Evaluation and Management Coding Practice: S: Monica Sullivan was seen in the office by Dr. White on 12/13 for the second time. She presented with a chief complaint of dizziness and weakness; she stated that she wanted to have her blood pressure checked.

O: Patient has been on Vasotec 5 mg and Hydrodiuril 25 mg. BP has been going up at home. Patient has felt ill, weak, and dizzy, with headache for three days. Cardiovascular exam was normal. BP of 130/110 and pulse rate of 84. Her temperature is 98.6°F and normal.

A: Accelerated hypertension. Bell's palsy.

P: Increase Vasotec to 5 mg a. m. and 2.5 mg p. m. SMA & CBC.

E/M category/subcategory: Office or Other Outpatient Services, Established Patient

Determine the extent of history obtained: ?

Determine the extent of examination performed: problem focused

Determine the complexity of medical decision making: moderate complexity

CPT E/M code: 99212

---what is the extent of history obtained for this case?

A10-year-old girl suffered from a rare malignancy in her brain and around her spinal cord. she had surgery, and most of the tumor mass was removed, but residual tumor remained in the brain and around the spinal cord. the girl's doctors informed her parents that chemotherapy and radiation were possible treatment options but could cause serious problems such as sepsis, a permanent loss of iq and stature, and even death. the parents wished to proceed with the therapy. while their child was undergoing aggressive chemotherapy and radiation, the parents did independent research and read of several drugs being administered for cancer in other states that were unapproved by the federal drug administration (fda) and were illegal in their home state but were touted by physicians using them as miracle cures." furthermore, one of the girl's doctors released the girl's medical records to another physician to get a "second opinion" without informing the parents. this particular physician is a member of the same country club as the parents. he happens to share facts from the medical records with other members who end up telling the girl's parents. the couple sued their child's physician for failure to disclose alternative treatments, thus depriving them of informed consent. the couples also sued the child's physician for sharing their daughter's records in violation of the girl's privacy. how should the court rule in both cases? did the child's physician involved follow the law? did he act ethically in either situation? explain your answer. under the doctrine of informed consent, should a physician be responsible for informing patients of all treatment options, even if some of the treatments are illegal or not yet proven effective?

Anurse is teaching a client who is to begin cyclophosphamide therapy to treat cancer. which of the following adverse effects of this medication should the nurse include in the teaching? a. hypotension b. bradycardia c. hyperglycemia d. leukopenia

Which of the following pieces of equipment is necessary for the prone position? a. stirrups b. footboard c. chest rolls d. bean bag