Fatigue Hepatomegaly Special structure was found on blood…
- CASE SCENARIOA 38-year-old woman went to a hospital and complained of a non-productive cough and dyspnea which has progressed over two weeks. Based on physical examination, she was pale, diaphoretic and in acute respiratory distress. According to her, she had a sexual contact with his partner for the past weeks. The physician ordered laboratory tests and results revealed that the CD4 count was significantly low. Questions: What might be the predominant antibody present in the patient’s serum and why?What immunological response the patient’s body will develop and why?A 3-year-old girl was admitted with a diagnosis of acute lymphocytic leukemia. After admission, she was treated by administration of packed red cells, 2 units of platelets, IV fluids, and allopurinol. On the second hospital day, chemotherapy was begun, using IV vincristine and prednisone and intrathecal injections of methotrexate, prednisone, and cytosine arabinoside. She was discharged for home care 5 days later. She was continued on prednisone and allopurinol at home. She received additional chemotherapy 1 month later (11/1) and again on 11/14. On 12/6, she was readmitted because she had painful sores in her mouth and was unable to eat. LABORATORY RESULTS 10/1 10/2 10/3 10/4 11/14 12/6 6/20 Urea N 12.0 4.0 ** ** 15 ** 2.0 (mg/dL) Creatinine 0.7 (mg/dL) 0.7 ** ** ** 1.0 0.7 Uric acid (mg/dL) 12.0 9.2 4.0 1.9 2.3 ** 3.1 WBC 56,300 3,700 ** ** 2,800 3,700 ** (mm³) **indicates test not performed Questions: 1. How would you explain the significant elevations of uric acid on admission? 2.…Novobiocin susceptibility: Zone of inhibition or no zone of inhibition present: ______________ Novobiocin Susceptible or resistant: ______________________
- lymph nodules have thin capsule thick capsule double capsule regular capsule O devoid of capsule1. What is the possible condition of the patient?2. Are the leukocyte count and differential count normal?3. What is the probable ethology of this disorder?4. What are the immunologic/serologic manifestations of infection?5. Are there any laboratory test that would further support the infection?e) Serum and clot 4. If small clots are noted when making a blood smear, one should: a) Make the smear and note on the slide that clots are present Mix the blood specimen for one hour then make the smear Do nothing; small clots will not affect a blood smear Request a new specimen before doing the blood smear Add more anticoagulant to the blood tube, mix, then make the blood smear 15. What is the purpose of doing a differential? a) b) To determine the proportion of RBCS in the whole blood To count the number of WBC's in whole blood To determine the proportion of WBC's in whole blood To microscopically examine RBCS and platelets To diagnose anaemia