A10-year-old established patient presents today for well child check with mother. the patient has two sisters and sees dad sporadically. lives in a smoke free environment. 1 dog, 1rabbit. patient going into fourth grade with good grades. no parental concerns. patient cooperates but does tend to back talk. doing well on concerta. examination of systems normal. counseled patient on the use of seat belts, bicycle/skate helmets, gun safety, water/sun safety. assessment: well child check, adhd, plan: refill concerta 18 mg po q am step 2: create a new thread and answer all three parts of the initial prompt below: describe the steps you would take to find the correct code for this case. assign the procedure code and explain why you chose the code that you did. what affect did the e/m guidelines have on your choice of code? explain how you used the guidelines.

for me i would

1.make a schedule

2. action plan

3. break up into simpler tasks

4.   prioritize tasks

5. delegate work

hope that

if any question leave comment

the american revolution encouraged other countries

explanation:

    however, coronary heart disease , or chd, is actually a result of coronary artery disease, or cad, said edward a. fisher, m.d., ph.d., m.p.h., an american heart association volunteer who is the leon h. charney professor of cardiovascular medicine and also of the marc and ruti bell vascular biology and disease program at the nyu school of medicine.

  with coronary artery disease, plaque first grows within the walls of the coronary arteries until the blood flow to the heart’s muscle is limited. view an illustration of coronary arteries. this is also called ischemia. it may be chronic, narrowing of the coronary artery over time and limiting of the blood supply to part of the muscle. or it can be acute, resulting from a sudden rupture of a plaque and formation of a thrombus or blood clot.

    the traditional risk factors for coronary artery disease are high ldl cholesterol, low hdl cholesterol, high blood pressure, family history, diabetes, smoking, being post-menopausal for women and being older than 45 for men, according to fisher. obesity may also be a risk factor.

    “coronary artery disease begins in childhood, so that by the teenage years, there is evidence that plaques that will stay with us for life are formed in most people,” said fisher, who is former editor of the american heart association journal, atvb. “preventive measures instituted early are thought to have greater lifetime benefits. healthy lifestyles will delay the progression of cad, and there is hope that cad can be regressed before it causes chd.”

  living a healthy lifestyle that incorporates good nutrition, weight management and getting plenty of physical activity can play a big role in avoiding cad.

    “coronary artery disease is preventable,” agreed johnny lee, m.d., president of new york heart associates, and an american heart association volunteer. “typical warning signs are chest pain, shortness of breath, palpitations and even fatigue.” if you feel any of these symptoms, don’t delay — call 9-1-1.