Case study : Sheila Meyer, a medical assistant in Dr. Ryan’s large cardiovascular practice
Assignment: Dr Ryan’s Large Cardiovascular Practice
Complete Parts 1 and 2 – A, B, and C (D for Part 2) for this assignment. Answer in complete sentences, and be sure to use correct English, spelling, and grammar
Complete Parts 1 and 2 – A, B, and C (D for Part 2) for this assignment. Answer in complete sentences, and be sure to use correct English, spelling, and grammar. Sources must be cited in APA format. In each part (A & B) the response should be at least two and one-half (2 ½) double-spaced pages.
A: Sheila Meyer, a medical assistant in Dr. Ryan’s large cardiovascular practice, is taking the medical history of Edna Helm, an obese elderly woman with congestive heart disease. Edna states, “I’m always short of breath, and I perspire all the time. I guess I’m gaining weight, but the funny thing is that only my legs seem heavier. My heart is pounding when I lie down at night; it even seems to stop sometimes. I’ve even started to wear red nail polish to hide the funny blue color of my nails.
Edna gives you a copy of her medical history from an out-of-state physician. The medical history indicates that she has had the following conditions, tests, and procedures:
Positive Babinski sign
Holter monitor testing
Protein-bound iodine test
Glucose tolerance test
Basal cell carcinoma removed in 1992
The sebaceous cyst removed in 1982
Meniscectomy in 1978
Rhytidectomy in 1970
Using correct medical terms, chart Edna’s presenting symptoms. Define each of the procedures and conditions listed on her medical record. Your response should be one (1) page in length.
B: Victor Krenz is assisting Dr. Connors with the fifth cataract surgery for the day. The patient is Kathy Wall, a diabetic patient, whose condition has been stable enough for her to undergo a surgical procedure. Victor has performed a six-minute surgical scrub on his hands before each of the five procedures. Dr. Connors indicates that he is in a hurry to get back to his office for a heavy afternoon schedule of patients.
After both Dr. Connors and Victor are scrubbed, gowned, and ready to begin the operation, Victor feels a slight prick on the tip of his gloved finger as he moves the sterile syringe and needle on the tray. Dr. Connors, who does not notice the accidental needlestick to Victor’s glove, states again that he is in a hurry to finish this procedure. Victor knows that it will delay the surgery if he has to change gloves. He also knows that his hands have had a surgical scrub five times that morning and that they are clean.
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