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Congestive Heart Failure – Making the Diagnosis

Bunnany Chhun Pekar, PhD, APRN, CRNA Congestive heart failure is a common inpatient and outpatient medical problem. Identifying the correct causes and types is therefore crucial to good medical decision-making. This discussion will focus on identifying the type of heart failure your patient has, and also good management strategies. Types of Heart Failure Structural or …

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Red Flags for Headaches

Headache red flags and the snnoop10 system

Melanie Jones, PA-C Some of the most common complaints given by patients are headaches. Before diagnosing the patient with cluster or tension headache or their usual migraine, other causes should be considered. Consequently, A strong provider should ensure that there is not an underlying secondary cause of their patient’s pain. Accordingly, missing a secondary cause …

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When the dog (or cat) bites… How to Treat Animal Bites

How to properly care for animal bites

When it comes to traumatic injuries seen in the emergency room or urgent care, animal bites rank fairly high on the list of most common injuries.  Whether a cat, dog, hamster, raccoon, prairie dog, monkey, or shark, we have seen them all.  As a provider, we need to know how to deal with this efficiently …

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How to Manage Unexplained Abdominal Pain

Unexplained Abdominal Pain

Basic Approach Unexplained abdominal pain is one of the most common complaints presenting to every emergency, urgent care, or primary care setting. Often, the work up does not reveal a particular source for one’s abdominal pain. Consequently, this triggers further testing and/or consultation. This subsequently requires the patient to monitor their symptoms with close provider …

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Chinese Novel Coronavirus Outbreak 2020: Quick Facts for Practitioners

What You Should Know About the Chinese Coronavirus

Near the end of 2019, a new (novel) coronavirus was identified as the cause of a localized group of pneumonias in the Chinese city of Wuhan.  This new coronavirus has been designated 2019-nCoV, and it seems to be spreading globally with laboratory confirmed cases now being reported in other cities in Asia, as well as Australia, France, Germany, the US, and Canada. 

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Decoding MIPS in Emergency Medicine – Radiology Edition

MIPS-radiology-edition

In our last edition, we discussed some ways of altering practice models or properly documenting patient care so that we stay within the current MIPS guidelines while continuing to provide the highest quality care.  In this edition, we will discuss some of the MIPS guidelines as they pertain to Radiographic studies that are commonly ordered in ER/Urgent Care settings. As always, appropriate documentation as to why, or why not, a test was ordered is crucial not only for MIPS, but from a legal standpoint as well.  So, let’s get into it!

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