AHIMA Professional Practice Experience Workbook

Exercise 4 Anatomy and Physiology and Disease Processes: MPI: 1001500 (Sandra Fiorentino)

Instructions: Access the Edco Solcom application. Review the patient record to identify and abstract information for each question. Note: For some of the questions, you will be providing word-for-word documentation from the patient’s medical record, looking up information in references (e.g. Internet Search Engine, Journal of AHIMA articles, textbooks, etc.). When a patient has a bump that has formed out of bone at the base of his or her big toe the physician may refer to the condition as “hallux valgus.” What is another name for this condition? a. bunion b. hallux varus c. great toe d. hallux limitus

How many bones are in the human foot? a. 21 b. 16 c. 26 d. 33 How many joints are in the human foot? a. 33 b. 26 c. 21 d. 16 What are the three layers of the skin?

Review the Operative Report. Describe the difference between an “Austin bunionectomy” and a “Reverse Austin tailor’s bunionectomy?”

According to the Operative Report, the patient received anesthesia. What are the areas in which the patient was given local anesthesia? a. 1 st and 3 rd metatarsals left foot b. 2 nd and 4 th metatarsals left foot c. 1 st and 5 th metatarsals right foot d. 1 st and 3 rd metatarsals right foot During the procedure, the surgeon utilized 4-0 vicryl running sutures to close the wound. What layers of skin were the 4-0 vicryl running sutures used to close? The surgeon employed a transverse V-osteotomy through the neck of the metatarsal and the head.

Explain what an osteotomy is.

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