Patient: Rayonnetta Calhoun Physician: Robert Morgan, MD ADMISSION to McGraw Hill Hospital History A fully functional, i
Posted: Mon May 09, 2022 5:14 pm
Patient: Rayonnetta Calhoun Physician: Robert Morgan, MD
ADMISSION to McGraw Hill Hospital History A fully functional,
independent female who is nearly 89 years old; lives with her two
sons. A history finds that she has • high blood pressure • CAD •
congestive heart failure • cataracts • hearing impairments • knee
osteoarthritis Current Medications: lisinopril, furosemide, ASA,
and metoprolol.
Examination Patient develops abdominal pain increasing over 4
days; constipation for 1 day. She is acutely ill and appears
uncomfortable and volume depleted. On exam, she has abdominal
distention, she has hypoactive bowel sounds, and no mass is found.
Her heart is enlarged and no 53. Laboratory findings: • WBC ...
13290 • HCT...42 • Na ... 128 • K...2.6 • Bun/creatinine ...
normal
An abdominal CT scan shows the cecum is very dilated to 13 cm
and the left image shows a possible mass in the descending
colon.
Recognizing the seriousness of her illness, she was quickly
stabilized with volume repletion due to her dehydration. She was in
the emergency department 2 hours, then admitted to a non- intensive
care surgical unit and cared for by a general surgeon, Herman
Canton, MD, and a geriatrician, Kyla Mondolano, MD.
Upon Admission
Protocol calls for endoscopy, but to do so would require a delay
before surgery that is clearly needed. There was an urgency to get
her to surgery as delays would likely lead to complications.
Accordingly, no colonoscopy was performed.
. Prior to surgery, careful anesthesia planning and
intra-operative management were designed. A shortened bowel prep
was initiated.
A left hemicolectomy was performed on day 2 with pathology
confirmation of malignant neoplasm of the sigmoid colon. Pain was
controlled with low doses of morphine and fluid management was
tightly managed. She was provided a single, quiet room and a
family member stayed with her continuously. The patient was
discharged to subacute rehabilitation on day 5, and then to home on
day 10.
Be sure to list the codes, one code per box, in the correct
order, from top to bottom. Capitalization, punctuation, and spacing
can impact whether or not your answer is correct. Follow coding
best practices. What is/are the correct diagnosis codels)
THIS CASE STUDY NEEDS 2 CODES
#1 - C18.7 ( IS CORRECT)
#2 - ?
PLEASE HELP WITH THE SECOND CODE
ADMISSION to McGraw Hill Hospital History A fully functional,
independent female who is nearly 89 years old; lives with her two
sons. A history finds that she has • high blood pressure • CAD •
congestive heart failure • cataracts • hearing impairments • knee
osteoarthritis Current Medications: lisinopril, furosemide, ASA,
and metoprolol.
Examination Patient develops abdominal pain increasing over 4
days; constipation for 1 day. She is acutely ill and appears
uncomfortable and volume depleted. On exam, she has abdominal
distention, she has hypoactive bowel sounds, and no mass is found.
Her heart is enlarged and no 53. Laboratory findings: • WBC ...
13290 • HCT...42 • Na ... 128 • K...2.6 • Bun/creatinine ...
normal
An abdominal CT scan shows the cecum is very dilated to 13 cm
and the left image shows a possible mass in the descending
colon.
Recognizing the seriousness of her illness, she was quickly
stabilized with volume repletion due to her dehydration. She was in
the emergency department 2 hours, then admitted to a non- intensive
care surgical unit and cared for by a general surgeon, Herman
Canton, MD, and a geriatrician, Kyla Mondolano, MD.
Upon Admission
Protocol calls for endoscopy, but to do so would require a delay
before surgery that is clearly needed. There was an urgency to get
her to surgery as delays would likely lead to complications.
Accordingly, no colonoscopy was performed.
. Prior to surgery, careful anesthesia planning and
intra-operative management were designed. A shortened bowel prep
was initiated.
A left hemicolectomy was performed on day 2 with pathology
confirmation of malignant neoplasm of the sigmoid colon. Pain was
controlled with low doses of morphine and fluid management was
tightly managed. She was provided a single, quiet room and a
family member stayed with her continuously. The patient was
discharged to subacute rehabilitation on day 5, and then to home on
day 10.
Be sure to list the codes, one code per box, in the correct
order, from top to bottom. Capitalization, punctuation, and spacing
can impact whether or not your answer is correct. Follow coding
best practices. What is/are the correct diagnosis codels)
THIS CASE STUDY NEEDS 2 CODES
#1 - C18.7 ( IS CORRECT)
#2 - ?
PLEASE HELP WITH THE SECOND CODE