Clinical Issues:Patient Compliance to SunscreenThe daily application of sunscreen is

26-year-old female presents to ER CHIEF COMPLAINT: Patient is 9 weeks pregnant and experiencing pain and pressure in her lower abdomen and bleeding heavily from the vagina. CONSTITUTIONAL: Ht 5’5, Wt 132, BP 85/65, Temp 96.9, HR 107 ABPM, Patient appears confused and restless. HEENT: PEERL. Normocephalic. External auditory canals and tympanic membranes clear, hearing grossly intact. No nasal drainage. Neck supple, non-tender, no masses. LUNGS: Clear to auscultation. ABDOMEN: Soft, distended and tender. No masses detected. SKIN: Cool and pale. GYN: No fetal heart rate detected. DIAGNOSTIC: Ultrasound confirms incomplete abortion. Nasal swab positive for MRSA. Ordered CBC, WBC. Dx: Sepsis following incomplete spontaneous abortion with MRSA (see guidelines C.15.j for assistance) Codes: , Note: All multiple fill-in-the-blanks are order specific. (hint: make sure you review coding guideline C.21.c.11)

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