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An 83-year-old male with known cancer of the right lung with metastasis to the liver presented with worsening dyspnea on exertion and fatigue. The patient’s lung carcinoma was described as poorly...
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The patient was admitted for evaluation of a left lingual lung mass. At discharge, the provider’s final diagnosis listed, “Small cell lung cancer (SCLC) with neuroendocrine features (NEF).” &...
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The patient was recently diagnosed with aggressive, diffuse large B-cell lymphoma in multiple lymphatic sites involving lymph nodes of the right hilum, right iliac and right paracolic gutter areas ...
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A 56-year-old patient with refractory relapsed acute myeloid leukemia (AML) presented to the Emergency Department (ED) due to bleeding gums. Labs were performed in the ED and the patient was found ...
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A patient with a history of constipation presented for high resolution anorectal manometry. The provider diagnosed pelvic floor dyssynergia. In ICD-10-CM, there is no Alphabetic Index entry for thi...
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A patient is admitted with a liver mass and the provider’s final diagnostic statement lists, “Liver mass possibly hepatic cholangiocarcinoma, pending pathology.” How is this diagnostic statem...
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During an outpatient encounter, a 66-year-old male underwent an invasive cardiopulmonary exercise test (iCPET). The test summary states, “Evidence of cardiovascular limitation due to preload insu...
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A patient developed hypoxia due to acute pulmonary edema following a near drowning in the pool at his home. The patient was treated with supplemental oxygen and noninvasive ventilation (NIV). How i...
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A patient with a dichorionic diamniotic twin pregnancy was admitted for a scheduled primary cesarean section. She was also diagnosed with intrahepatic cholestasis of pregnancy. Code O26.62, Liver a...
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A 75-year-old patient had previously undergone creation of a tracheostomy that was subsequently taken down. Since that time, the tracheostomy site has remained open with greenish discharge without ...
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