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Exam (elaborations)

HI255 UNIT 7 LAB 2

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HI255 UNIT 7 LAB QUIZ 2 Archie Blume, a 41-year-old male, presents with the complaint of swollen tender gums and bleeding after he brushes his teeth. Dr. Day notes Archie uses tobacco. After an examination and x-rays, Archie is diagnosed with acute gingivitis, non-plaque induced. Overall Feedback: K05.01: Gingivitis>acute>non-plaque induced Z72.0: Tobacco>use Carla Jett, a 45-year-old female, presents today with bloody diarrhea and weakness. Carla states this has been going on over the last few weeks. Dr. Edenton completes a thorough examination, noting a small ulcer on Carla’s left leg and a temperature of 102.1 F. Carla is admitted to the hospital for a full workup. After reviewing the laboratory tests and the MRI scan, Carla is diagnosed with ulcerative pancolitis with rectal bleeding and pyoderma gangrenosum. Overall Feedback: K51.011: Pancolitis>with>rectal bleeding. L88: Pyoderma>gangrenosum George Bowden, a 34-year-old male, presents today with a painful pus-filled lump on the nape of his neck. After an examination, Dr. Harris diagnoses George with a neck carbuncle. Principal diagnosis: Where should you begin to look up the code in the coding manual – Index to Diseases and Injuries What is the key term – Carbuncle What is the anatomical site – Neck Do any of the following apply to the condition – None of these Begin to code the encounter Did you verify the code in the Tabular List of Diseases and Injuries - Yes Is there an Includes notation - No If so does the Includes note help to clarify – No Includes notation Is there a Code first notation - No If so does the Code first note apply to the case study – No Code first notation Is there a Code also notation – No If so does the Code also note apply to the case study – No Code also notation Is there a Use additional code notation – Yes If so does the Use additional code note apply to the case study – No Is there an Excludes1 notation – No If so does the Excludes1 note apply to the case study – No Excludes1 notation Is there an Excludes2 notation - Yes If so does the Excludes2 note apply to the case study – No Is there a symbol indicating additional characters are required - Yes Do you need to use the placeholder “X” - No Did you code to the highest level of specificity - Yes What is the correct diagnosis code – L02.13 Kathy Neal, a 56-year-old female, presents today with an itchy purple-colored lower lip. Dr. Grimsley notes flat-topped papules intermingled with lacy white lines. Kathy is diagnosed with bullous lichen planus. Principal diagnosis: Where should you begin to look up the code in the coding manual – Index to Diseases and Injuries What is the key term – Lichen planus What type - Bullous Do any of the following apply to the condition – None of these Begin to code the encounter Did you verify the code in the Tabular List of Diseases and Injuries - Yes Is there an Includes notation - No If so does the Includes note help to clarify – No Includes notation Is there a Code first notation - No If so does the Code first note apply to the case study – No Code first notation Is there a Code also notation – No If so does the Code also note apply to the case study – No Code also notation Is there a Use additional code notation – No If so does the Use additional code note apply to the case study – No Use additional code notation Is there an Excludes1 notation – Yes If so does the Excludes1 note apply to the case study – No Is there an Excludes2 notation - Yes If so does the Excludes2 note apply to the case study – No Is there a symbol indicating additional characters are required - Yes Do you need to use the placeholder “X” - No Did you code to the highest level of specificity - Yes What is the correct diagnosis code – L43.1 Aaron Ragin, a 17-year-old male, presents today with a painful red lump on his chest. Dr. Godwin completes an examination and the appropriate laboratory tests. Aaron is diagnosed with a furuncle due to staphylococcus. Overall Feedback: L02.223: Furuncle>chest wall B95.8: Infection>staphylococcal>as cause of disease classified elsewhere Anna Morris, a 22-year-old female, presents today with a blister on her left elbow. Her elbow is painful and warm to the touch. After an examination, Dr. Lane diagnoses Anna with a pressure ulcer of the elbow, stage 2. Overall Feedback: L89.022: Ulcer>pressure>stage 2>elbow>left Terrell Meddy, a 58-year-old male, comes in today to see Dr. McNair with the complaint his left elbow is stiff, painful and feels warm. Terrell doesn’t remember hitting his elbow on anything. After an examination, Dr. McNair diagnosis Terrell with olecranon bursitis of the elbow. Overall Feedback: M70.22: Index> Bursitis>elbow>olecranon>left James Ard, a 31-year-old male, comes in today to see Dr. Smyth. Jim complains his head is tilting and he can’t control it. He also admits to neck spasms and it seems to him that it is worse after he has taken his afternoon run. After a thorough examination and testing, Dr. Smyth diagnoses Jim with spasmodic torticollis. Principal diagnosis: Where should you begin to look up the code in the coding manual - Index to Diseases and Injuries What is the key term - Tortocollis What type - Spasmodic Do any of the following apply to the condition - None of these Begin to code the encounter Did you verify the code in the Tabular List of Diseases and Injuries - Yes Is there an Includes notation - Yes If so does the Includes note help to clarify - Yes Is there a Code first notation - No If so does the Code first note apply to the case study - No Code first notation Is there a Code also notation - No If so does the Code also note apply to the case study - No Code also notation Is there a Use additional code notation - No If so does the Use additional code note apply to the case study - No Use additional code notation Is there an Excludes1 notation - Yes If so does the Excludes1 note apply to the case study - No Is there an Excludes2 notation - Yes If so does the Excludes2 note apply to the case study - No Is there a symbol indicating additional characters are required - Yes Do you need to use the placeholder “X” - No Did you code to the highest level of specificity - Yes What is the correct diagnosis code - G24.3 Ned Taylor, a 33-year-old male, presents today with severe weakness in his left hip. Dr. Louthan notes enlarged neck lymph node, a rash, and high fever. Ned admits to some eye and chest pain with general lethargy. After a thorough examination, Dr. Louthan decides to admit Ned to the hospital. The laboratory test and MRI confirmed the diagnosis of arthritis of the hip due to O’nyong-nyong fever. Principal diagnosis: Where should you begin to look up the code

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