Titre : Membre inférieur

Membre inférieur : Questions médicales fréquentes

Termes MeSH sélectionnés :

Clinical Coding
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"description": "Comment diagnostiquer une fracture du membre inférieur ?\nQuels tests pour une déchirure ligamentaire ?\nQuels signes indiquent une thrombose veineuse ?\nComment évaluer une douleur chronique au membre inférieur ?\nQuels examens pour une neuropathie périphérique ?", "url": "https://questionsmedicales.fr/mesh/D035002?mesh_terms=Clinical+Coding&page=3#section-diagnostic" }, { "@type": "MedicalWebPage", "name": "Symptômes", "headline": "Symptômes sur Membre inférieur", "description": "Quels sont les symptômes d'une entorse ?\nComment reconnaître une douleur au genou ?\nQuels symptômes d'une infection osseuse ?\nQuels signes d'une mauvaise circulation ?\nQuels symptômes d'une bursite ?", "url": "https://questionsmedicales.fr/mesh/D035002?mesh_terms=Clinical+Coding&page=3#section-symptômes" }, { "@type": "MedicalWebPage", "name": "Prévention", "headline": "Prévention sur Membre inférieur", "description": "Comment prévenir les blessures au membre inférieur ?\nQuelles 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?\nQuels effets d'une neuropathie non traitée ?\nQuelles complications d'une entorse sévère ?", "url": "https://questionsmedicales.fr/mesh/D035002?mesh_terms=Clinical+Coding&page=3#section-complications" }, { "@type": "MedicalWebPage", "name": "Facteurs de risque", "headline": "Facteurs de risque sur Membre inférieur", "description": "Quels facteurs de risque pour les fractures ?\nQuels facteurs de risque pour les douleurs articulaires ?\nQuels risques liés à un mode de vie sédentaire ?\nQuels facteurs de risque pour les varices ?\nQuels facteurs de risque pour les tendinites ?", "url": "https://questionsmedicales.fr/mesh/D035002?mesh_terms=Clinical+Coding&page=3#section-facteurs de risque" } ] }, { "@type": "FAQPage", "mainEntity": [ { "@type": "Question", "name": "Comment diagnostiquer une fracture du membre inférieur ?", "position": 1, "acceptedAnswer": { "@type": "Answer", "text": "Un examen physique et des radiographies sont nécessaires pour confirmer une fracture." } }, { "@type": "Question", "name": "Quels tests pour une déchirure ligamentaire ?", "position": 2, "acceptedAnswer": { "@type": "Answer", "text": "L'IRM est souvent utilisée pour évaluer les déchirures ligamentaires au genou." } }, { "@type": "Question", "name": "Quels signes indiquent une thrombose veineuse ?", "position": 3, "acceptedAnswer": { "@type": "Answer", "text": "Douleur, gonflement et rougeur dans la jambe peuvent indiquer une thrombose veineuse." } }, { "@type": "Question", "name": "Comment évaluer une douleur chronique au membre inférieur ?", "position": 4, "acceptedAnswer": { "@type": "Answer", "text": "Un historique médical détaillé et des examens physiques sont essentiels pour l'évaluation." } }, { "@type": "Question", "name": "Quels examens pour une neuropathie périphérique ?", "position": 5, "acceptedAnswer": { "@type": "Answer", "text": "Des tests de conduction nerveuse et un examen neurologique sont recommandés." } }, { "@type": "Question", "name": "Quels sont les symptômes d'une entorse ?", "position": 6, "acceptedAnswer": { "@type": "Answer", "text": "Douleur, gonflement et difficulté à bouger l'articulation sont des symptômes courants." } }, { "@type": "Question", "name": "Comment reconnaître une douleur au genou ?", "position": 7, "acceptedAnswer": { "@type": "Answer", "text": "La douleur au genou peut être aiguë ou chronique, souvent accompagnée de raideur." } }, { "@type": "Question", "name": "Quels symptômes d'une infection osseuse ?", "position": 8, "acceptedAnswer": { "@type": "Answer", "text": "Fièvre, douleur intense et rougeur autour de l'os sont des signes d'infection osseuse." } }, { "@type": "Question", "name": "Quels signes d'une mauvaise circulation ?", "position": 9, "acceptedAnswer": { "@type": "Answer", "text": "Engourdissement, douleur au repos et changements de couleur de la peau peuvent indiquer une mauvaise circulation." } }, { "@type": "Question", "name": "Quels symptômes d'une bursite ?", "position": 10, "acceptedAnswer": { "@type": "Answer", "text": "Douleur, gonflement et sensibilité autour de l'articulation affectée sont typiques." } }, { "@type": "Question", "name": "Comment prévenir les blessures au membre inférieur ?", "position": 11, "acceptedAnswer": { "@type": "Answer", "text": "Un échauffement adéquat et des exercices de renforcement musculaire sont essentiels." } }, { "@type": "Question", "name": "Quelles chaussures pour éviter les douleurs ?", "position": 12, "acceptedAnswer": { "@type": "Answer", "text": "Des chaussures bien ajustées et offrant un bon soutien peuvent prévenir les douleurs." } }, { "@type": "Question", "name": "Comment éviter les crampes musculaires ?", "position": 13, "acceptedAnswer": { "@type": "Answer", "text": "Une bonne hydratation et des étirements réguliers peuvent aider à prévenir les crampes." } }, { "@type": "Question", "name": "Quelles habitudes pour des articulations saines ?", "position": 14, "acceptedAnswer": { "@type": "Answer", "text": "Maintenir un poids santé et faire de l'exercice régulièrement favorise la santé articulaire." } }, { "@type": "Question", "name": "Comment prévenir les varices ?", "position": 15, "acceptedAnswer": { "@type": "Answer", "text": "Élever les jambes, éviter de rester debout longtemps et faire de l'exercice aide à prévenir les varices." } }, { "@type": "Question", "name": "Quels traitements pour une fracture du membre inférieur ?", "position": 16, "acceptedAnswer": { "@type": "Answer", "text": "Le traitement peut inclure immobilisation, chirurgie et réhabilitation physique." } }, { "@type": "Question", "name": "Comment traiter une entorse ?", "position": 17, "acceptedAnswer": { "@type": "Answer", "text": "Le repos, la glace, la compression et l'élévation (méthode RICE) sont recommandés." } }, { "@type": "Question", "name": "Quels médicaments pour la douleur au membre inférieur ?", "position": 18, "acceptedAnswer": { "@type": "Answer", "text": "Les anti-inflammatoires non stéroïdiens (AINS) sont souvent utilisés pour soulager la douleur." } }, { "@type": "Question", "name": "Comment traiter une tendinite ?", "position": 19, "acceptedAnswer": { "@type": "Answer", "text": "Le repos, la physiothérapie et les anti-inflammatoires sont des options de traitement." } }, { "@type": "Question", "name": "Quelles interventions pour une déformation du pied ?", "position": 20, "acceptedAnswer": { "@type": "Answer", "text": "Des orthèses, des exercices et parfois une chirurgie peuvent être nécessaires." } }, { "@type": "Question", "name": "Quelles complications d'une fracture non traitée ?", "position": 21, "acceptedAnswer": { "@type": "Answer", "text": "Une fracture non traitée peut entraîner une déformation, une infection ou une arthrose." } }, { "@type": "Question", "name": "Quels risques d'une thrombose veineuse ?", "position": 22, "acceptedAnswer": { "@type": "Answer", "text": "Une thrombose veineuse peut entraîner une embolie pulmonaire, potentiellement mortelle." } }, { "@type": "Question", "name": "Quelles complications d'une chirurgie du genou ?", "position": 23, "acceptedAnswer": { "@type": "Answer", "text": "Les infections, les saignements et la raideur articulaire sont des complications possibles." } }, { "@type": "Question", "name": "Quels effets d'une neuropathie non traitée ?", "position": 24, "acceptedAnswer": { "@type": "Answer", "text": "Une neuropathie non traitée peut entraîner des douleurs chroniques et des troubles de la mobilité." } }, { "@type": "Question", "name": "Quelles complications d'une entorse sévère ?", "position": 25, "acceptedAnswer": { "@type": "Answer", "text": "Une entorse sévère peut causer des lésions nerveuses ou des problèmes articulaires à long terme." } }, { "@type": "Question", "name": "Quels facteurs de risque pour les fractures ?", "position": 26, "acceptedAnswer": { "@type": "Answer", "text": "L'âge avancé, l'ostéoporose et les activités à risque augmentent le risque de fractures." } }, { "@type": "Question", "name": "Quels facteurs de risque pour les douleurs articulaires ?", "position": 27, "acceptedAnswer": { "@type": "Answer", "text": "L'obésité, le vieillissement et les antécédents familiaux sont des facteurs de risque importants." } }, { "@type": "Question", "name": "Quels risques liés à un mode de vie sédentaire ?", "position": 28, "acceptedAnswer": { "@type": "Answer", "text": "Un mode de vie sédentaire augmente le risque de douleurs musculaires et de problèmes circulatoires." } }, { "@type": "Question", "name": "Quels facteurs de risque pour les varices ?", "position": 29, "acceptedAnswer": { "@type": "Answer", "text": "La grossesse, l'obésité et la prédisposition génétique augmentent le risque de varices." } }, { "@type": "Question", "name": "Quels facteurs de risque pour les tendinites ?", "position": 30, "acceptedAnswer": { "@type": "Answer", "text": "Les mouvements répétitifs, le surmenage et le manque d'échauffement sont des facteurs de risque." } } ] } ] }

Sources (10000 au total)

Coding of Childhood Psychiatric and Neurodevelopmental Disorders in Electronic Health Records of a Large Integrated Health Care System: Validation Study.

Mental, emotional, and behavioral disorders are chronic pediatric conditions, and their prevalence has been on the rise over recent decades. Affected children have long-term health sequelae and a decl... We aimed to evaluate the accuracy of coding related to pediatric mental, emotional, and behavioral disorders in a large integrated health care system's electronic health records (EHRs) and compare the... Medical records of 1200 member children aged 2-17 years with at least 1 clinical visit before the COVID-19 pandemic (January 1, 2012, to December 31, 2014, the ICD-9-CM coding period; and January 1, 2... The overall agreement between the identification of mental, behavioral, and emotional conditions using diagnosis codes compared to medical record abstraction was strong and similar across the ICD-9-CM... Diagnostic codes are quite reliable for identifying selected childhood mental, behavioral, and emotional conditions. The findings remained similar during the pandemic and after the implementation of t...

Harmonized procedure coding system for surgical procedures and analysis of surgical site infections (SSI) of five European countries.

The use of routine data will be essential in future healthcare research. Therefore, harmonizing procedure codes is a first step to facilitate this approach as international research endeavour. An exam... We included the existing surgical procedure coding systems of five European countries (France, Germany, Italy, Spain, and the United Kingdom [UK]). In an iterative process, country specific codes were... A total number of 153 SALT (Staphylococcus aureus Surgical Site Infection Multinational Epidemiology in Europe) codes from 10 specialties were assigned to 15,432 surgical procedures. Almost 4000 (26%)... Mapping country-specific codes procedure codes onto to a limited number of coherent, internally and externally validated codes proofed feasible. The resultant SALT procedure code gives the opportunity... The study was registered at clinicaltrials.gov under NCT03353532 on November 27...

Validating new coding algorithms to improve identification of alcohol-associated and nonalcohol-associated cirrhosis hospitalizations in administrative databases.

Alcohol (AC) and nonalcohol-associated cirrhosis (NAC) epidemiology studies are limited by available case definitions. We compared the diagnostic accuracy of previous and newly developed case definiti... We randomly selected 700 hospitalizations from the 2008 to 2022 Canadian Discharge Abstract Database with alcohol-associated and cirrhosis-related International Classification of Diseases 10th revisio... Electronic medical records were available for 671 admissions; 252 had confirmed AC and 195 NAC. Compared to previous AC definitions, the newly developed algorithm selecting for the AC code, alcohol-as... New case definitions show enhanced accuracy for identifying hospitalizations for AC and NAC compared to previously used approaches....

Stability of diagnostic coding of psychiatric outpatient visits across the transition from the second to the third version of the Danish National Patient Registry.

In Denmark, data on hospital contacts are reported to the Danish National Patient Registry (DNPR). The ICD-10 main diagnoses from the DNPR are often used as proxies for mental disorders in psychiatric... All main diagnoses from outpatients attending the Psychiatric Services of the Central Denmark Region from 2013 to 2021 (n = 100,501 unique patients) were included in the analyses. The stability of the... While the proportion of psychiatric outpatients with diagnoses from some ICD-10 subchapters changed statistically significantly from the DNPR2 to the DNPR3, the changes were small in absolute terms (e... The change from the DNPR2 to the DNPR3 is unlikely to pose a substantial threat to the validity of most psychiatric research at the diagnostic subchapter level....

Methodologic Approaches for Using Electronic Medical Records to Identify Experiences of Violence in Transgender and Cisgender People: Closing the Gap Between Diagnostic Coding and Lived Experiences.

Transgender people experience extreme rates of violence and the electronic medical record (EMR) remains a mostly untapped resource to study the medical sequelae of such experiences.... To develop and test a method for identifying experiences of violence using EMR data.... Cross-sectional study utilizing EMR data.... Transgender and cisgender people seen at a regional referral center in Upstate New York.... We tested the utility of keyword searches and structured data queries to identify specific types of violence at various ages and in various contexts among cohorts of transgender and cisgender people. ... Of the transgender cohort, 47% had experienced some type of violence versus 14% of the cisgender cohort (χ 2P value <0.001). Keywords were significantly more effective than structured data at identify... Transgender people experience extreme amounts of violence throughout their lives, which is better identified and studied using keyword searches than structured EMR data. Policies are urgently needed t...

Developing and testing a framework for coding general practitioners' free-text diagnoses in electronic medical records - a reliability study for generating training data in natural language processing.

Diagnoses entered by general practitioners into electronic medical records have great potential for research and practice, but unfortunately, diagnoses are often in uncoded format, making them of litt... The framework of diagnostic codes was developed based on input from local stakeholders and consideration of epidemiological data. After pre-testing, the framework contained 105 diagnostic codes, which... The sample consisted of 26,980 LoFT and in 56.3% no code could be assigned because it was not a specific diagnosis. The most common diagnostic codes were, 'dorsopathies' (3.9%, a code covering all typ... The coding framework was characterised by a subset of very frequent and highly reliable diagnostic codes, which will be the most valuable targets for training NLP models for automated disease classifi...

Improving Billing and Collections in a High-Volume Pediatric Surgery Practice: Denials-Based Approach.

Despite minimal coding and billing training, surgeons are frequently tasked with both in clinical practice. This often results in denials for reimbursement based on incorrect or insufficient documenta... Hospital billing data were analyzed for a 4-year period (2018 to 2021) to determine the CPT code denials with the largest overall cost. The denials were then stratified according to payor, reason for ... A total of 8,833 denials representing $11,009,108 in billing were noted during the study period. The CPT code 44970 (laparoscopic appendectomy) was the code associated with the largest financial impac... This is the first study to systematically evaluate a pathway for using denial data to improve collections for work performed at a high-volume academic pediatric surgery practice. Using this methodolog...

Undercounting diagnoses in Australian general practice: a data quality study with implications for population health reporting.

Diagnosis can often be recorded in electronic medical records (EMRs) as free-text or using a term with a diagnosis code. Researchers, governments, and agencies, including organisations that deliver in... This cross-sectional data quality study used de-identified EMR data from 84 general practices in Victoria, Australia. Data represented 456,125 patients who attended one of the general practices three ... Undercounts were evident in all six diagnoses when using coded diagnoses alone (2.57-36.72% undercount), of these, five were statistically significant. Overall, 26.4% of all patient diagnoses had not ... In Australia clinical decision support and the reporting of aggregated patient diagnosis data to government that relies on coded diagnoses can lead to significant underreporting of diagnoses compared ...