Homework Answers
A physician attended a patient who came with the symptoms of slurred speech.The patient had a personal history of Stroke. In this admission in all the documentation physician stated that patient is with Transient ischemic attack.Also stated that History of Stroke.But given all the treatment for Stroke from day 1 and 2 VTE prophylaxis, antithrombotics on 2nd day and also discharge Statins.
Physician query form
History and physical documentation states that " History of Stroke, Diagnosis states TIA and differential diagnosis shows Stroke"
Patient was administered with Plavix, Atorvastatin, Lovenox
Please suggest whether the patient is with Stroke in current admission
□ Yes □ No
If the query was answered as Yes , then Principal Diagnosis becomes CEREBRAL INFARCTION UNSPECIFIED - I63
If this was answered as No, then primary becomes TIA (Transient Ischemic Attack) - G45.9
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