No Battle or Raccoon sign

Post here your questions regarding auditing ,coding, documentation, and compliance. Also, join in on the conversation- help your fellow auditors and compliance professionals in the industry.

Moderators: Shannon DeConda, NAMAS Moderator

No Battle or Raccoon sign

Postby Shoshana » Tue Jun 12, 2018 3:23 pm

Would anyone give eyes credit for "No Battle or Raccoon sign"? With that, I get a comprehensive exam? Feedback

PHYSICAL EXAMINATION:
VITAL SIGNS: Temperature 97.9, pulse is 88, respiratory rate 20,
blood pressure 129/78, oxygen saturations 92% on room air.
GENERAL: The patient is a middle-aged Caucasian gentleman who is lying
in his bed in the intensive care unit with discomfort related to the
anterior chest wall and low back pain, but no acute distress.
HEAD: No Battle or raccoon sign.
NECK: Supple with no guarding or rigidity. Good range of motion.
Trachea midline.
CHEST: Clear to auscultation bilaterally.
HEART: Regular rate and rhythm. No murmurs.
ABDOMEN: Soft, nontender. No hepatosplenomegaly.
EXTREMITIES: No cyanosis, edema or deformity.
SKIN: No abrasions or rashes noted.
NEUROLOGIC: He is awake, alert. He is oriented x3. Cranial nerves
are grossly intact. Motor strength in the upper and lower extremities
5/5. Normal sensation. Negative Babinski. Speech is fluent.
"In any moment or decision, the best thing you can do is the right thing." - T.Roosevelt
Shoshana, BA, CPC, CPMA, CPCO, RRT
Shoshana
 
Posts: 67
Joined: Fri Jun 23, 2017 5:41 pm
Location: Multi-specialty Clinic

Re: No Battle or Raccoon sign

Postby Shoshana » Tue Oct 02, 2018 5:25 pm

Can anyone help with this?
"In any moment or decision, the best thing you can do is the right thing." - T.Roosevelt
Shoshana, BA, CPC, CPMA, CPCO, RRT
Shoshana
 
Posts: 67
Joined: Fri Jun 23, 2017 5:41 pm
Location: Multi-specialty Clinic


Return to Medical Auditing Forum

Who is online

Users browsing this forum: No registered users and 1 guest

cron