Kevin was playing at school on the playground. He fell off the jungle gym and landed on his elbow. Kevin's mom came to school and rushed him to the emergency department. The emergency department doctor did an expanded problem focused exam and history. The decision making was of low complexity, An x-ray of Kevin's elbow (2views) was performed. After viewing the x-rays, the doctor diagnosed Kevin with a continuous to the elbow. No further treatment was needed. E-codes are not required on this scenario.
Step 1: Kevin fell off the jungle gym and landed on his elbow while playing at school on the playground.
Step 2: Kevin's mom came to school and rushed him to the emergency department.
Step 3: The emergency department doctor performed an expanded problem focused exam and history.
Step 4: The doctor determined that the decision making was of low complexity.
Step 5: An x-ray of Kevin's elbow, with 2 views, was taken.
Step 6: After viewing the x-rays, the doctor diagnosed Kevin with a continuous to the elbow.
Step 7: The doctor concluded that no further treatment was needed.
Step 8: E-codes are not required in this scenario.
Based on the scenario you provided, it seems that Kevin experienced an injury to his elbow after falling off the jungle gym at school. His mother promptly took him to the emergency department for medical attention. The doctor conducted an expanded problem focused exam and history, which involves gathering information related to the patient's injury and conducting a targeted examination.
The doctor determined that the decision-making process for Kevin's case was of low complexity, meaning that the diagnosis and management were relatively straightforward. To confirm the diagnosis and assess the extent of the injury, an x-ray of Kevin's elbow was performed. The x-ray involved taking two different views to provide a comprehensive evaluation of the elbow joint.
After reviewing the x-rays, the doctor determined that Kevin had a contusion (or bruise) to his elbow. Fortunately, no further treatment was required beyond monitoring and managing any associated pain or discomfort. In this case, E-codes (external cause codes) are not necessary since the injury occurred at school and the focus is primarily on the medical aspects of Kevin's condition.
It's worth noting that this explanation is based on the information provided. If there are additional details or specific questions about this scenario, please let me know and I'll be happy to assist you further.