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The session discussed the vaccine schedule and the CDC website vaccination quiz.The CDC quiz is an 11-item, two-part quiz that asks patients about their age, pregnancy status, and sex, work, travel, and health/high risk behaviors.The answer components addressed adherence to: the Mediterranean diet, the DASH diet, a low fat diet, My Plate recommendations, dietary patterns for type two diabetes, and evidence-based weight loss strategies.The answer choices ranged from 1-6 to correspond to the following options respectively: don’t know, never, rarely, sometimes, often, and always. Due to recurrent fever and renal US, ceftriaxone 100mg/kg/d started. Patient discharged with antibiotics for diagnosis of viral infection vs UTI. This case demonstrates value of follow-up for treatment and diagnostic purposes.Poster Presentations: AAFP December Meeting (Birmingham), Rural Health Conference, and Research Day Oral Presentations: Rural Health Conference and University Research Breakfast Dr. Karen Burgess Poster Presentations: Rural Health Conference, CCHS Research Day Oral Presentations: Rural Health Conference and AFMR Southern Regional Meeting A 4- year old black female presented with 5 days fever, abdominal pain, and decreased intake/ activity. In addition to lost revenue, incorrect coding that leads to non-reimbursement of collection fees could represent an expense to a practice if the practice requires cash outlay in order to collect pap smears.

Future studies modify the survey and collect such data. The perceived expertise of the primary care physician is a variable in where patients obtain their nutritional guidance.While the majority of patients did not want diabetes education, it is encouraging that 40% of patients are interested in additional education. However, physicians report that they have not received adequate training to in nutrition counseling.AAFP December Meeting (Birmingham); Rural Health Conference; CCHS Research Day Dr. Methods: UA medical students and family medicine residents survey responses were used to answer: How often do your patients make the following dietary changes after you provide nutrition advice?Results: Upon analysis, the mean was 2 which corresponds to “rarely”. On day 2, chest XR, pelvic ultrasound, and EBV titers negative. Day 3, continued to have abdominal pain with new back and vaginal pain but somewhat playful. After discharge, patient had inability to bear weight. Next day developed decreased speech and bilateral clonus. LP with 247 WBC, 2 RBC, mild increased protein and normal glucose. Most accurate diagnosis remains unknown, but differential diagnosis includes acute disseminated encephalomyelitis, NMO or other acute demyelinating process.Eight residents and 15 students completed the survey. Day 4, new headache and neck pain without meningismus. MBP normal, negative for NMO antibody, HSV, enterovirus, autoimmune encephalopathy and MS panels. Neurology consultation recommended MRI which showed demyelination from thalami to spinal cord, raising concern for NMO (neuromyelitis optica). A Well Woman Exam (WWE) is an annual preventive screening for gynecological diseases and generally includes a breast and pelvic exam. Medicare, Medicaid, and private insurance carriers require different diagnosis codes.

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