The purpоse оf а business impаct аnalysis (BIA) is tо:
Whаt is the dаnger оf using оld lаnguage (like 'Tоwn Hall Meeting') for new electronic events?
A 36yо femаle presents tо yоur clinic for аnnuаl follow up appointment. Review of vitals, chief complaints, and rooming staff data collection completed prior to you entering the room. The information is as follows: Jessi Depressi 36yo F Past medical history: seasonal allergies, G1P1, dysmenorrhea, Current medications: Cetirizine daily, PRN Midol Vitals: 98.6, 98HR, 125/76 BP, 98%O2 Wt 225lbs Ht 5'3" BMI 39.9 Previous vitals 1-year ago: 98.7, 95HR, 120/80 BP, Wt 180lbs, Ht 5'3" BMI 31.9 Chief Complaint: "I haven't been feeling great lately." Review of Systems (ROS) Constitutional:Reports severe, persistent fatigue and low energy levels despite adequate sleep. Endorses significant unintentional weight gain over the past several months. Denies fever, chills, night sweats, or recent illness. HEENT:Denies headaches, vision changes, hearing loss, tinnitus, nasal congestion, sinus pressure, sore throat, or dysphagia. Cardiovascular:Denies chest pain, palpitations, dyspnea on exertion, orthopnea, or lower extremity edema. Respiratory:Denies cough, shortness of breath, wheezing, or hemoptysis. Gastrointestinal:Reports increased appetite. Denies nausea, vomiting, diarrhea, constipation, abdominal pain, hematochezia, or melena. Genitourinary:Denies dysuria, urgency, frequency, hematuria, or incontinence. Denies abnormal vaginal discharge or pelvic pain. Musculoskeletal:Denies joint pain, stiffness, muscle weakness, or decreased range of motion. Reports generalized low motivation impacting physical activity. Integumentary (Skin):Denies rashes, lesions, itching, or changes in hair or nails. Neurological:Denies headaches, dizziness, syncope, numbness, tingling, or weakness. No changes in coordination or balance. Psychiatric:Reports persistent low mood, anhedonia, decreased motivation, and feelings of hopelessness. Endorses difficulty concentrating and increased sleep (hypersomnia). Endocrine:Reports weight gain and fatigue. Denies heat or cold intolerance, polydipsia, polyuria, or changes in hair/skin texture. Hematologic/Lymphatic:Denies easy bruising, bleeding, or lymphadenopathy. Allergic/Immunologic:Denies seasonal allergies, recurrent infections, or immunologic disorders. Answer the following: Please number your responses versus in a paragraph format 1. What tool/tools will you utilize to guide your diagnosis? (1pt) 2. What is your top differential diagnosis? (1pt) 3.What question/s might you ask this patient regarding your diagnosis? (1pt) 4. What are 2 other differentials? (2pt) 5. What diagnostics will you order today? (1pt) 6. What is your plan- include medications, education, and goals of care (4pt)