Principal Diagnosis: list, describe, and code
Secondary diagnosis: list describe and code
Explain why you are choosing a particular diagnosis as the principal diagnosis and also why you are sequencing the codes in a particular fashion.
Module 5 cases : please code cases 4 and 5.
Please do not code any procedures.
4. Inpatient admission: The patient, witharterio sclerotic coconary heart disease and type 2 diabetes metlitus, eemme to the hospital with sympioms that were believed to represent sepois. She was placed on antibioties; and the sy mipious . improved. ST- and T-wave changes patient's glocose showed marked on an EKG. The patienis to becondary to the sepsis: The blond sugars were brought under control The with an adjustment of her insalin therapy and an appropriate diet. Discharge diagnosess. (1) Arterioselerotic : Uncontooled el abeles may cefer to kisod nugars being Nowatiod coconary heart disesse, ( 2 ) uncontrolled type 2 diabetes mellitus, (3) questionable sepsis. Etros Tyee 2 dinceter metica watho 2704 bong formicutinte used aisuin Comments: The admission was recesstated by signs and Byt ceoms of sopsis, which was nevar ruled cut and, thecolere. is: Fo princlpal dagnoils iCDig-.CM coong gudolnes stane biat Iter at a agnosis of eeasis, the aspropriate codo for the undirying. Systerici infese on is assigned, Code Acs.9 is aseigned if the : (hyperpycemiay oi 40 low (tippoglysemis), in this case, tho : paient's glucose thowed mained eleration, For by diabeles : codo, refer to the man uem 0 sbelet, in the Aphabotio index. The subterm funcontrelid meaning Zyperglyeemis, adisos tha usor to 'seo. Dlibotes, by type, with typenelyeerria.". No eode is assigned ter ses ST.and T. Wave changes on the. EkG becauso they represint abonomal fodings that wore not treased or furtior avalussed. Codo 2794 is assigned for the patunts long-term insuifin therapy. 5. Dutpatient clinic visit: The HIV-infecred patient was. Suffering from an acute lymphadenitis due to his HIV infection. The glands in the nock area were most affected. Antibiotics were preseribed. but the patient refused antiretrosiral treatment. at this time. He was of the opinion that bis 8xy) Runan ititunodethenc vies it M ditebset religion would eventally make antiretroviral medication unnecessiry Another consideration Was his nareotic dependency. He was encounaged to costinue participation in support groups for people with narcotic addiction and HIV. F1120 Cplad depundense, uncorgiculid Diagnoses: (1) Mcute lymphadeniris secosdary to HIV infection. (2) narcotic dependence, (3) refusal of medication due to religious reasons. Comments: Code 820 is assigned for al Hiv lotections and is C. Cosignssed as the cealon fec encounter whan the pabent wat sean for Hiv inlection or a re atod consition, Code L0t A. Acule bimphadenitis of tise, heod and neck ehould not be assigesd : achg w in code Ba0 beceuse of the torcludest note as camegery Lo4 exeluding Hil di soaso resuling in gkoalaled lymphade. no.
- The 77-year old female patient was admitted to the hospital for vomiting blood and abdominal pain. She suffered from multiple comorbidities and underwent several surgeries previously.
- During her 13-day hospital stay, she developed several complications including ileus, sepsis, pneumonia, and small bowel obstruction. Her condition continued to decline despite treatment.
- She passed away after being placed on comfort care measures only. Her complex medical history and multiple postoperative complications ultimately led to her death.
This document describes two cases of unusual manifestations of dengue fever. Case 1 is a 40-year-old man who presented with fever, headache, body aches, and a rash who developed hepatitis, thrombocytopenia, and respiratory distress from dengue hemorrhagic fever. Case 2 is a 24-year-old man who presented with fever and was found to have an intraocular hemorrhage, retinal detachment, ARDS, myocarditis, and hepatitis, also from dengue hemorrhagic fever. The document then reviews atypical neurological and gastrointestinal manifestations that have been reported with dengue infection.
This document discusses three cases of infective endocarditis. The first case involves a patient with SLE and antiphospholipid syndrome who presented with an embolism and was found to have vegetations on their aortic valve, diagnosing Libman-Sacks endocarditis. The second case involves a patient who developed multiple embolic infarctions and a vegetation on their mitral valve after developing leg edema and deep vein thrombosis following pancreatic cancer treatment, diagnosing marantic endocarditis/nonbacterial thrombotic endocarditis. The third case involves a patient who presented with fever and murmur following prostate surgery who was diagnosed with infective endocarditis by echocardiogram showing vegetations and
This case report describes an atypical case of seronegative scleroderma in a 73-year-old Asian woman who presented with presyncope and worsening dysphagia and dyspnea. She exhibited clinical features of scleroderma including skin thickening, but was negative for specific scleroderma antibodies. Investigations revealed involvement of multiple organs including lungs, heart, liver, and gastrointestinal tract. This case highlights the importance of considering seronegative scleroderma when a patient presents with scleroderma-like features and multiorgan involvement, even in the absence of antibodies, to allow for early diagnosis and management.
Herpes Simplex Encephalitis in Medulloblastoma Patients: Case Report and Revi...clinicsoncology
Encephalitis caused by Herpes Simplex Virus (HSV) and medulloblastoma are both fairly rare disorders with relatively poor prognoses. We experienced a case of HSV encephalitis (HSE) in which the patient presented 1 year after surgical resection and radiation therapy and 1 month after chemotherapy....
Herpes Simplex Encephalitis in Medulloblastoma Patients: Case Report and Revi...SarkarRenon
Encephalitis caused by Herpes Simplex Virus (HSV) and medulloblastoma are both fairly rare disorders with relatively poor prognoses. We experienced a case of HSV encephalitis (HSE) in which the patient presented 1 year after surgical resection and radiation therapy and 1 month after chemotherapy....
- The 77-year old female patient was admitted to the hospital for vomiting blood and abdominal pain. She suffered from multiple comorbidities and underwent several surgeries previously.
- During her 13-day hospital stay, she developed several complications including ileus, sepsis, pneumonia, and small bowel obstruction. Her condition continued to decline despite treatment.
- She passed away after being placed on comfort care measures only. Her complex medical history and multiple postoperative complications ultimately led to her death.
This document describes two cases of unusual manifestations of dengue fever. Case 1 is a 40-year-old man who presented with fever, headache, body aches, and a rash who developed hepatitis, thrombocytopenia, and respiratory distress from dengue hemorrhagic fever. Case 2 is a 24-year-old man who presented with fever and was found to have an intraocular hemorrhage, retinal detachment, ARDS, myocarditis, and hepatitis, also from dengue hemorrhagic fever. The document then reviews atypical neurological and gastrointestinal manifestations that have been reported with dengue infection.
This document discusses three cases of infective endocarditis. The first case involves a patient with SLE and antiphospholipid syndrome who presented with an embolism and was found to have vegetations on their aortic valve, diagnosing Libman-Sacks endocarditis. The second case involves a patient who developed multiple embolic infarctions and a vegetation on their mitral valve after developing leg edema and deep vein thrombosis following pancreatic cancer treatment, diagnosing marantic endocarditis/nonbacterial thrombotic endocarditis. The third case involves a patient who presented with fever and murmur following prostate surgery who was diagnosed with infective endocarditis by echocardiogram showing vegetations and
This case report describes an atypical case of seronegative scleroderma in a 73-year-old Asian woman who presented with presyncope and worsening dysphagia and dyspnea. She exhibited clinical features of scleroderma including skin thickening, but was negative for specific scleroderma antibodies. Investigations revealed involvement of multiple organs including lungs, heart, liver, and gastrointestinal tract. This case highlights the importance of considering seronegative scleroderma when a patient presents with scleroderma-like features and multiorgan involvement, even in the absence of antibodies, to allow for early diagnosis and management.
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Encephalitis caused by Herpes Simplex Virus (HSV) and medulloblastoma are both fairly rare disorders with relatively poor prognoses. We experienced a case of HSV encephalitis (HSE) in which the patient presented 1 year after surgical resection and radiation therapy and 1 month after chemotherapy....
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Encephalitis caused by Herpes Simplex Virus (HSV) and medulloblastoma are both fairly rare disorders with relatively poor prognoses. We experienced a case of HSV encephalitis (HSE) in which the patient presented 1 year after surgical resection and radiation therapy and 1 month after chemotherapy....
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Encephalitis caused by Herpes Simplex Virus (HSV) and medulloblastoma are both fairly rare disorders with relatively poor prognoses. We experienced a case of HSV encephalitis (HSE) in which the patient presented 1 year after surgical resection and radiation therapy and 1 month after chemotherapy..
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Medulloblastoma is the most common malignant solid tumor
in childhood, with the highest frequency among other brain tumors accounting for 30% of pediatric brain tumors and 7% to 8%
of all brain tumors. According to the World Health Organization
(WHO), medulloblastoma is classified as a grade IV tumor and
defined as “a malignant, invasive embryonal tumor of the cerebellum with preferential manifestation in children, predominantly
neuronal differentiation and an inherent tendency to metastasize
via cerebrospinal (CSF) pathways
Herpes Simplex Encephalitis in Medulloblastoma Patients: Case Report and Revi...georgemarini
Encephalitis caused by Herpes Simplex Virus (HSV) and medulloblastoma are both fairly rare disorders with relatively poor prognoses. We experienced a case of HSV encephalitis (HSE) in which the patient presented 1 year after surgical resection and radiation therapy and 1 month after chemotherapy....
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Encephalitis caused by Herpes Simplex Virus (HSV) and medulloblastoma are both fairly rare disorders with relatively poor prognoses. We experienced a case of HSV encephalitis (HSE) in which the patient presented 1 year after surgical resection and radiation therapy and 1 month after chemotherapy....
Morbidity & mortality/GI Kaposi SarcomaVidya Kollu
This document describes the case of a 48-year-old man with HIV/AIDS who presented with worsening dysphagia. He has a history of Kaposi sarcoma, pneumocystis pneumonia, and oral thrush. On examination, he has violaceous skin lesions and perianal ulcers. The leading diagnoses for his dysphagia are opportunistic infections such as candida esophagitis or herpes. He is being treated with antiretrovirals and antibiotics but his condition deteriorates and he passes away.
This patient is a 58-year-old with a history of diabetes, hypertension, chronic renal insufficiency and congestive heart failure who was intubated in the emergency room for pneumonia. During her hospital stay she experienced an allergic reaction to an ACE inhibitor. She remains sedated and is being fed through a PEG tube. Her nursing care plan focuses on preventing aspiration given her medical devices and sub-sedated state, as well as preventing disuse syndrome and impaired mobility from her altered level of consciousness.
This document describes the case of a 22-year-old female patient who presented with fever, difficulty opening her mouth, ear discharge, oral ulcers, breathing difficulties, and cough after a recent tooth extraction. Testing showed sinusitis, oral candidiasis, low lymphocyte counts, and elevated inflammatory markers. A CT scan found lung lesions and the patient was diagnosed with Wegener's granulomatosis based on a positive C-ANCA and lung biopsy showing necrotizing vasculitis. Treatment with steroids and rituximab led to improvement of symptoms. Wegener's is a rare autoimmune disease characterized by necrotizing vasculitis affecting the respiratory tract and kidneys.
This document describes an unusual case of a 25-year-old male with ulcerative colitis who developed bronchiolitis obliterans organizing pneumonia (BOOP) and air leak syndrome. He was initially treated with steroids and azathioprine for his ulcerative colitis. He later developed respiratory symptoms and imaging showed diffuse lung involvement. A lung biopsy confirmed BOOP. He required prolonged ventilation and developed multiple complications including pneumothoraces requiring chest tubes. Despite treatment with various antibiotics, antivirals and immunosuppressants, his condition deteriorated and he ultimately passed away. The case report reviews BOOP, mesalamine-induced pneumonitis, and discusses the patient's complex clinical course.
Blood component therapy involves the intravenous administration of whole blood or blood components like red blood cells, platelets, or plasma to treat medical conditions. It is used to increase blood volume after surgery/trauma/hemorrhage, treat severe anemia, infections with low white blood cell count, or bone marrow issues. Proper blood typing and screening is crucial to avoid transfusion reactions. Nurses must carefully monitor patients during transfusions for signs of complications like circulatory overload, allergic reactions, or disease transmission.
Blood component therapy involves the intravenous administration of whole blood or blood components like red blood cells, platelets, or plasma to treat medical conditions. It is used to increase blood volume, oxygen carrying capacity, clotting factors, and fight infections. Potential complications include hemolytic transfusion reactions, allergic reactions, circulatory overload, and infectious disease transmission. Nurses are responsible for safely administering transfusions and monitoring for adverse reactions.
Instructions· This week’s case study will introduce concepts r.docxmariuse18nolet
Instructions
· This week’s case study will introduce concepts related to the pulmonary system and shock states. Read the scenario and thoroughly complete the questions. Some of the answers will be short answers and may not require a lot of details. For example: what is the most common organism to cause a hospital acquired infection? The answer is pseudomonas aeruginosa. Answers to questions that relate to the pathogenesis of a disease must include specific details on the process. For example: How does hypoxia lead to cellular injury? Simply writing that a lack of blood flow, causes a lack of oxygen available to the cell and the cell cannot function without oxygen is not sufficient. This type of response is NOT reflective of an advanced understanding of the concept or graduate level work. This answer should discuss the cascade of events leading to the lack of oxygen and how it specifically impairs cellular function. All answers to these type of questions should address the effects at the cellular level, then the effects on the organ and then the body as a whole. Additionally describing the normal anatomical and/or physiologic processes underlying the pathogenesis will be necessary to thoroughly answer the question.
It is very likely that you will need to reference multiple sources to answer the questions thoroughly. Your text book will not necessarily have all the answers. Only professional sources may be used to complete the assignment. These include text books, primary and secondary journal articles from peer reviewed journals, government and university websites, and publications from professional societies who establish disease management guidelines and recommendations. Sources such as Wikipedia or other generic websites are not considered professional references and should not be used to complete the case studies.
· Reason for Consultation:
Desaturation to 64% on room air 1 hour ago with associated shortness of breath.
History of Present Illness:
Mrs. X is 73-year-old Caucasian female who was admitted to the general surgery service 3 days ago for a leaking j-tube which was surgically replaced 2 days ago. This morning at 07:30, the RN reported that the patient was sleeping and doing fine, then the CNA made rounds at 0900 and Mrs. X was found to be mildly dyspneic. Vital signs were checked at that time and were; temperature 38.6, pulse 120, respirations 20, blood pressure 138/38. O2 sat was 64% on room air. The general surgeon was notified by the nursing staff of the hypoxia, an order for a chest x-ray and oxygen therapy were given to the RN. The O2 sat is maintaining at 91-92% on 4L NC. The patient was seen and examined at 10:10 a.m. She reported that she has had mild dyspnea for 2 days that has progressively gotten worse. She does not use oxygen at home. Her respiratory rate at the time of this visit was 20 and she feels short of breath. She has felt this way in the past when she had pneumonia. She is currently undergoing radiatio.
UCMS:Final Integrated medical quiz 2018 Illuminous
The document describes the rules and format for an integrated medical quiz finals round consisting of 12 total questions divided into 2 questions per team. Teams have 1 minute to answer each question they receive before it bounces to the next team, and can pounce within 30 seconds to steal a question. Correct answers earn points while incorrect answers during a pounce result in negative points, with scores announced at the end.
The document provides the details of a quiz competition involving 12 total medical questions that will be divided among teams to answer within time limits, with opportunities to earn or lose points depending on correct or incorrect responses when pouncing to answer another team's question. S
New Microsoft PowerPoint Presentation.pptxMaheen Fatima
This document summarizes the case of a 31-year-old male who presented with fever for 40 days. An echocardiogram showed multiple mobile vegetations on his tricuspid valve. Blood cultures grew Staphylococcus aureus. He was diagnosed with infective endocarditis and underwent treatment with antibiotics and surgical repair of his tricuspid valve. Infective endocarditis is an infection of the heart valves or endocardium that is commonly caused by bacteria entering the bloodstream. It typically involves the valves and can cause local destruction, embolic events, and heart failure if not treated properly.
Skeletal muscle channelopathy are rare heterogeneous episodic disorders with marked genotypic and phenotypic variability resulting in periodic paralysis, and falls in young people which often misdiagnosed or undiagnosed due to its rarity, often the symptoms are miscommunicated to the treating phycision due to its episodic nature and not uncommonly physical examination by the time patient attend the clinic or hospital will be unremarkable apart from periodic muscle paralysis where patient will presented to ED with flaccid weakness,
Skeletal muscle channelopathy are rare heterogeneous episodic disorders with marked genotypic and phenotypic variability resulting in periodic paralysis, and falls in young people which often misdiagnosed or undiagnosed due to its rarity, often the symptoms are miscommunicated to the treating phycision due to its episodic nature and not uncommonly physical examination by the time patient attend the clinic or hospital will be unremarkable apart from periodic muscle paralysis where patient will presented to ED with flaccid weakness,
Skeletal muscle channelopathy are rare heterogeneous episodic disorders with marked genotypic and phenotypic variability resulting in periodic paralysis, and falls in young people which often misdiagnosed or undiagnosed due to its rarity, often the symptoms are miscommunicated to the treating phycision due to its episodic nature and not uncommonly physical examination by the time patient attend the clinic or hospital will be unremarkable apart from periodic muscle paralysis where patient will presented to ED with flaccid weakness,
In this review we will present two patients where the diagnosis was initially missed, and it took some time to reach the correct diagnosis.
Skeletal muscle channelopathy are rare heterogeneous episodic disorders with marked genotypic and phenotypic variability resulting in periodic paralysis, and falls in young people which often misdiagnosed or undiagnosed due to its rarity, often the symptoms are miscommunicated to the treating phycision due to its episodic nature and not uncommonly physical examination by the time patient attend the clinic or hospital will be unremarkable apart from periodic muscle paralysis where patient will presented to ED with flaccid weakness,
In this review we will present two patients where the diagnosis was initially missed, and it took some time to reach the correct diagnosis.
Skeletal muscle channelopathy are rare heterogeneous episodic disorders with marked genotypic and phenotypic variability resulting in periodic paralysis, and falls in young people which often misdiagnosed or undiagnosed due to its rarity, often the symptoms are miscommunicated to the treating phycision due to its episodic nature and not uncommonly physical examination by the time patient attend the clinic or hospital will be unremarkable apart from periodic muscle paralysis where patient will presented to ED with flaccid weakness,
PROBLEM 8-2 References In the following paragraphs- which are part of.docxchahuckfiru
PROBLEM 8-2 References In the following paragraphs, which are part of an Introduction, check that references are cited correctly in the text for the same paper as in Problem 8-1 given the same instructions for publication in MGG. The integration of foreign DNA into eukaryotic genomes occurs mainly at random loci by illegitimate recombination, even when the introduced DNA has homology to endogenous sequences (Roth et al. 1988; Bollaget al. 1989; Capecchi 1989a; Puchta et al 1994; Puchta and Hohn 1996). Exceptions to this generalization include Saccharomyces cerevisiae (Rothstein R., 1991), Schizosaccharomyces pombe (Grimm and Kohli, 1988) and some filamentous fungi (Timberlake and Marshall 1989). Direct integration by homologous recombination (gene targeting) is rare compared with nonhomologous integration, but would provide a powerful technique for the molecular genetic study of higher organisms and the determination of gene function. Although gene targeting is now a well established tool for the specific inactivation or modification of genes in yeast and mouse embryonic stem cells (Struhl 1983; Capecchi 1989b; Rossant and Joyner 1989; te Riele et al. 1992), the development of similar techniques for plant systems (Puchta and Hohn 1996) is still at a very early stage. Some groups have reported genomic integration by homologous recombination in plant cells using DNA introduced by direct gene transfer or Agrobacteriummediated DNA transfer (Paszkowski et al. 1988; Offringa 1990, 1993; Halfter et al. 1992). The highest rates of gene disruption so far published for flowering plants are between 0.01 and 0.1% (Lee et al. 1990; Miao and Lam 1995; Kempin et al. 1997), and these are too low to allow routine gene disruption. However, it has recently been shown (Schaefer and Zryd 1997) that integrative transformants resulting from homologous recombination can be obtained following polyethylene glycol (PEG)-mediated direct gene transfer into protoplasts of the moss Physcomitrella patens, at an efficiency comparable to that found for S. cerevisiae. (With permission from Springer Science and Business Media)
.
Problem 7 print(-Problem 7-) Using a while loop- print odd numbers fro.docxchahuckfiru
This document provides a programming problem to print odd numbers from 21 to 1 using a while loop. No code or output is shown, just the problem statement to use a while loop to print odd numbers descending from 21 to 1.
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This document describes the case of a 48-year-old man with HIV/AIDS who presented with worsening dysphagia. He has a history of Kaposi sarcoma, pneumocystis pneumonia, and oral thrush. On examination, he has violaceous skin lesions and perianal ulcers. The leading diagnoses for his dysphagia are opportunistic infections such as candida esophagitis or herpes. He is being treated with antiretrovirals and antibiotics but his condition deteriorates and he passes away.
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This document describes an unusual case of a 25-year-old male with ulcerative colitis who developed bronchiolitis obliterans organizing pneumonia (BOOP) and air leak syndrome. He was initially treated with steroids and azathioprine for his ulcerative colitis. He later developed respiratory symptoms and imaging showed diffuse lung involvement. A lung biopsy confirmed BOOP. He required prolonged ventilation and developed multiple complications including pneumothoraces requiring chest tubes. Despite treatment with various antibiotics, antivirals and immunosuppressants, his condition deteriorated and he ultimately passed away. The case report reviews BOOP, mesalamine-induced pneumonitis, and discusses the patient's complex clinical course.
Blood component therapy involves the intravenous administration of whole blood or blood components like red blood cells, platelets, or plasma to treat medical conditions. It is used to increase blood volume after surgery/trauma/hemorrhage, treat severe anemia, infections with low white blood cell count, or bone marrow issues. Proper blood typing and screening is crucial to avoid transfusion reactions. Nurses must carefully monitor patients during transfusions for signs of complications like circulatory overload, allergic reactions, or disease transmission.
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Instructions· This week’s case study will introduce concepts r.docxmariuse18nolet
Instructions
· This week’s case study will introduce concepts related to the pulmonary system and shock states. Read the scenario and thoroughly complete the questions. Some of the answers will be short answers and may not require a lot of details. For example: what is the most common organism to cause a hospital acquired infection? The answer is pseudomonas aeruginosa. Answers to questions that relate to the pathogenesis of a disease must include specific details on the process. For example: How does hypoxia lead to cellular injury? Simply writing that a lack of blood flow, causes a lack of oxygen available to the cell and the cell cannot function without oxygen is not sufficient. This type of response is NOT reflective of an advanced understanding of the concept or graduate level work. This answer should discuss the cascade of events leading to the lack of oxygen and how it specifically impairs cellular function. All answers to these type of questions should address the effects at the cellular level, then the effects on the organ and then the body as a whole. Additionally describing the normal anatomical and/or physiologic processes underlying the pathogenesis will be necessary to thoroughly answer the question.
It is very likely that you will need to reference multiple sources to answer the questions thoroughly. Your text book will not necessarily have all the answers. Only professional sources may be used to complete the assignment. These include text books, primary and secondary journal articles from peer reviewed journals, government and university websites, and publications from professional societies who establish disease management guidelines and recommendations. Sources such as Wikipedia or other generic websites are not considered professional references and should not be used to complete the case studies.
· Reason for Consultation:
Desaturation to 64% on room air 1 hour ago with associated shortness of breath.
History of Present Illness:
Mrs. X is 73-year-old Caucasian female who was admitted to the general surgery service 3 days ago for a leaking j-tube which was surgically replaced 2 days ago. This morning at 07:30, the RN reported that the patient was sleeping and doing fine, then the CNA made rounds at 0900 and Mrs. X was found to be mildly dyspneic. Vital signs were checked at that time and were; temperature 38.6, pulse 120, respirations 20, blood pressure 138/38. O2 sat was 64% on room air. The general surgeon was notified by the nursing staff of the hypoxia, an order for a chest x-ray and oxygen therapy were given to the RN. The O2 sat is maintaining at 91-92% on 4L NC. The patient was seen and examined at 10:10 a.m. She reported that she has had mild dyspnea for 2 days that has progressively gotten worse. She does not use oxygen at home. Her respiratory rate at the time of this visit was 20 and she feels short of breath. She has felt this way in the past when she had pneumonia. She is currently undergoing radiatio.
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The document describes the rules and format for an integrated medical quiz finals round consisting of 12 total questions divided into 2 questions per team. Teams have 1 minute to answer each question they receive before it bounces to the next team, and can pounce within 30 seconds to steal a question. Correct answers earn points while incorrect answers during a pounce result in negative points, with scores announced at the end.
The document provides the details of a quiz competition involving 12 total medical questions that will be divided among teams to answer within time limits, with opportunities to earn or lose points depending on correct or incorrect responses when pouncing to answer another team's question. S
New Microsoft PowerPoint Presentation.pptxMaheen Fatima
This document summarizes the case of a 31-year-old male who presented with fever for 40 days. An echocardiogram showed multiple mobile vegetations on his tricuspid valve. Blood cultures grew Staphylococcus aureus. He was diagnosed with infective endocarditis and underwent treatment with antibiotics and surgical repair of his tricuspid valve. Infective endocarditis is an infection of the heart valves or endocardium that is commonly caused by bacteria entering the bloodstream. It typically involves the valves and can cause local destruction, embolic events, and heart failure if not treated properly.
Skeletal muscle channelopathy are rare heterogeneous episodic disorders with marked genotypic and phenotypic variability resulting in periodic paralysis, and falls in young people which often misdiagnosed or undiagnosed due to its rarity, often the symptoms are miscommunicated to the treating phycision due to its episodic nature and not uncommonly physical examination by the time patient attend the clinic or hospital will be unremarkable apart from periodic muscle paralysis where patient will presented to ED with flaccid weakness,
Skeletal muscle channelopathy are rare heterogeneous episodic disorders with marked genotypic and phenotypic variability resulting in periodic paralysis, and falls in young people which often misdiagnosed or undiagnosed due to its rarity, often the symptoms are miscommunicated to the treating phycision due to its episodic nature and not uncommonly physical examination by the time patient attend the clinic or hospital will be unremarkable apart from periodic muscle paralysis where patient will presented to ED with flaccid weakness,
Skeletal muscle channelopathy are rare heterogeneous episodic disorders with marked genotypic and phenotypic variability resulting in periodic paralysis, and falls in young people which often misdiagnosed or undiagnosed due to its rarity, often the symptoms are miscommunicated to the treating phycision due to its episodic nature and not uncommonly physical examination by the time patient attend the clinic or hospital will be unremarkable apart from periodic muscle paralysis where patient will presented to ED with flaccid weakness,
In this review we will present two patients where the diagnosis was initially missed, and it took some time to reach the correct diagnosis.
Skeletal muscle channelopathy are rare heterogeneous episodic disorders with marked genotypic and phenotypic variability resulting in periodic paralysis, and falls in young people which often misdiagnosed or undiagnosed due to its rarity, often the symptoms are miscommunicated to the treating phycision due to its episodic nature and not uncommonly physical examination by the time patient attend the clinic or hospital will be unremarkable apart from periodic muscle paralysis where patient will presented to ED with flaccid weakness,
In this review we will present two patients where the diagnosis was initially missed, and it took some time to reach the correct diagnosis.
Skeletal muscle channelopathy are rare heterogeneous episodic disorders with marked genotypic and phenotypic variability resulting in periodic paralysis, and falls in young people which often misdiagnosed or undiagnosed due to its rarity, often the symptoms are miscommunicated to the treating phycision due to its episodic nature and not uncommonly physical examination by the time patient attend the clinic or hospital will be unremarkable apart from periodic muscle paralysis where patient will presented to ED with flaccid weakness,
Similar to Principal Diagnosis- list- describe- and code Secondary diagnosis- lis.docx (20)
PROBLEM 8-2 References In the following paragraphs- which are part of.docxchahuckfiru
PROBLEM 8-2 References In the following paragraphs, which are part of an Introduction, check that references are cited correctly in the text for the same paper as in Problem 8-1 given the same instructions for publication in MGG. The integration of foreign DNA into eukaryotic genomes occurs mainly at random loci by illegitimate recombination, even when the introduced DNA has homology to endogenous sequences (Roth et al. 1988; Bollaget al. 1989; Capecchi 1989a; Puchta et al 1994; Puchta and Hohn 1996). Exceptions to this generalization include Saccharomyces cerevisiae (Rothstein R., 1991), Schizosaccharomyces pombe (Grimm and Kohli, 1988) and some filamentous fungi (Timberlake and Marshall 1989). Direct integration by homologous recombination (gene targeting) is rare compared with nonhomologous integration, but would provide a powerful technique for the molecular genetic study of higher organisms and the determination of gene function. Although gene targeting is now a well established tool for the specific inactivation or modification of genes in yeast and mouse embryonic stem cells (Struhl 1983; Capecchi 1989b; Rossant and Joyner 1989; te Riele et al. 1992), the development of similar techniques for plant systems (Puchta and Hohn 1996) is still at a very early stage. Some groups have reported genomic integration by homologous recombination in plant cells using DNA introduced by direct gene transfer or Agrobacteriummediated DNA transfer (Paszkowski et al. 1988; Offringa 1990, 1993; Halfter et al. 1992). The highest rates of gene disruption so far published for flowering plants are between 0.01 and 0.1% (Lee et al. 1990; Miao and Lam 1995; Kempin et al. 1997), and these are too low to allow routine gene disruption. However, it has recently been shown (Schaefer and Zryd 1997) that integrative transformants resulting from homologous recombination can be obtained following polyethylene glycol (PEG)-mediated direct gene transfer into protoplasts of the moss Physcomitrella patens, at an efficiency comparable to that found for S. cerevisiae. (With permission from Springer Science and Business Media)
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Problem 7 print(-Problem 7-) Using a while loop- print odd numbers fro.docxchahuckfiru
This document provides a programming problem to print odd numbers from 21 to 1 using a while loop. No code or output is shown, just the problem statement to use a while loop to print odd numbers descending from 21 to 1.
Problem 4- Variable and Absorption Costing Unit Product Costs and Inco.docxchahuckfiru
Problem 4. Variable and Absorption Costing Unit Product Costs and Income Statements; Explanation of Difference in Net Operating Income Borunda Corporation has provided the following data for its two most recent years of operation: Required: a. Assume the company uses absorption costing. Prepare an income statement for each year. b. Assume the company uses variable costing. Prepare an income statement for each year. c. Prepare a report in good form reconciling the variable costing and absorption costing net incomes.
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Problem 4- Consider a continuous random variable X with the density fu.docxchahuckfiru
Problem 4. Consider a continuous random variable X with the density function (called the exponential density) f ( x ) = e x , x >= 0 . 1. Find and sketch the cdf for x . 2. Find the mean and variance of X . (Hint: Use integration by parts.) 3. Find P ( 1 <= X <= 2 ) . (1) general CDF formula: x e x d x = 0 x f ( t ) d t [ e x ] 0 x = ( e x ) ( e 0 ) = e x + 1 = 1 e x
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Problem 33- Using a biased coin to make an unbiased decision- Alice an.docxchahuckfiru
Problem 33. Using a biased coin to make an unbiased decision. Alice and Bob want to choose between the opera and the movies by tossing a fair coin. Unfortunately. the only available coin is biased (though the bias is not known exactly). How can they use the biased coin to make a decision so that either option (opera or the movies) is equally likely to be chosen?
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Problem 3- Prove that the following grammar is ambiguous by showing tw.docxchahuckfiru
Problem 3. Prove that the following grammar is ambiguous by showing two different leftemost derivations of some string. (210) G = (( s , T , V , ( a , 0 ) , R , s ) R: $ S. S|T T T T TV V S z
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Problem 3 print(-Problem 3-) Using a while loop- print the powers of 2.docxchahuckfiru
This Python code uses a while loop to print the powers of 2 from 20 to 210, with each power taking up its own line in the output. The code sets the initial power to 20 and uses a condition of being less than or equal to 210 to repeat the loop, each time multiplying the power by 2 and printing the result.
Problem 3 The 26 letters of the alphabet are arranged into a random or.docxchahuckfiru
Problem 3 The 26 letters of the alphabet are arranged into a random order (with each letter appearing exactly once). What is the probability that a comes before z ?
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Problem 2- (21 points total) Suppose 25- of the 1-200 fish in a lake h.docxchahuckfiru
Problem 2: (21 points total) Suppose 25% of the 1,200 fish in a lake have been tagged as part of a study. We capture and release 20 fish, with replacement. Let X = the number of tagged fish we capture. Answer the following: a) (6 points) What is the expected value of X ? b) (6 points) Specify the distribution of X : X c) (9 points) What is the probability of getting 7 or more tagged fish. That is, compute P ( X 7 ) .
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Problem 2 print(-Problem 2-) Ask the user what town they live in- U.docxchahuckfiru
Problem 2
print("Problem 2")
Ask the user what town they live in. Using a while loop, print the name of your town 5 times.
Source Code
(Copy/Paste)
Terminal Output
(Screenshot)
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Principles of Macroeconomics 1-To find the slope of a linear function.docxchahuckfiru
Principles of Macroeconomics
1.To find the slope of a linear function between any two points, you must use the "rise over run" formula.,,T/T
2.Which of the following pair of variables is most likely to exhibit a direct relationship?
Group of answer choices
the amount of sales (in $) and the number of hours that a business is open
the amount of cloud cover and the amount of sunshine
the price of bananas and the number of bananas purchased
the number of acres of soybeans planted and the number of acres of potatoes planted on a single farm
Flag question: Question 3
Question 31 pts
Why is the choice of units important in constructing a graph?
Group of answer choices
It affects whether a variable rises or falls.
It affects the apparent rate of change of one variable relative to the other.
It affects which time periods can be considered.
All of the above.
Flag question: Question 4
Question 41 pts
Graphs are useful because of the way they
Group of answer choices
facilitate interpretation and analysis of data.
convey an idea that might otherwise take many words.
permit a person to easily see relationships.
All of the above are correct.
Flag question: Question 5
Question 51 pts
The data used to construct a graph can show a steep line or a flat line depending on how the axes are measured.
Group of answer choices
True
False
Flag question: Question 6
Question 61 pts
A straight line through the origin always has a slope of one.
Group of answer choices
True
False
Flag question: Question 7
Question 71 pts
The tangent at point A on a curve has a positive slope. Therefore,
Group of answer choices
the curve has a positive slope at all points.
the curve has a positive slope at point A.
the curve has a negative slope at all points.
the curve has a negative slope at point A.
Flag question: Question 8
Question 81 pts
When variable A rises by 10 units, variable B rises by 15 units. The slope of the line describing this relationship is
Group of answer choices
always 2/3.
either 2/3 or 1.5, depending on which variable goes on which axis of the graph.
either 1.5 or -1.5, depending on which variable goes on which axis of the graph.
always -1.5.
Flag question: Question 9
Question 91 pts
The slope of a curved line differs from that of a straight line in that
Group of answer choices
the numerical value of the slope of a straight line is different at every point, but is the same at every point for a curved line.
the numerical value of the slope of a straight line is always higher than the numerical value of the slope of a curved line.
the numerical value of the slope of a curved line is different at every point, but is the same at every point for a straight line.
straight lines are more realistic, but curved lines are not descriptively accurate for the real world.
Flag question: Question 10
Question 101 pts
A downward-sloping, straight line has a decreasing slope.
Group of answer choices
True
False
Flag question: Question 11
Question 111 pts
The slope of a horizontal line .
Primary production required to sustain global fisheries D- Pauly- -& V.docxchahuckfiru
Primary production required to sustain global fisheries D. Pauly* \& V. Christensen I.How did they calculate total Primary Production Required (PPR) to sustain the reported catch rates? 2.Why were levels of open ocean PPR cause for concern regarding sustainability of harvest (even though it was only 1.8% of estimated total PP)? 3.What reasons may account for the higher PP of shelf systems than open ocean gyres?
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primary site for digestion and absorption bolus moves through this 10.docxchahuckfiru
primary site for digestion and absorption bolus moves through this 10 inch muscular tube with the help of peristalsis food is crushed, moistened, and tasted bacteria feed on undigested fiber and starch; electrolytes, water, as well as some vitamins and short chain fatty acids produced by the bacteria are absorbed HCl helps to unfold proteins; proteases begin protein digestion and lipases work on fat; the food bolus becomes chyme
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Presume the trait for dimples is Mendelian and that having dimples is.docxchahuckfiru
A Punnett square is drawn for the cross between a homozygous dominant individual with dimples and a heterozygous individual. The likelihood of having homozygous dominant offspring with dimples from this cross is 50%.
Prepare the entry to record the conversion on April 1- 2021- (The book.docxchahuckfiru
Prepare the entry to record the conversion on April 1, 2021. (The book value method is used.) Assume that the entry to record amortization of the bond discount and interest payment has been made. (Credit account titles are automatically indented when the amount is entered. Do not indent manually. Round answers to 0 decimal places, eg. 5,275.) Oriole Inc. issued $6 million of 10 -year, 10% convertible bonds on June 1,2020 , at 99 plus accrued interest. The bonds were dated April 1, 2020, with interest payable April 1 and October 1 . Bond discount is amortized semi-annually. Bonds without conversion privileges would have sold at 98 plus accrued interest. On April 1, 2021, \$1.50 million of these bonds were converted into 30,000 common shares. Accrued interest was paid in cash at the time of conversion. Assume that the company follows IFRS.
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Prepare journal entres to establsh a pelfy cash fund on January 1 and.docxchahuckfiru
A $107 petty cash fund was established on January 1. On January 31, the petty cash fund consisted of $25 cash plus receipts totaling $84 for donations, postage, office supplies, and miscellaneous expenses, requiring the fund to be replenished back to $107.
Prepare a classified balance sheet that includes the correct balance f.docxchahuckfiru
Prepare a classified balance sheet that includes the correct balance for Cash. Total current assets Property, plant, and equipment: Total property, plant, and equipment Total assets Liabilities Current liabilities: Total liabilities Stockholders' Equity Total stockholders' equity Total liabilities and stockholders' equity
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Predicted outcome of a disease (literally- -state of before knowledge-.docxchahuckfiru
Predicted outcome of a disease (literally, "state of before knowledge") Study of disease Medical term for "bruise" Describes a disease of unknown origin An open sore (external or internal) Improvement or absence of signs of disease Death of tissue caused by loss of blood supply followed by bacterial invasion Produced by a physician (unexpected results from treatment)
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Predict whether the GAL gens (Gal1- Gal7 Gal10 and Gal2) will be produ.docxchahuckfiru
Predict whether the GAL gens (Gal1, Gal7 Gal10 and Gal2) will be produced in the following yeast strains under the conditions noted. Use + to indicate that the GAL enzymes are synthesized at greater than basal levels, and 0 to indicate that the enzymes are not synthesized. Question 3 (10 points) Shown below is a list of gene classes that play a role in Drosophila development. Homeotic genes Gap genes Segment-polarity genes Maternal-effect genes Pair-rule genes (i) Describe the role of each class of genes and the impact that a mutation in the class has on Drosophila development. (ii) The different classes of genes function at different times during Drosophila development. Put the gene classes in order, from earliest to latest.
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Chapter wise All Notes of First year Basic Civil Engineering.pptxDenish Jangid
Chapter wise All Notes of First year Basic Civil Engineering
Syllabus
Chapter-1
Introduction to objective, scope and outcome the subject
Chapter 2
Introduction: Scope and Specialization of Civil Engineering, Role of civil Engineer in Society, Impact of infrastructural development on economy of country.
Chapter 3
Surveying: Object Principles & Types of Surveying; Site Plans, Plans & Maps; Scales & Unit of different Measurements.
Linear Measurements: Instruments used. Linear Measurement by Tape, Ranging out Survey Lines and overcoming Obstructions; Measurements on sloping ground; Tape corrections, conventional symbols. Angular Measurements: Instruments used; Introduction to Compass Surveying, Bearings and Longitude & Latitude of a Line, Introduction to total station.
Levelling: Instrument used Object of levelling, Methods of levelling in brief, and Contour maps.
Chapter 4
Buildings: Selection of site for Buildings, Layout of Building Plan, Types of buildings, Plinth area, carpet area, floor space index, Introduction to building byelaws, concept of sun light & ventilation. Components of Buildings & their functions, Basic concept of R.C.C., Introduction to types of foundation
Chapter 5
Transportation: Introduction to Transportation Engineering; Traffic and Road Safety: Types and Characteristics of Various Modes of Transportation; Various Road Traffic Signs, Causes of Accidents and Road Safety Measures.
Chapter 6
Environmental Engineering: Environmental Pollution, Environmental Acts and Regulations, Functional Concepts of Ecology, Basics of Species, Biodiversity, Ecosystem, Hydrological Cycle; Chemical Cycles: Carbon, Nitrogen & Phosphorus; Energy Flow in Ecosystems.
Water Pollution: Water Quality standards, Introduction to Treatment & Disposal of Waste Water. Reuse and Saving of Water, Rain Water Harvesting. Solid Waste Management: Classification of Solid Waste, Collection, Transportation and Disposal of Solid. Recycling of Solid Waste: Energy Recovery, Sanitary Landfill, On-Site Sanitation. Air & Noise Pollution: Primary and Secondary air pollutants, Harmful effects of Air Pollution, Control of Air Pollution. . Noise Pollution Harmful Effects of noise pollution, control of noise pollution, Global warming & Climate Change, Ozone depletion, Greenhouse effect
Text Books:
1. Palancharmy, Basic Civil Engineering, McGraw Hill publishers.
2. Satheesh Gopi, Basic Civil Engineering, Pearson Publishers.
3. Ketki Rangwala Dalal, Essentials of Civil Engineering, Charotar Publishing House.
4. BCP, Surveying volume 1
This presentation was provided by Racquel Jemison, Ph.D., Christina MacLaughlin, Ph.D., and Paulomi Majumder. Ph.D., all of the American Chemical Society, for the second session of NISO's 2024 Training Series "DEIA in the Scholarly Landscape." Session Two: 'Expanding Pathways to Publishing Careers,' was held June 13, 2024.
This document provides an overview of wound healing, its functions, stages, mechanisms, factors affecting it, and complications.
A wound is a break in the integrity of the skin or tissues, which may be associated with disruption of the structure and function.
Healing is the body’s response to injury in an attempt to restore normal structure and functions.
Healing can occur in two ways: Regeneration and Repair
There are 4 phases of wound healing: hemostasis, inflammation, proliferation, and remodeling. This document also describes the mechanism of wound healing. Factors that affect healing include infection, uncontrolled diabetes, poor nutrition, age, anemia, the presence of foreign bodies, etc.
Complications of wound healing like infection, hyperpigmentation of scar, contractures, and keloid formation.
Walmart Business+ and Spark Good for Nonprofits.pdfTechSoup
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You will hear from Liz Willett, the Head of Nonprofits, and hear about what Walmart is doing to help nonprofits, including Walmart Business and Spark Good. Walmart Business+ is a new offer for nonprofits that offers discounts and also streamlines nonprofits order and expense tracking, saving time and money.
The webinar may also give some examples on how nonprofits can best leverage Walmart Business+.
The event will cover the following::
Walmart Business + (https://business.walmart.com/plus) is a new shopping experience for nonprofits, schools, and local business customers that connects an exclusive online shopping experience to stores. Benefits include free delivery and shipping, a 'Spend Analytics” feature, special discounts, deals and tax-exempt shopping.
Special TechSoup offer for a free 180 days membership, and up to $150 in discounts on eligible orders.
Spark Good (walmart.com/sparkgood) is a charitable platform that enables nonprofits to receive donations directly from customers and associates.
Answers about how you can do more with Walmart!"
ISO/IEC 27001, ISO/IEC 42001, and GDPR: Best Practices for Implementation and...PECB
Denis is a dynamic and results-driven Chief Information Officer (CIO) with a distinguished career spanning information systems analysis and technical project management. With a proven track record of spearheading the design and delivery of cutting-edge Information Management solutions, he has consistently elevated business operations, streamlined reporting functions, and maximized process efficiency.
Certified as an ISO/IEC 27001: Information Security Management Systems (ISMS) Lead Implementer, Data Protection Officer, and Cyber Risks Analyst, Denis brings a heightened focus on data security, privacy, and cyber resilience to every endeavor.
His expertise extends across a diverse spectrum of reporting, database, and web development applications, underpinned by an exceptional grasp of data storage and virtualization technologies. His proficiency in application testing, database administration, and data cleansing ensures seamless execution of complex projects.
What sets Denis apart is his comprehensive understanding of Business and Systems Analysis technologies, honed through involvement in all phases of the Software Development Lifecycle (SDLC). From meticulous requirements gathering to precise analysis, innovative design, rigorous development, thorough testing, and successful implementation, he has consistently delivered exceptional results.
Throughout his career, he has taken on multifaceted roles, from leading technical project management teams to owning solutions that drive operational excellence. His conscientious and proactive approach is unwavering, whether he is working independently or collaboratively within a team. His ability to connect with colleagues on a personal level underscores his commitment to fostering a harmonious and productive workplace environment.
Date: May 29, 2024
Tags: Information Security, ISO/IEC 27001, ISO/IEC 42001, Artificial Intelligence, GDPR
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Training: ISO/IEC 27001 Information Security Management System - EN | PECB
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Temple of Asclepius in Thrace. Excavation resultsKrassimira Luka
The temple and the sanctuary around were dedicated to Asklepios Zmidrenus. This name has been known since 1875 when an inscription dedicated to him was discovered in Rome. The inscription is dated in 227 AD and was left by soldiers originating from the city of Philippopolis (modern Plovdiv).
Principal Diagnosis- list- describe- and code Secondary diagnosis- lis.docx
1. Principal Diagnosis: list, describe, and code
Secondary diagnosis: list describe and code
Explain why you are choosing a particular diagnosis as the principal diagnosis and also why you
are sequencing the codes in a particular fashion.
Module 5 cases : please code cases 4 and 5.
Please do not code any procedures.
4. Inpatient admission: The patient, witharterio sclerotic coconary heart disease and type 2
diabetes metlitus, eemme to the hospital with sympioms that were believed to represent sepois.
She was placed on antibioties; and the sy mipious . improved. ST- and T-wave changes patient's
glocose showed marked on an EKG. The patienis to becondary to the sepsis: The blond sugars
were brought under control The with an adjustment of her insalin therapy and an appropriate
diet. Discharge diagnosess. (1) Arterioselerotic : Uncontooled el abeles may cefer to kisod
nugars being Nowatiod coconary heart disesse, ( 2 ) uncontrolled type 2 diabetes mellitus, (3)
questionable sepsis. Etros Tyee 2 dinceter metica watho 2704 bong formicutinte used aisuin
Comments: The admission was recesstated by signs and Byt ceoms of sopsis, which was nevar
ruled cut and, thecolere. is: Fo princlpal dagnoils iCDig-.CM coong gudolnes stane biat Iter at a
agnosis of eeasis, the aspropriate codo for the undirying. Systerici infese on is assigned, Code
Acs.9 is aseigned if the : (hyperpycemiay oi 40 low (tippoglysemis), in this case, tho : paient's
glucose thowed mained eleration, For by diabeles : codo, refer to the man uem 0 sbelet, in the
Aphabotio index. The subterm funcontrelid meaning Zyperglyeemis, adisos tha usor to 'seo.
Dlibotes, by type, with typenelyeerria.". No eode is assigned ter ses ST.and T. Wave changes on
the. EkG becauso they represint abonomal fodings that wore not treased or furtior avalussed.
Codo 2794 is assigned for the patunts long-term insuifin therapy. 5. Dutpatient clinic visit: The
HIV-infecred patient was. Suffering from an acute lymphadenitis due to his HIV infection. The
glands in the nock area were most affected. Antibiotics were preseribed. but the patient refused
antiretrosiral treatment. at this time. He was of the opinion that bis 8xy) Runan ititunodethenc
vies it M ditebset religion would eventally make antiretroviral medication unnecessiry Another
consideration Was his nareotic dependency. He was encounaged to costinue participation in
support groups for people with narcotic addiction and HIV. F1120 Cplad depundense,
uncorgiculid Diagnoses: (1) Mcute lymphadeniris secosdary to HIV infection. (2) narcotic
dependence, (3) refusal of medication due to religious reasons. Comments: Code 820 is assigned
for al Hiv lotections and is C. Cosignssed as the cealon fec encounter whan the pabent wat sean
for Hiv inlection or a re atod consition, Code L0t A. Acule bimphadenitis of tise, heod and neck
ehould not be assigesd : achg w in code Ba0 beceuse of the torcludest note as camegery Lo4
exeluding Hil di soaso resuling in gkoalaled lymphade. nopothy (aesi For the narcoto
depenstence cose, vee the main Wian in the Index Dependenco. navoobo (drug) NEC, wheh
cwors: the user to see Oependence, dwus oplold. Folowing this intruos sonal note, the uset
articas ef code fil so. Codo 263 . may be asslened to show the relusal ot modications fer has g
fous reavons. 6. Inpaticnt udmission: The patient is an 85 -yearA4t,a Sepescio to Hemophius
intuncoion old female who presented to the emergency department (HD) with increasing
shortness. of breath, hypoxia, productive cough, and progressive weakness. Sho acutely
detertorated in the ED and was emergently sent to the intensive care unit (ICU) in the ICU, the
2. parient was intubated, meebanically venblared for four dyys. and started on broad-spectrazn
antibiceics. 3.4 Preumenia doo to Harsophis infuenate. Diasnoses; (1) Septie shock, (2) acute
respiratory R65 21 Sovere Hovis winispe thocx 5Alisis Respuralory wert ali on 24 96
conoeculve hours. ceHi7E2 insertion of enotrecheal a roway into trachai. fillure. (3) Hemiophilhs
influentae pneumonia. Commante: For ckies of covere sepess, the undory ng infection: Is
sequenceld fist followed by a code from escoategory fos ? Sevece topsis. When tre cosson tor
admission is both sepels. the cede for the locsl ted intecton should bo ass gned as a secondsy
dagnosis. The potort was intibased ta the iCls and maintahed on ventiaton tor lour deys ies
hourst.
