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A patient was transferred to our facility following a firearm assault that resulted in a gunshot wound of the left thigh, causing a femur fracture and complete transection of the femoral vein and s...
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A patient with a past surgical history of parathyroidectomy presents for a routine health evaluation. When referencing absence of parathyroid gland in the Alphabetic Index, the default is code E89....
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A 53-year-old patient with a history of heart failure with recovered ejection fraction (HFrecEF) was admitted for shortness of breath due to heart failure with improved ejection fraction (HFimpEF)....
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A patient was admitted for antineoplastic chemotherapy due to post-molar pregnancy gestational trophoblastic disease/gestational trophoblastic neoplasia (GTD/GTN). The patient had a past medical hi...
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The patient presented for an outpatient bladder biopsy and transurethral resection. The findings demonstrated, “High grade invasive papillary urothelial carcinoma of urinary bladder anterior wall...
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A patient with a history of opioid dependence and recent opioid detox presents to the hospital for kratom detox. The patient was using kratom to manage continuing withdrawal symptoms, as the patien...
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A patient currently being treated with cannabis for chronic pain was admitted at 31 weeks gestation for premature rupture of membranes. Urine analysis was positive for cannabis. The patient deliver...
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What is the correct way to report cannabis that is prescribed for a medical condition, such as pain, when only “use” is documented? Unlike drug abuse or dependence, cannabis use is indexed to c...
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A pregnant patient presented for a pelvic ultrasound due to vaginal bleeding at 12 weeks 4 days gestation. The provider’s final impression noted a large subchorionic hemorrhage. What is the corre...
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A patient presented with right eye periorbital pain, floaters, and blurry vision. The provider diagnosed the patient with optic neuropathy. The patient also has diabetes mellitus (DM) type 2. ICD-1...
Diabetic neu...