Principal diagnosis - Ischemic Heart Disease
Secondary diagnosis - Hypertension
ICD 10 PCS
4A12XM4 - Monitoring of cardiac stress, external approach
Cardiac catheterization
code with ICD 10 PCS 2. Operative Report INDICATION: A 52-year-old man with recent left arm...
2. Operative Report(Do not code Fluoroscopy)PREOPERATIVE DIAGNOSES:Unstable oblique ankle fracture, right fibulaPOSTOPERATIVE DIAGNOSES:Unstable oblique ankle fracture, right fibulaPROCEDURES:Open reduction internal fixation right ankleANESTHESIA:General endotracheal INDICATIONS: This young man fell at home on the ice and sustained the above fracture. He was brought to the emergency room and was admitted for surgery. OPERATIVE TECHNIQUE: The patient was brought to the operating room, placed in the supine position. Appropriate IV access and monitors were placed. Clindamycin 900 mg IV...
physiology CASE #1 A 59-year-old man with type 2 diabetes presents with concerns about high blood pressure (BP). At a recent visit to his dentist he was told his BP was high. He was reclining in the dentist's chair when his BP was taken, but he doesn't remember the exact reading. He has no symptoms. He has never taken medications for high BP. He takes metformin for type 2 diabetes. His BP is measured once at 146/95 mm Hg in...
d De limpleliented when administering a diuretic? 2. Carl Edwards is a 75-year-old man with congestive heart failure. Having sustained three myocardial infarctions in the last 10 years, he has decreased left ventricular function. Mr. Edwards takes Digoxin, Capoten, Coreg, and Lasix for management of this discase. Today he presents to the emergency department with fatigue, generalized weakness, and feelings of "skipping" heartbeats. Upon arrival, he is placed on the cardiac monitor, his vital signs are assessed, and an IV...
Health Record Face Sheet Record Number: 70-50-77 Age: 53 Gender: Male Length of Stay: 2 Days Service Type: INPATIENT Discharge Status: To Home Diagnosis/Procedure: Idiopathic Dilated Cardiomyopathy DISCHARGE SUMMARY PATIENT NAME: HUGH ACUTE ADMISSION DATE: 06-23-XX DISCHARGE DATE: 06-25-XX DISCHARGE DIAGNOSIS: 1. Idiopathic dilated cardiomyopathy, uncertain etiology. 2. Left bundle branch block. 3. Normal coronary arteries and normal hemodynamics. PROCEDURES: Cardiac catheterization. HISTORY OF PRESENT ILLNESS: The patient is a 53-year-old male admitted for evaluation of grossly abnormal Thallium test....
Code the first operative report, include any CPT surgery code(s), anesthesia code(s), and any modifiers applicable. (20 points) Code the E&M code for the second office visit. 1. Description: Bilateral open Achilles lengthening with placement of short leg walking cast. PREOPERATIVE DIAGNOSIS: Idiopathic toe walker. POSTOPERATIVE DIAGNOSIS: Idiopathic toe walker. PROCEDURE: Bilateral open Achilles lengthening with placement of short leg walking cast. ANESTHESIA: Surgery performed under general anesthesia. A total of 10 mL of 0.5% Marcaine local anesthetic was used....
Case Study Coronary Heart Disease Assignment: 16 points Resources needed to completed assignment: 1. Lewis Text Book 2. Nurses Drug Guide 3. Core Concepts of Pharmacology 5thedition SITE YOUR RESOURCES AFTER EACH QUESTION. May work in groups. Scenario: You are a nurse at a freestanding cardiac prevention and rehabilitation center. Your new patient in risk-factor modification is B.T., a 41-year-old old traveling salesman, who is married and has three children. He tells you that his work does not let him slow down....