AHIMA Professional Practice Experience Workbook

Exercise 29 Anatomy and Physiology and Disease Processes: IP Male 394857 Authentic Patient Cases Instructions: Access the VLab Authentic Patient Cases. 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.). According to documentation in the “Orthopedics History and Physical,” the patient has previously been

involved in a motor vehicle accident (MVA) and presents with pain. Which joint is the patient experiencing pain in for this encounter?

a. right elbow b. left elbow c. right knee d. left knee

True or False. The knee is the largest joints in the human body. a. true e. false What is the flexible fibrous cord that connects the knee bones to leg muscles?

a. tendons b. cartilage e. ligament Dr. Stephanie Mayer documented that the patient presents for a “epiphyseodesis” of the right proximal tibia. Explain what an epiphysiodesis procedure is.

Review the 8/28/2013 Operative Report. Distinguish the difference between the epiphyseodesis of proximal tibia and the epiphyseodesis of proximal fibula.

Review the Operative Report on page 16 of the patient record. Describe the technique or techniques utilized for wound closure.

What method or equipment was employed during the procedure(s) for visualization? a) MRI b) laparoscope c) fluoroscope d) portable x-ray A sagittal saw was documented in the Operative Report on page 19 as being used to perform the removal of pieces of bone.

What is the name of this technique, procedure or method?

Copyright ©2020 by the American Health Information Management Association. All rights reserved.

Powered by