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The signs and symptoms of spastic cerebral palsy are different for every child. Differences in symptoms depend on the severity of the child’s brain injury and any co-occurring disorders that may be present.

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This type of cerebral palsy often makes simple tasks more challenging, such as walking or picking up small objects. Some children with spastic CP also develop co-occurring conditions as a result of their brain injury. Examples of these coexisting conditions include attention deficit hyperactivity disorder (ADHD) and epilepsy.

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Speech therapy provides the tools for children with spastic CP to clearly communicate their thoughts and socialize with others. This form of therapy can also help make chewing, breathing and swallowing less difficult, allowing for normal growth and development.

For a child with spastic CP that also experiences seizures, doctors often prescribe medications that can control the frequency of these episodes. Similarly, medications such as diazepam (Valium) can be used to relax muscles. This is particularly helpful in treating spasticity in the lower legs. The goal of using medications to treat this type of CP should be to find medications with the most effective results, as well as the lowest amount of negative side effects.

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Clinical Coding Workout 7.26-7.50.docx - Name Jean Hardee

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The nerves that control the leg muscles don't work properly below the area of the spina bifida defect. This can cause muscle weakness of the legs and sometimes paralysis. Whether a child can walk typically depends on where the defect is, its size, and the care received before and after birth.

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There are 4 main types of cerebral palsy, and each CP diagnosis can be further broken down to more accurately describe one's brain damage and related symptoms. The various types of spastic cerebral palsy are classified based on the location of movement issues. For example, children with spastic CP may have muscle stiffness in one arm, both legs or one full side of their body.

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Accumulation of fluid in the brain (hydrocephalus). Babies born with myelomeningocele commonly experience accumulation of fluid in the brain, a condition known as hydrocephalus.

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You have penile pain or changes in curvature or length or a deformity of the penis. The acute phase happens early in the disease and may last only two to four weeks but sometimes lasts for up to a year or longer.

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The HIPAA Security Rule requires covered entities to protect against reasonably anticipated threats to the security of PHI. Covered entities must implement safeguards to ensure the confidentiality, integrity, and availability of PHI, although HIPAA is not technology specific and the exact safeguards that should be implemented are left to the discretion of the covered entity.

Recovery from a thread lift, on the other hand, is comparatively easy. Thread lifts can be performed under local, rather than general anesthesia, meaning that thread lift patients can drive themselves home and look after themselves immediately after having their procedure. While some patients will experience a little bit of soreness, redness and swelling after having a thread lift and therefore wish to take the rest of the day off, most can return to work immediately. Strong pain medication is seldom needed after having a thread lift, making it easier for patients to return to their normal routine. This procedure is therefore ideal for people who have children at home or those who have busy, demanding careers.

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Depending on the type of surgery you have, you might be able to go home from the hospital the same day or you might need to stay overnight. Your surgeon will advise you on how long you should wait before going back to work — generally, a few days. After surgery for Peyronie's disease, you'll need to wait four to eight weeks before sexual activity.

Protected Health Information Under HIPAA

Ultrasound is the most commonly used test for penis abnormalities. Ultrasound tests use sound waves to produce images of soft tissues. These tests can show the presence of scar tissue, blood flow to the penis and any other abnormalities.

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These techniques are also useful for helping people cope with phobias or anxiety problems. Therapists might, for example, repeatedly pair something that provokes anxiety with relaxation techniques in order to create an association.

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What is Considered Protected Health Information Under HIPAA Law

The first part of the classical conditioning process requires a naturally occurring stimulus that will automatically elicit a response. Salivating in response to the smell of food is a good example of a naturally occurring stimulus.

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For example, anti-seizure medications, such as valproic acid (Depakene), seem to cause neural tube defects when taken during pregnancy. This might happen because they interfere with the body's ability to use folate and folic acid.

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In the before conditioning phase, an unconditioned stimulus is paired with an unconditioned response. A neutral stimulus is then introduced.

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Children with spina bifida have a higher risk of latex allergy, an allergic reaction to natural rubber or latex products. Latex allergy may cause rash, sneezing, itching, watery eyes and a runny nose. It can also cause anaphylaxis, a potentially life-threatening condition in which swelling of the face and airways can make breathing difficult. So it's best to use latex-free gloves and equipment at delivery time and when caring for a child with spina bifida.

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Treatment for Spastic Cerebral Palsy

Jay Yepuri, MD, MS, is board-certified in gastroenterology. He is a partner with Digestive Health Associates of Texas and a medical director at Texas Health Harris Methodist HEB Hospital.

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Speech therapy is used to improve oral movements in children with spastic CP. The objective of speech therapy is to strengthen the muscles used for speech, which helps with articulation and coordination. Some children with this type of CP may experience drooling or difficulty swallowing or speaking. Performing exercises that incorporate assistive communication devices can help improve motor and cognitive abilities, as well as confidence.

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Clinical Coding Workout With Answers - 13 edition

Table 0HB is consulted to assign approach value “0” for open. For code 07B60ZX, the Alphabetic Index main term is Excision, Lymphatic, Axillary, Left; approach value 0 is assigned as this was performed via open approach and the qualifier X is assigned since this is a biopsy procedure.

Protected Health Information Definition

A technique known as iontophoresis uses an electric current to administer a combination of verapamil and a steroid noninvasively through the skin. Available research has shown conflicting results on penile curvature and erectile function.

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How Must HIPAA Protected Health Information be Safeguarded

Incision or excision and grafting. With this type of surgery, the surgeon makes one or more cuts in the scar tissue, allowing the sheath to stretch out and the penis to straighten. The surgeon might remove some of the scar tissue.

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Clinical Coding Workout 1st edition 9781584262411

Nerves that supply the bladder and bowels usually don't work properly when children have myelomeningocele. This is because the nerves that supply the bowel and bladder come from the lowest level of the spinal cord.

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Spina bifida care at Mayo Clinic

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Having a Silhouette InstaLift takes about 45 minutes on average and can be performed under local anesthesia. A specially designed thin needle is used to insert the threads into the skin, minimizing patient discomfort. Patients sometimes experience mild soreness and swelling for a few days after having this procedure, but it can usually be managed with over the counter pain relievers. As such, if you have a Silhouette InstaLift, you will probably be able to return to your normal activities immediately afterward.

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As a health brand that reaches more than 38 million readers per month, Verywell has the power and responsibility to create positive change. We have pledged to recruit and amplify Black, Indigenous, People of Color (BIPOC) contributors across Verywell. We are working with diversity and sensitivity editors to expand representation within our articles and to fix language and content that aren’t inclusive. There is much to be done, but we are committed to reflecting our readers in the voices and content we share.

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Folate, the natural form of vitamin B-9, is important to the development of a healthy baby. The synthetic form, found in supplements and fortified foods, is called folic acid. A folate deficiency increases the risk of spina bifida and other neural tube defects.

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The motor cortex is located in the cerebral cortex, which is the largest part of the brain. The motor cortex is composed of several parts that are responsible for relaying signals to other parts of the brain to control movement.

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PHI is any health information that can be tied to an individual, which under HIPAA means protected health information includes one or more of the following 18 identifiers. If these identifiers are removed the information is considered de-identified protected health information, which is not subject to the restrictions of the HIPAA Privacy Rule.

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Normal spinal cord and spina bifida

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Teachers are able to apply classical conditioning in the class by creating a positive classroom environment to help students overcome anxiety or fear. Pairing an anxiety-provoking situation, such as performing in front of a group, with pleasant surroundings helps the student learn new associations. Instead of feeling anxious and tense in these situations, the child will learn to stay relaxed and calm.

Medications, such as Benzodiazepines, are taken orally to relieve muscle stiffness and improve movement throughout the body. There are also medications that can treat muscle stiffness in specific parts of the body, such as the legs or arms.

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Cerebral palsy is a catch-all term for developmental movement disorders caused by a brain injury. Each type of cerebral palsy is caused by damage to a specific part of the brain.

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PII is Personally Identifiable Information that is used outside a healthcare context, while PHI (Protected Health Information) and IIHA (Individually Identifiable Health Information) is the same information used within a healthcare context. Although PHI is the more commonly used acronym in HIPAA, both PHI and IIHI are protected by the Privacy and Security Rules because they mean exactly the same thing.

If you work in healthcare or are considering doing business with healthcare clients that requires access to health data, you will need to know what is considered protected health information under HIPAA law. The HIPAA Security Rule demands that safeguards be implemented to ensure the confidentiality, integrity, and availability of PHI, while the HIPAA Privacy Rule places limits the uses and disclosures of PHI.

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Spastic cerebral palsy is caused by damage to the motor cortex and the pyramidal tracts of the brain, which connect the motor cortex to the spinal cord. Understanding the function of the motor cortex and pyramidal tracts helps to explain how damage to these systems affects movement in those with spastic CP.

During the second phase of the classical conditioning process, the previously neutral stimulus is repeatedly paired with the unconditioned stimulus. As a result of this pairing, an association between the previously neutral stimulus and the UCS is formed.

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Muscle stiffness occurs primarily in the legs. This type of CP may also slightly affect mobility in the child’s arms.

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What is Spastic Cerebral Palsy

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A physical exam is often sufficient to identify the presence of scar tissue in the penis and diagnose Peyronie's disease. Rarely, other conditions cause similar symptoms and need to be ruled out.

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Some evidence suggests that increased body temperature (hyperthermia) in the early weeks of pregnancy may increase the risk of spina bifida. Elevating your core body temperature, due to fever or using a sauna or hot tub, has been associated with a possible slightly increased risk of spina bifida.

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What Is Classical Conditioning

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Suturing (plicating) the unaffected side. A variety of procedures can be used to suture (plicate) the longer side of the penis — the side without scar tissue. This results in a straightening of the penis, although this is often limited to less severe curvatures.

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Tethered spinal cord results when the spinal nerves bind to the scar where the defect was closed surgically. The spinal cord is less able to grow as the child grows. This progressive tethering can cause loss of muscle function to the legs, bowel or bladder. Surgery can limit the degree of disability.

HIPAA requires physical, technical, and administrative safeguards to be implemented. Technologies such as encryption software and firewalls are covered under technical safeguards. Physical safeguards for PHI data include keeping physical records and electronic devices containing PHI under lock and key. Administrative safeguards include access controls to limit who can view PHI information and security awareness training.