Office Procedures Performed by the Physician,
Nurse Practitioner and Physician Assistants of the Internal
Medicine Department Include:
Physical Examination: involves a thorough
history and physical examination of the patient to determine
to presence or absence of physical problems. Includes wellness
counseling.
Monitoring Laboratory tests.
Weekly/Monthly Injections
Diagnosis and management of acute and chronic
diseases.
Blood pressure evaluation.
Gynecological Examination: involves
a thorough examination of the breast and female genitourinary
system. Usually includes a pap smear of the cervix.
Review of various ancillary procedures:
- Dexa Scan - a simple procedure used to measure
bone density. Bone density is very important in identifying
people at risk of bone injury and osteoporosis.
- X-rays - a procedure used to diagnose illness
or injury which involves using small amounts of electromagnetic
waves.
- CAT Scan (Computerized axial tomography)
- use of a computer to produce from x-ray data, a cross-sectional
view of the anatomical part being investigated.
- MRI Scan (Magnetic resonance imaging) -
a type of diagnostic radiography using electromagnetic energy.
This technique is valuable in providing soft tissue images
of the central nervous and musculo-skeletal systems.
- Ultrasound procedure - uses ultrasound to
produce an image or photograph of an organ or tissue for diagnostic
and therapeutic purposes.
- Mammography - x-ray examination of the breast.
Sigmoidoscopy: a small, soft bendable
tube is inserted into the anus to examine the lining of the rectum
and lower colon (bowel).
Skin Tag Removal: the skin tag is lifted
with tweezers and the provider usually uses scissors to cut
the flap away from the surrounding skin. The provider may also
use a small cautery device to remove the skin tag.
Electrocardiogram (ECG or EKG): a record
of the electrical activity of the heart. It is used to diagnose
cases of abnormal heart rhythm and heart muscle damage.
Pulse Oximetry: a pulse oximeter measures
the amount of oxygen in the blood without use of needles. It
is placed on the patient's finger.
Removal of impacted cerumen: dried cerumen
(ear wax) can become pressed together so tightly that it cannot
be removed easily. A provider can remove impacted cerumen by
using special instruments and/or an ear flushing procedure.
Services Performed by the Internal Medicine Nursing
Staff:
- Interviewing and collecting data
- Nursing advice and teaching.
- Weight, height and blood pressure check.
- Dressing change, ear flushes, bladder cauterizations,
etc.
- Diabetes Education - provides education
on the treatment and management of diabetes, including training
the patient on how to monitor their own blood sugar levels,
insulin shots, diet and meal planning and exercise therapy.
- Allergy Shots.
- Vitamin B-12 shots.
- Protime/INR laboratory testing.
- Administration of various medications and
immunizations.
- Comfort patients.
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