NR 511 Week 1
Define diagnostic reasoning
Discuss and identify subjective & objective data
Discuss and identify the components of the HPI
Describe the differences between medical billing and medical coding
Compare and contrast the 2 coding classification systems that are currently used in the US healthcare system
Discuss how specificity, sensitivity & predictive value contribute to the usefulness of the diagnostic data
Discuss the elements that need to be considered when developing a plan
Describe the components of Medical Decision Making in E&M coding
Correctly order the E&M office visit codes based on complexity from least to most complex
Discuss a minimum of three purposes of the written history and physical in relation to the importance of documentation
Accurately document why every procedure code must have a corresponding diagnosis code
Correctly identify a patient as new or established given the historical information
Identify the 3 components required in determining an outpatient, office visit E&M code
Describe the components of Medical Decision Making in E&M coding
Explain what a “well rounded” clinical experience means
State the maximum number of hours that time can be spent “rounding” in a facility
State 9 things that must be documented when inputting data into clinical encounter
Identify and explain each part of the acronym SNAPPS

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NR 511 Week 2
Identify the most common type of pathogen responsible for acute gastroenteritis
Recognize that assessing for prior antibiotic use is a critical part of the history in patients presenting with diarrhea
Describe the difference between Irritable Bowel Disease (IBS) and Inflammatory Bowel Disorder (IBD)
Discuss two common Inflammatory Bowel Diseases
Discuss the diagnosis of diverticulitis, risk factors, and treatments
Identify the significance of Barrett’s esophagus
Discuss the diagnosis of GERD, risk factors, and treatments
… diagnosis of acute abdominal pain, work-up and testing, treatments
Discuss the difference between sensorineural and conductive hearing loss
Identify the triad of symptoms associated with Meniere’s disease
…….. symptoms associated with peritonsilar abscess
Identify the most common cause of viral pharyngitis
Identify the most common cause of acute nausea & vomiting
Discuss the importance of obtaining an abdominal xray to rule out perforation or obstruction even though the diagnosis of diverticulitis can be made clinically
Discuss colon cancer screening recommendations relative to certain populations
Identify at least two disorders that are considered to be disorders related to conductive hearing loss
—– common bacterial cause of pharyngitis
Identify the clinical findings associated with mononucleosis
—- characteristics in a rash caused be Group A Strep
Discuss that the diagnosis of streptococcal pharyngitis can be made clinically based on the Centor criteria
Describe an intervention for a patient with gastroenteritis
Discuss an appropriate treatment for prophylaxis or treatment of traveler’s diarrhea
Identify at least one effective treatment for Irritable Bowel Syndrome (IBS)
Identify at least one prescription medication for the treatment of chronic constipation
Discuss at least one treatment for Meniere’s disease

NR 511 Week 3
Discuss that the majority of dyspnea complaints are due to cardiac or pulmonary decompensation
Explain the differences between intra-thorax and extra-thorax flow disorders
Identify at least three examples of flow and volume disorders (intra and/or extra thorax)
Discuss diagnosis, risk factors and treatments for asthma
Describe appropriate tests in the work up for dyspnea
Discuss clinical findings and PFTs for asthma, chronic bronchitis, emphysema, and COPD
Differentiate between the following common rashes: rubeola, rubella, varicella, roseola, 5ths disease, pityriasis rosea, hand, foot and mouth disease and molluscum contagiosum.
Differentiate between the following tineas: pedis, cruris, corporis and unguium and describe an appropriate treatment
Identify the virus that causes warts
Differentiate between atopic and contact dermatitis and give examples of each
Identify common characteristics associated with blepharitis, chalzion and hordeolum
Differentiate between viral, allergic, bacterial, toxic and HSV conjunctivitis
Discuss which chemical injury is associated with the most damage and highest risk to vision loss
Recognize common eye emergency conditions that require emergency room evaluation
Discuss glaucoma, diagnosis and treatment
Discuss diabetic retinopathy

NR 511 Week 5
Identify the population most commonly affected by bacterial prostatitis
Discuss the physical exam characteristics of acute bacterial prostatitis
……. Phren sign can differentiate between testicular torsion and epididymitis
Discuss common symptoms reported from a patient with BPH
… hallmark characteristic of a varicocele
Identify the population most affected by testicular cancer
Explain spinal stenosis
Discuss common characteristics (subjective and objective findings) of patients with lumbar spinal stenosis
Identify the red flags associated with back and neck complaints which warrant further investigation
Define chronic pain
Identify the number of joints involved in a poly-articular disorder
Describe the four cardinal signs of joint inflammation
Differentiate between DeQuervain’s Tenosynovitis and Carpal Tunnel Syndrome
Differentiate between lateral and medial epicondylitis
Discuss at least 3 vital body functions which thyroid hormones regulate
Describe a goiter and the type of thyroid dysfunction that can be associated with it
Differentiate between overt hypothyroidism and subclinical hypothyroidism
Differentiate between Hashimoto’s thyroiditis and Grave’s disease
Identify at least 3 risks associated with obesity
Identify at least 3 causes of obesity
Discuss one primary prevention for obesity
Identify the categories of obesity based on the BMI
Discuss how acute low back pain without neurological dysfunction does not warrant radiological imaging
Identify the roles of TSH, FT4, TT3, and TPO Abs in determining thyroid function
Identify at least one “at-risk” population who should be … for thyroid screening
Discuss one physical characteristic seen in a hyperthyroid patient
Identify the CDC recommended antibiotic class for treatment of acute bacterial prostatitis
___ least one treatment for BPH
Identify treatment options for obesity based on BMI and comorbid conditions
Describe the Spurling test and what condition it is used to …
Describe how to perform a Phalen and Tinnel test
Identify at least 3 physical exam maneuvers to assess the knee.

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NR 511 Week 6
Differentiate between resting, postural and intention tremors and describe each
Describe one disease with resting tremor as a clinical finding
Describe a medication commonly associated with tremors
Identify at least 3 laboratory tests to rule out systemic causes of tremor
Describe at least one at-risk population that is … to have HIV screening
…. pharmacologic treatment option for tremor
Describe an appropriate empiric antibiotic treatment plan for cellulitis
Discuss an intervention to prevent HIV and HIV-associated behaviors
Identify physical exam findings in the patient with HIV
Describe symptoms, DDx, pathogens, testing, and treatment for the following conditions:  Cellulitis, impetigo, MRSA, Bites (dogs, cats, humans), Erysipelas