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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...
A patient with a history of bone marrow transplant is seen in the ambulatory clinic for peripheral neuropathy secondary to chronic graft versus host disease (GVHD). Code G63, Polyneuropathy in dise...
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The provider documented, “Displaced pars fractures of L5 with resulting isthmic spondylolisthesis (vertebral slippage) of L5-S1 due to the fractures.” Research indicates the terms pars fracture...
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A 60-year-old patient with multiple foot deformities is admitted due to severe pain in the right foot. Weight bearing on the right shows significant hindfoot varus. A radiographic view of the foot ...
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A patient presents due to left upper and lower extremity weakness. A cervical epidural hematoma compressing the cervical spinal cord was found on magnetic resonance imaging. The provider’s final ...
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