Homework Answers
Principal: cholecystitis
Secondary: cholangitis
Procedure: cholecystectomy, antibiotics
Secondary: ERCP, percutaneous drainage, antibiotic treatment
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10 A 56-year-old woman is admitted through the emergency department complaining of right upper quadrant abdominal...
After admission to the hospital, the patient is a 21-day-old male who is brought to the...
After admission to the hospital, the patient is a 21-day-old male who is brought to the operating room and general anesthesia induced. The child had been previously diagnosed with Hirschsprung's disease by a rectal biopsy that showed no ganglion cells. A left lower quadrant oblique incision was made and dissection continued with electrocautery until the peritoneal cavity was entered. A stool-filled sigmoid colon was identified and delivered into the wound, A small biopsy was taken from the sigmoid portion of...
This is a 34-year-old white female who came in complaining of right upper quadrant abdominal pain...
This is a 34-year-old white female who came in complaining of right upper quadrant abdominal pain and also had some elevated liver function tests consistent with choledocholithiasis. Endoscopic retrograde cholangiopancreatography was performed revealing only sludge within the common bile duct. After the endoscopic retrograde cholangiopancreatography was performed, a laparoscopic cholecystectomy was able to be performed and was performed without any trouble. The patient did very well postoperatively and no longer has any of the pain she previously had. She is...
This is a 34-year-old white female who came in complaining of right upper quadrant abdominal pain...
This is a 34-year-old white female who came in complaining of right upper quadrant abdominal pain and also had some elevated liver function tests consistent with choledocholithiasis. Endoscopic retrograde cholangiopancreatography was performed revealing only sludge within the common bile duct. After the endoscopic retrograde cholangiopancreatography was performed, a laparoscopic cholecystectomy was able to be performed and was performed without any trouble. The patient did very well postoperatively and no longer has any of the pain she previously had. She is...
43-year-old Stella Somerset was brought to the ER with severe right lower quadrant abdominal pain, elevated...
43-year-old Stella Somerset was brought to the ER with severe right lower quadrant abdominal pain, elevated white blood cell count, and nausea. She was admitted with a possibly acute appendicitis and taken to surgery where an appendectomy was performed. Questions: What is the correct diagnosis code assigned for this case? What coding guideline applies to this scenario? Why does this coding guideline apply to this scenario?
please provide ICD-10-CM codes A 30-year-old woman is admitted directly from her hematologist-oncologist's office after a...
please provide ICD-10-CM codes
A 30-year-old woman is admitted directly from her hematologist-oncologist's office after a follow-up visit concerning drastically reduced blood counts as reported on recent laboratory tests. After workup, the attending physician diagnosed acquired aplastic anemia. The physi. cian also refers to her aplastic anemia as "pancytopenia with hypocellular bone marrow." The! patient has been undergoing aggressive cytotoxic chemotherapy for left ovarian carcinoma. No chemotherapy was administered during this visit. The patient was discharged and scheduled to report...
The patient, a 20-year-old female, presented to the emergency department complaining of bilateral arm and shoulder...
The patient, a 20-year-old female, presented to the emergency department complaining of bilateral arm and shoulder pain, "yellow eyes," and dark urine. The emergency department evaluation revealed profound jaundice with markedly elevated liver function tests. The patient was admitted for further evaluation. A non-contrast gall bladder ultrasound was negative for gall stones. Hematological studies indicated sickle-cell disease, which could be contributing to the jaundice. Because the liver function gradually improved, it was felt that she could be further evaluated as...
Mr. McClaren is a 48-year-old man who is admitted to the emergency department (ED) with abdominal...
Mr. McClaren is a 48-year-old man who is admitted to the emergency department (ED) with abdominal pain and general weakness. He reports that he drinks “one bottle of scotch whisky every week for the past one year, and one to two cans of beer during the weekends.” For the past three months, his condition has started to deteriorate. His wife claims that “he has not been eating well for the past three months”. Mr. McClaren reports he has passed dark...
Mr. McClaren is a 48-year-old man who is admitted to the emergency department (ED) with abdominal...
Mr. McClaren is a 48-year-old man who is admitted to the emergency department (ED) with abdominal pain and general weakness. He reports that he drinks “one bottle of scotch whisky every week for the past one year, and one to two cans of beer during the weekends.” For the past three months, his condition has started to deteriorate. His wife claims that “he has not been eating well for the past three months”. Mr. McClaren reports he has passed dark...
Please assign correct ICD-10-CM and ICD-10-PCS codes. A 35-year-old woman was admitted to the hospital by...
Please assign correct ICD-10-CM and ICD-10-PCS codes.
A 35-year-old woman was admitted to the hospital by the psychiatrist after being seen in the community mental health center for group therapy to deal with her escalating anxiety and depression. The patient also has agoraphobia with panic disorder symptoms, so going to the group meetings is often difficult for her. During her admission she participated in group therapy with good results. The psychiatrist also conducted supportive individual therapy ses- sions with her...
A 80-year-old man presents to the emergency department (ED) complaining of right-sided chest pain when he...
A 80-year-old man presents to the emergency department (ED) complaining of right-sided chest pain when he breathes and a productive cough. A sputum sample collected revealed rust-colored sputum. He also states that his symptoms began abruptly with chills the day before this visit to the ED; he had previously been healthy. Examination by the physician identifies coarse breathing sounds in the right anterior chest. A chest radiograph shows a right upper lobe infiltrate. The patient currently has a fever of...
After admission to the hospital, the patient is a 21-day-old male who is brought to the operating room and general anesthesia induced. The child had been previously diagnosed with Hirschsprung's disease by a rectal biopsy that showed no ganglion cells. A left lower quadrant oblique incision was made and dissection continued with electrocautery until the peritoneal cavity was entered. A stool-filled sigmoid colon was identified and delivered into the wound, A small biopsy was taken from the sigmoid portion of...
please provide ICD-10-CM codes
A 30-year-old woman is admitted directly from her hematologist-oncologist's office after a follow-up visit concerning drastically reduced blood counts as reported on recent laboratory tests. After workup, the attending physician diagnosed acquired aplastic anemia. The physi. cian also refers to her aplastic anemia as "pancytopenia with hypocellular bone marrow." The! patient has been undergoing aggressive cytotoxic chemotherapy for left ovarian carcinoma. No chemotherapy was administered during this visit. The patient was discharged and scheduled to report...
Please assign correct ICD-10-CM and ICD-10-PCS codes.
A 35-year-old woman was admitted to the hospital by the psychiatrist after being seen in the community mental health center for group therapy to deal with her escalating anxiety and depression. The patient also has agoraphobia with panic disorder symptoms, so going to the group meetings is often difficult for her. During her admission she participated in group therapy with good results. The psychiatrist also conducted supportive individual therapy ses- sions with her...
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