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Pain that is in the stomach or belly area is called abdominal pain. Sometimes when it hurts in this area the problem may actually be in your chest or pelvic region. Abdominal pain is also called a belly ache, stomach ache, or abdominal cramps. SOME FACTS about Abdominal Pain Abdominal pain is a common problem. Most of the time it will go away without any medical care. Sometimes it is a sign of a very serious condition that can be life-threatening. It all depends upon the cause. How much it hurts is not always the most serious symptom. Pain that develops quickly and is localized (remains in the same place) in a small area requires immediate medical attention. People with mental retardation cannot always tell you what hurts. You need to look carefully for other signs (such as bending over and crying). Individuals with pain will often show changes in behavior. SIGNS & SYMPTOMS There are many different signs and symptoms for abdominal pain depending upon what the cause is. Some of the signs include: Pain in the area below the chest and above the groin (just below waist) Cramps in the belly area Crying and bending over, holding onto the belly area Burning feeling in the stomach or lower throat (esophagus) Lack of appetite and food avoidance ...
Emergency Department Visits for Chest Pain and Abdominal Pain: United States, 1999–2008 Farida A. Bhuiya, M.P.H.; Stephen R. Pitts, M.D., M.P.H., F.A.C.E.P.; and Linda F. McCaig, M.P.H., Division of Health Care Statistics Key findings Data from the National Hospital Ambulatory Medical Care Survey: 1999–2008 • The number of noninjury emergency department (ED) visits in which abdominal pain was the primary reason for the visit increased 31.8%. • The percentage of ED visits for which chest pain was the primary reason decreased 10.0%. • Use of advanced medical imaging increased strongly for ED visits related to abdominal pain (122.6%) and chest pain (367.6%). Chest and abdominal pain are the most common reasons that persons aged 15 years and over visit the emergency department (ED) (1). Because EDs provide both emergency and nonemergency care (2,3), visits for these symptoms may vary in their acuity. Advanced medical imaging is often ordered to assist in both diagnosing and ruling out serious illness associated with these symptoms (4,5). This report describes trends in visits for chest and abdominal pain in adults and the seriousness of illness and use of imaging in these visits. All data shown are for persons aged 18 and over whose visit was not injury related. Keywords: National Hospital Ambulatory Medical Care Survey • advanced medical imaging • reason for visit Are ED visits for chest or abdominal pain increasing?
Abdominal pain is the most common complaint seen in emergency departments in the United States and one of the 10 most common complaints in family medicine outpatient settings. The most common causes of abdominal pain are discussed here, with special attention given to the acute abdomen and recurrent abdominal pain. The term acute abdomen is medical jargon that refers to any acute condition within the abdomen that requires immediate medical or surgical attention. Acute abdominal pain may be of nonabdominal origin and does not always require surgery. The majority of patients who consult a physician about abdominal pain do not have an acute abdomen, although the chief complaint may have a sudden onset. In studies involving analysis of large series of patients presenting to emergency departments with acute abdominal pain, nonspecific abdominal pain (NSAP) was the most common diagnosis. Most patients with this symptom probably have gastroenteritis. The common causes of abdominal pain are gastroenteritis, gastritis, peptic ulcer disease, gastroesophageal reflux disease (GERD), irritable bowel syndrome (IBS), dysmenorrhea, salpingitis, appendicitis, cholecystitis, cholelithiasis, intestinal obstruction, mesenteric adenitis, diverticulitis, pancreatitis, ureterolithiasis, incarcerated hernias, gas entrapment syndromes, and ischemic bowel disease (particularly in the elderly). All of these conditions can manifest as an acute or sudden onset of abdominal pain, many can cause recurrent abdominal pain, and a few require surgical intervention. Any acute abdominal condition requires the physician to make an early, precise diagnosis, because prognosis often depends on prompt initiation of therapy, particularly surgical treatment. The more serious the problem, the more urgent the need for an accurate diagnosis.
Starting mid-2008, Roche introduces a new global packaging design for prescription medicines. This will meet requirements and expectations of health authorities, medical professionals and patients worldwide. The new packaging allows quick and easy identification of the medicine and dosage strength. one product colour specific dosage colour icon of pharmaceutical form dosage colour is repeated How was the design selected? Roche sought feedback from medical professionals and health authorities and reviewed possible design options with more than 700 doctors, pharmacists, nurses and patients worldwide. There was clear support for the selected new design and respondents particularly highlighted that it was easy to recognise. What are the new features? The new packaging design includes d • istinct product and dosage colours for quick identification c • olour banding visible from three sides p • lunger rods and flip-off caps in dosage colours The design is in line with recent regulatory labelling guidelines and industry best practices. There will be no changes in pack dimensions and text. How will the design be implemented? The new packs will be phased in for Roche prescription medicines between mid-2008 and 2010 (approx.). C • ellCept, Copegus, Pegasys and Xeloda will be the first medicines to feature the new packaging design (some country-specific exceptions) T • he remaining medicines will change over the coming months Packs in the old design will not be replaced and can be used until expiry. Please contact your local Roche Office for country-specific details. F. Hoffmann-La Roche Ltd 4070 Basel Switzerland www.roche.com © 2008
http://cpc.certifiedcodertraining.com/index.php/what-is-medical-coding | Common medical billing errors are made every day, leading to a decrease in cash flow for the medical provider, and unpaid claims that the patient must often pay. Coding certification results in medical billers who are less likely to make these errors, so that both the medical provider and patient benefit.
Department of History, American University in Cairo, Cairo, Egypt This article examines the nature of religious terrorism, principally with reference to al-Qaeda. It argues that a distinction must be made between the ultimate aims and the immediate objectives of ‘religious’ terrorists, and that while the ultimate aims will be religiously formulated, the immediate objectives will often be found to be almost purely political. This distinction is illustrated with reference to such premodern religious terrorists as the Assassins and Zealots. Immediate objectives, are for many purposes more important than ultimate aims. Although the immediate objectives of al-Qaeda on 9=11 cannot be established with certainty, it is highly probably that the intention was to provoke a response from the US that would have a radicalizing impact on al-Qaeda’s constituency. Reference to public opinion in the Middle East, especially in Egypt, shows that this is indeed what has happened. Such an impact is a purely political objective, familiar to historians of terrorism from at least the time of Errico Malatesta and the ‘propaganda of the deed’ in the 1870s. While no direct link between Malatesta and al-Qaeda exists, al-Qaeda was certainly in contact with contemporary theories that Malatesta would have recognized, and seems to have applied them. Even though its immediate objectives are political rather than religious, al-Qaeda is a distinctively Islamic group. Not only is its chosen constituency a confessional one, but al-Qaeda also uses—and when necessary adapts—well-known Islamic religious concepts to motivate its operatives, ranging from conceptions of duty to conceptions of ascetic devotion. This is demonstrated with reference to the ‘Last Night’ document of 9=11. The conclusion is that terrorism which can be understood in political terms is susceptible to political remedies.
At some point, most of us with an interest in dogs will have to consider whether or not to spay / neuter our pet. Tradition holds that the benefits of doing so at an early age outweigh the risks. Often, tradition holds sway in the decision-making process even after countervailing evidence has accumulated. Ms Sanborn has reviewed the veterinary medical literature in an exhaustive and scholarly treatise, attempting to unravel the complexities of the subject. More than 50 peer-reviewed papers were examined to assess the health impacts of spay / neuter in female and male dogs, respectively. One cannot ignore the findings of increased risk from osteosarcoma, hemangiosarcoma, hypothyroidism, and other less frequently occurring diseases associated with neutering male dogs. It would be irresponsible of the veterinary profession and the pet owning community to fail to weigh the relative costs and benefits of neutering on the animal’s health and well-being. The decision for females may be more complex, further emphasizing the need for individualized veterinary medical decisions, not standard operating procedures for all patients. No sweeping generalizations are implied in this review. Rather, the author asks us to consider all the health and disease information available as individual animals are evaluated. Then, the best decisions should be made accounting for gender, age, breed, and even the specific conditions under which the long-term care, housing and training of the animal will occur.
W elcome to Banfield Pet Hospital’s State of Pet Health 2012 Report—the only report of its kind to capture and analyze the medical data from more than 2 million dogs and nearly 430,000 cats. As the largest veterinary practice in the world, Banfield operates more than 800 hospitals in 43 states, and more than 13,000 associates—including 2,600 licensed veterinarians—work at Banfield. As such, Banfield has a unique understanding of the health of companion animals. Through our extensive commitment to innovation, our practice has created this ground-breaking report, now in its second year. Our commitment to ongoing preventive care and early disease diagnosis was the driving force behind our focus on the chronic diseases and conditions highlighted in this year’s report, including: overweight and obesity, arthritis, kidney disease, thyroid disease and heart disease. Over the past five years, many chronic conditions have continued to increase, in some instances, at an alarming rate. In this report, the overweight and obesity findings are some of the most concerning—since 2007, overweight and obesity have increased by 37 percent in dogs and 90 percent in cats. When pets are diagnosed as overweight, their waistline is not the only concern; the condition is associated with other serious diseases such as arthritis, diabetes mellitus, heart disease and hypothyroidism.
Health Issues In Bernese Mountain Dogs Introduction ► The health of a Bernese Mountain Dog is influenced by a combination of genetics and environment. All dogs possess genetic (inherited) strengths and weaknesses, and the Bernese is no exception. Over 300 genetic diseases, afflictions, or structural faults have been identified in purebred dogs. There are likely more inherited health problems that research has not yet identified. There are ways that a breeder can decrease the chances that undesirable traits are passed on to offspring. But, while genetics plays an important role in determining how healthy and physically sound a dog may be, the kind of care a dog receives throughout its lifetime also plays a significant role in the dog‟s ongoing health. The Healthcare Team ► A Berner‟s “healthcare team” consists of the breeder, owner and veterinarian. Their collective job is to provide for the dog‟s healthcare needs. A breeder‟s contribution begins when he/she chooses a pair of dogs that will be used to produce puppies. Once a pup comes to its new home, it is then the owner‟s responsibility to manage the dog and foster good health and habits. A veterinarian provides professional medical care throughout a dog‟s lifetime. Effective communication among the healthcare team is important to providing the best healthcare possible.