University:
Albany College of Pharmacy and Health Sciences
Course:
COD-123 | Medical Coding
Academic year:

2024
Views:

317

Pages:

3
Author:

Nezar L.

Medical Terminology 9 A-STIFFNESS. SPASM, CRAMP - Onset: sudden/gradual - Frequency: constant/intermittent - Intensity/severity - Location - Radiation aggravated by alleviated by: - Associated symptoms - Previous episodes of stiffness/spasm - Previous treatment/evaluation - Course of Stiffness: worse/better/ unchanged - Effect of stiffness on normal daily activity 1-Diagnosis and Comments Trauma: Direct/Indirect Influenza A/ B Pleurodynia (Bornholrn disease) Parasitic—trichinosis Diabetic proximal neuropathy Acromegaly Hypothyroidism Hyperparathyroidism Intermittent claudicationaorto-iliac disease Inflammatory arterial disease: Claudication—masseter/temporal muscles and/or tongue Polymyalgia rheumatica: temporal arteritis Polyarteritis nodosa Toxic : Alcohol Substance abuse—amphetamine/heroin/PCP Depression Anxiety/stress Somatoform disorder Physiological-postexercise/ normal stress Rheumatoid arthritis Systemic lupus Erythematosus Scleroderma Mixed connective tissue disease Medications: Suxamethonium Cimetidine C, L, and C cause acute/subacute necrotizing myopathy—myoglobinuria—renal failure Lithium Clofibratc 2-Test and Reason Erythrocyte sedimentation rate: Temporal arteritis Blood sugar: Diabetes mellitus Serum calcium level: Hyperparathyroidism TSH level: Hypothyroidism Toxic drug screen: Substance abuse Alcohol level: Alcoholism Rheumatoid factor: Rheumatoid arthritis Serum lithium level: Lithium toxicity B-MUSCLE WEAKNESS, PARALYSIS - Onset: sudden/ gradual - Frequency: constant/intermittent - Intensity/severity - Location - Aggravated by: - Alleviated by - Associated symptoms - Previous episodes of wealmess/paralysis - Previous treatment/evaluation - Course of weakness/paralysis: worse/better/unchanged - Efiect of weakness/paralysis on normal daily activity 1-Diagnosis and Comments -Inherited disorders—-Duchenne -dystrophy, myotonic dystrophy -Peripheral nerve injury -Brachial/lumbosacral plexus -injury/neuropathy -Guillian-Barre syndrome -Toxoplasmosis -Viral infection (Coxackie B) -Poliomyelitis -Cachexia syndrome -Cerebrovascular accident -Transient ischemic attack -Diabetes mellitus -Hypothyroidism -Addison disease -Toxicity: Alcohol Botulism Lead poisoning Organophosphorous poisoning -Hypokalemia -Hypokalemic periodic paralysis -McArdle syndrome -Glycogen storage disease -Myasthenia gravis 2-Test and Reason -Urea and electrolytes: Hypo/hyperkalelnia -Blood sugar: Diabetes -Edrophonium (Tensilon) test: Myasthenia gravis -Blood alcohol level: Alcohol -TSH level: Hypothyroidism -Muscle enzymes (CK, aldolase, AST): Dermatomyositis/polymyositis -Urine: Myoglobinuria—rhabdomyolysis -Carotid artery Doppler study: TIA -Nerve conduction studies: Plexus/peripheral nerve injury/neuropathy -Muscle biopsy Muscular dystrophy/polymyositis/dermatomyositis -EMG: Muscular/ neural pathology -EEG : Seizures -Cranial CT scan : Cerebrovascular accident