Below is a summary of Brittany’s EHR activity during her first hour in the ED. As an ED physician, you are responsible for examining the patient, ordering tests and procedures and diagnosing Brittany’s condition. Using her EHR, Virtual Physical Exam (VPE) and Internet research, answer the questions and be prepared to discuss the responses with the rest of Brittany’s healthcare team.
Review Brittany’s VPE: You order an X-ray and CT scan of Brittany’s head. Using VPE, explain what information these procedures provide?
Internet Research: In addition to head trauma, you are also concerned about other injuries so you order the same tests (X-ray and CT scan) for her spinal cord. What are the three movable and two unmovable areas of the spinal cord?
Internet Research: You order a drug screen and a blood typing test. Why do you order these tests for Brittany?
Review Brittany’s ED EHR: What are her test results?
Internet Research: How might her results impact her treatment?
Spinal Cord: The major bundle of nerves carrying messages from the brain to the rest of the body. Rings of bone, called vertebrae, surround the spinal cord—these bones constitute the spinal column or back bones.