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Prior to performing an open ankle arthrodesis, portals were established and a scope was inserted. Fibrosis and scar tissue were cleaned out with a shaver so that the tibial talar surfaces could be ...
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A patient with a history of gastroschisis with silo repair subsequently developed periumbilical swelling and tenderness which appeared to be a hernia. A decision was made to perform a hernia repair...
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The provider documented both mild cognitive impairment and unspecified degenerative disease of the nervous system on the same encounter. The Excludes1 note at code G31.84, Mild cognitive impairment...
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The provider documented both colitis and diarrhea on the same encounter. At code K52.9, Noninfective gastroenteritis and colitis, unspecified, there is an Excludes1 note that references code R19.7,...
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A patient was admitted with anemia due to chemotherapy. The patient had previously received chemotherapy for primary refractory acute myeloid leukemia now in remission. When a patient with acute my...
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A patient was diagnosed with smoldering multiple myeloma. A positron emission tomography-computed tomography (PET-CT) scan was negative for multiple myeloma disease. The post-discharge plan is foll...
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A 72-year-old presented due to slurred speech, dysarthria and word-finding difficulty. A cerebral angiogram was performed and the patient was diagnosed with a dissecting aneurysm involving the dist...
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A patient was admitted secondary to an acute non-ST elevated myocardial infarction (NSTEMI) and underwent percutaneous coronary intervention. During the intervention, the previously placed stent in...
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A patient presented with chest pain and underwent cardiac workup, including coronary angiography. The patient has known coronary artery disease, status post stent placement in the left anterior des...
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The provider diagnosed chronic methamphetamine-induced cardiomyopathy. Although the patient had a history of methamphetamine abuse in the past, he is no longer abusing the drug and is currently in ...
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