docM3 & M4 Problems and Procedures 2013 PROCEDURES BY GROUP
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M3 & M4 Problems and Procedures 2013 PROCEDURES BY GROUP
M3 & M4 Problems and Procedures 2013 PROCEDURES BY GROUP Critical Care Assessments/Screening Evaluation and Management ADL Assessment Arterial Line Placement NG tube placement APGAR Score Determination Central Venous Access Pelvic Exam Bladder Diary Review CPR Referral/Follow-up Breast Cancer Risk Assessment Intraosseous Line Placement Breast Exam SCBE Intubation Abnormal Pap Management Cognitive Assessment, MMSE/MoCA Ultrasound Guided IV Placement Biopsy, Breast Diagnostic Confusion Assessment (CAM) Surgical Biopsy, NOS CrCl Calc, Cockcroft-Gault Arterial blood gas Biopsy, Skin Depression Screening Tool Cardiac diagnostic procedure C-Section Diabetes Mellitus Screening Colon/Sigmoidoscopy Circumcision Domestic Violence Screening Creatinine Clearance Calculation, CockcroftCryosurgery Gault Fetal Well-being Assessment Culture D&C Functional History Cystoscopy Elliptical excision Gait Assessment EKG (interpreted) Endometrial ablation Genetic Screening Endoscopic upper GI examination Incision and drainage Get up and Go Test KOH/wet prep Laparoscopic Surgery Home Safety Evaluation Lumbar puncture Major Surgical Procedure Hyperlipidemia Screening Mammogram Minor Surgical Procedure Hypertension Screening Pap Smear Thoracentesis Immunizations Screening Pulmonary function testing Tubal Ligation Incontinence Assessment Ultrasound Vaginal Delivery Mini-COG X-ray interpretation Vasectomy Mini-Mental Status Exam Evaluation and Management Venipuncture Nutritional Assessment Comp. Breast Exam SCBE Osteoporosis Risk Assessment Breast Exam, Diagnostic Pain Screening Breast Exam, Screening ECT Slit Lamp Examination Casting/splinting Epidural Anesthesia Substance Abuse Screening Cervical Exam in Labor Injection NOS Tobacco Use Screening Digital Rectal Exam Intralesional injection Ultrasound Evaluation of Trauma (FAST Exam) EKG (performed) Counseling Wound Repair/Suturing Treatment, nonsurgical Joint Aspiration/injection Foley Placement Joint Reduction Abnormal PAP Smear Counseling Functional Assessment, Comp. Reduction of Dislocated Joint (Major/Minor) Behavioral change plan Functional Exam Regional Blocks Contraception Counseling IUD insertion Rehabilitation Lactation Counseling IV placement Patient education plan Medication Review Comp. Preconception Counseling Mental Status Evaluation, Full M3 & M4 Problems and Procedures 2013 PROBLEMS BY GROUP Insect Bite Ear wax Allergic rhinitis Itching/puritis Epistaxis/nose bleed Anaphylaxis Other, Derm problem Hearing loss Other, Allergy problem Pigmentation problem Hoarseness Pressure Ulcer Laryngitis Aortic aneurism Psoriasis Mouth disorder Arrhythmia/dysrhythmia Rash NOS Nasal congestion/rhinitis Atrial Fib Rosacea Neck Mass Cardiac Arrest Seborrhea Other, HEENT problem Chest Pain Evaluation Seborrheic Keratosis Other, Pharyngitis Congenital heart disease Skin infection, bacterial Otitis externa Congestive Heart Failure Skin infection, fungal Otitis media Coronary Artery Disease Skin infection, viral Pharyngitis, strep Deep Vein Thrombosis (DVT) Skin Lesion Sinusitis Heart Murmur Skin neoplasm, benign Hypertension Skin Tags Adherence Hypertensive Emergency Skin/hair infestation Altered Mental State Hypoplastic heart Sunburn Chills Myocardial Infarction Urticaria/Angioedema Cultural differences Other, Cardiovascular NOS Viral Exanthems Dehydration Palpitations Warts Dental problem Allergy Cardiovascular Pericardial disease Endocrine General Developmental disorder Peripheral Vascular Disease Adrenal disorder Dizziness/vertigo Persistent fetal circulation Diabetes Type 1 Edema Shock/hypotension Diabetes Type 2 Failure to thrive, Geriatric Valvular disorder Diabetic foot Failure to thrive, Pediatric Varicosities Diabetic ketoacidosis Fainting/syncope Goiter/thyroid nodule(s) Fatigue/malaise Abscess, skin Hirsutism/virilization Fever Acne Hyperglycemia, Uncontrolled Frailty Actinic Keratosis Hyperthyroidism Functional impairment Alopecia Hypoglycemia Gait Disturbance Birthmark Hypothyroidism Genetic/congential disorder Blisters/bullae Ketoacidosis Hernia, not hiatal Bruising/petechiae Other, Endocrine problem Hyper/hypo thermia Contact Dermatitis Pituitary disorder Hyperlipidemia Cyanosis Short stature Iatrogenesis/Medical Error Dandruff Thyroid Disorder Immobility/Deconditioning Dermatology Eczema/atopic dermatitis Epidermal Cysts ENT Cold/URI Lab Results, abnormal Language not English M3 & M4 Problems and Procedures 2013 Multiple chronic diseases Incontinence, fecal SARS Nutritional disorders Inflammatory Bowel disease STD NOS Obesity Irritable Bowel Syndrome Syphilis Other, General problem NOS Jaundice Tuberculosis Pain, Chronic NOS Nausea/vomiting Palliative/end of life care Other, GI problem Drug allergy Perioperative care Pancreatitis Drug Interaction Poverty Peptic or gastric ulcer Drug Overdose/Toxicity Rehabilitation Polyps, GI Drug Reactions Sarcoidosis Small bowel obstruction Drug Side Effect Sensory impairment Splenomegaly Other, Medication problem Sleep disorder Volvulus Polypharmacy Sweats Medication Hematology Men's Health Teratogenic disorder Anemia Benign prostatic hyperplasia BPH Weight Loss Bleeding Disorders/Coagulopathy Genital warts, male Wound care/non-healing wound Bone marrow failure Infertility, male Isoimmune disorder Other, Men's Health Abdominal pain Leukemia/Lymphoma Penile Discharge (Urethritis) Anal disease NOS Lymphadenopathy Prostatitis Appendicitis Other, Hematology problem Scrotal/testicular problem Ascites Platelet disorder Sexual Dysfunction, Men Biliary track disease/gallstones Sickle Cell disease Cirrhosis/liver failure Splenomegaly GI System Clostridium Difficile Colitis Metabolic Acid/base disorder Infectious Disease Calcium disorder Colitis Abscess, NOS Dyslipidemia Constipation AIDS Fluid electrolyte disorder Diarrhea Bacteremia Other, Metabolic problem Diverticular disease Cellulitis Vitamin deficiency Dysphagia/swallowing problem Chicken Pox Esophageal spasm Chlamydia Ankle pain/injury Gall Bladder disease Gonorrhea Back pain, w/wo sciatica Gastritis HIV Positive Bursitis Gastroenteritis/food poisoning HSV II congenital Carpal tunnel syndrome GERD Influenza Congenital musculoskeletal problem GI Bleed, Lower Meningitis Costochondritis GI bleed, Upper Mononucleosis Degenerative Joint Disease (any type) Guaiac (+) stool Nosocomial Infection Fibromyalgia Hemorrhoids Other, ID Ganglion cyst Hepatitis, Acute Peritonitis Gout Hepatitis, Chronic (B/C) PID Joint, artificial Hiatal Hernia RSV Knee pain/injury Musculoskeletal M3 & M4 Problems and Procedures 2013 Low Back Pain Other, Neuro problem CA, skin NOS Musculoskeletal Pain Pain Management CA, testicular Osteoarthritis Parkinson's CA, thyroid Osteomyelitis Seizure Disorders Melanoma Osteoporosis Stroke Other, CA Other, Musculoskeletal TIA Overuse injury Tinnitus Pain, joint Ophthalmology Cataract Obstetrical Conjunctivitis Pain, muscle/soft tissue Abortion/miscarriage Corneal abrasion Plantar fasciitis Ectopic pregnancy Enucleated eye Shoulder pain/injury Gestational Diabetes Eye Injury Strain/sprain Incompetent cervix Eyelid disease/condition Tendonitis Labor Foreign Body in eye Tenosynovitis Lactation Glaucoma Multi-fetal gestation Lacrimal disease/condition Breast feeding problem OB emergency Macular degeneration Intrauterine growth restriction Other, OB problem Other, Ophthalmology problem Large for gestational age Placenta praevia Red eye Neonatal apnea Placental abruption Retinopathy, NOS Neonatal asphyxia Post term pregnancy Vision Problem Neonatal drug withdrawal Postpartum care Newborn distress Pre-eclampsia/eclampsia Alcohol Use/Abuse Other, Neonatal Problem Pregnancy Dx Caffeine Use Premature infant Premature labor FamHx of CA Transient tachypnea of newborn Premature rupture of membranes FamHx of CAD/MI Prenatal Care FamHx of depression Bell's palsy Prolapsed cord FamHx of DM Closed head injury Second Stage Labor Health maintenance Delirium Vaginal bleeding in pregnancy Hx of Abuse Neonatal Neurological Dementia, Alzheimers Prevention Oncology Occupational Exposure Dementia, other Benign neoplasm Other, Prevention problem Dementia, Vascular CA, bladder Sexual Activity, Risky Febrile seizures CA, breast Tobacco Use/smoker Headache CA, colon Violence Prevention Headache, migraine CA, endometrial Headache, tension CA, head & neck Abuse, sexual Hydrocephalus CA, kidney Abuse/neglect, Child Multiple sclerosis CA, lung Abuse/neglect, elder Neuropathy CA, ovarian ADHD Numbness CA, pancreatic Adjustment Disorder Other, Headache CA, prostate Anxiety Disorder Psych/Behavioral M3 & M4 Problems and Procedures 2013 Anxiety disorder, generalized Cystic Fibrosis Incontinence, urinary Autism Emphysema Kidney Stones Bed wetting/enuresis Epiglottitis Nephropathy, NOS Bipolar disorder Interstitial Lung Disease Other, Kidney problem Depression Meconium aspiration Other, Urologic problem Domestic Violence Other, Pulmo problem Painful urination/dysuria Dysthymia Pleural effusion Proteinuria Eating disorder Pleuritis Pyelonephritis Family Problems Pneumonia Renal Failure, Acute Intoxication Pneumothorax Renal Failure, Chronic Learning/School Problems Pulmonary edema Renal Insufficiency Major Depression Pulmonary embolus Urinary frequency Marital Problems Pulmonary nodules Urinary obstruction Mood Disorder Respiratory Distress Urinary retention OCD Shortness of breath Urinary tract infection Oppositional Defiant Disorder Rheumatology Women's Health Other, Psych/Behavioral problem Lupus Abnormal vaginal bleeding Panic Attacks Other, Rheumatology problem Amenorrhea Parent-Child Relations Raynaud's Phenomenon Breast disease, NOS Personality disorder Rheumatoid Arthritis Breast Lump Pervasive Developmental Disorder Scleroderma Cervical disease Phobia, any Trauma Contraception Psychotic disorder Abrasion Dysmenorrhea PTSD Animal Bite Endometriosis/adenomyosis Schizoaffective disorders Burn Estrogen replacement/HRT Schizophrenia Contusion Fibroids, uterine Somatoform Syndromes Drowning Genital Warts, female Stressful situation Fall Hyperemesis Gravidarum Substance abuse Fracture Infertility, female Suicide attempt/ideation Gunshot wound Menopause Laceration Menstrual Disorders, NOS Acute Lower Respiratory Infection Other, Trauma Other, Women's Health Problem Asthma Poisoning Ovarian cyst Bronchiolitis Sexual assault Painful intercourse Bronchitis Trauma, blunt Pap Smear, abnormal Bronchopulmonary dysplasia Trauma, multiple Pelvic pain COPD Trauma, sharp Pelvic Relaxation Pulmonary Cough, acute Urinary/Kidney Premenstrual Syndrome Cough, bloody Asymptomatic Bacturia Sexual Dysfunction, Women Cough, chronic Glomerular Disease Vaginitis/vaginal discharge Croup/Stridor Hematuria Vulvar/vaginal disease NOS M3 & M4 Problems and Procedures 2013