What kind of specialist is James Martel
Ophthalmology
Surgical removal of the gallbladder
Cholecystectomy
As of January 2023, does "review of systems" count as a billable portion of the chart?
No. Why are we still doing it then? I don't know
What does "EDIP" mean
"ED to inpatient." The provider calls the unit assistant who places an order called "Intent to Admit." The red circle shows up on the tracking shell and the hospitalists and consultants can now see the patient on their patient list and add orders
This neurologist sounds EXACTLY like Hans Gruber from Die Hard
Michael Dengel
Procedure that removes the entire globe and its intraocular contents
Enucleation
What should go at the very top (or very bottom) of every HPI?
Who the history was obtained from
The name of the procedure to drain a subungual hematoma (blood trapped under a finger- or toenail
Nail trephination
No relation to Stan, this orthopedist is usually on-call
Ethan Lea
Surgical removal of a breast
Mastectomy
What work note template should you be using
You are admitting a 24 year old patient with acute appendicitis. What is the first question the surgeon will ask you
What time the patient last had anything to eat/drink. In older patients, the second question is likely, "Are they on any blood thinners"
Pretty much our only available hand surgeon
Benjamin Bluth
What are the 2 most common types of bariatric surgery
Roux-en-Y and gastric sleeve (biliopancreatic diversion with duodenal switch and stomach intestinal pylorus sparing surgery aren't as common)
Should you be prompting the providers for every EKG?
Yes. If you see an EKG has been ordered, you should be handing the physical copy of the EKG to the provider, or having them look at it when it's uploaded into Cerner
When admitting a patient with known congestive heart failure with an acute exacerbation, what is one major measurement the documentation should include
Ejection fraction (measurement of the percentage of blood leaving the heart each time it squeezes). Normal EF is ~60%. This is measured via an echocardiogram
Who is the vascular surgeon whose last name starts with a "V"
Romel Velastegui
Surgical removal of plaque buildup in the arteries of the neck. Sometimes called a "roto-rooter"
Carotid endarterectomy
What is the purpose of documenting a patient's preferred pharmacy in the chart
To make Andrew happy
These 4 Kanavel signs are suggestive of flexor tenosynovitis
1. Finger held in slight flexion 2. Fuseiform swelling (sausage digit) 3. Tenderness over the flexor tendon 4. Pain with passive extension