HCS 216 Week 4 Reproductive System – Analyzing a Progress Note

HCS 216 Entire Course Link

https://uopcourses.com/category/hcs-216/
HCS 216 Week 4 Reproductive System – Analyzing a Progress Note
Complete the University of Phoenix Material: Reproductive System - Analyzing a Progress Note

 Click the Assignment Files tab to submit your assignment.

Reproductive System – Analyzing a Progress Note

Part 1

 

Using the following progress note, define the bolded terms within the chart provided. 

 

This patient is being assessed in the office by her OB-GYN.

 

Progress Note

 

Patient is a 25 y.o. female that presents for treatment of endometriosis. She has severe dysmenorrhea with an abnormal menstrual cycle for 3 years. There is a history of one pregnancy which was ectopic which did not require removal of the fallopian tubes. An ultrasound of the ovaries was performed 1 month prior to rule out ovarian cysts which was negative. Pregnancy test is negative.

 

Plan: repeat ultrasound, estradiol and progesterone levels. Will discuss possibility of uterine biopsy and surgical referral.

 

Impression: endometriosis

 

James Jones DO

*Do not forget to include the sources for your definitions.
Medical term
Definition
Sources
1.
 
 
2.
 
 
3.
 
 
4.
 
 
5.
 
 
6.
 
 
7.
 
 
8.
 
 
9.
 
 
10.
 
 
 

Part 2

 

Complete the following table using the information found in the Progress Note and the Internet. List the appropriate code(s) for the given medical terms and provide a justification explaining why you selected the given medical code(s).

 

Medical term
Medical code
Justification
Sources
Endometriosis,

unspecified
 
 
 
Dysmenorrhea,

unspecified
 
 
 
Ectopic pregnancy, other
 
 
 
 
Powered by