Code(s): 0 4. Inpatient admission: The patient, with arterio- sclerotic coronary heart disease and type 2 diabetes melli
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Code(s): 0 4. Inpatient admission: The patient, with arterio- sclerotic coronary heart disease and type 2 diabetes melli
principal diagnosis: list, describe, and code
Code(s): 0 4. Inpatient admission: The patient, with arterio- sclerotic coronary heart disease and type 2 diabetes mellitus, came to the hospital with symptoms that were believed to represent sepsis. She was placed on antibiotics, and the symptoms improved. ST- and T-wave changes were evident on an EKG. The patient's glucose showed marked elevation, thought to be secondary to the sepsis. The blood sugars were brought under control with an adjustment of her insulin therapy and an appropriate diet. Discharge diagnoses: (1) Arteriosclerotic coronary heart disease, (2) uncontrolled type 2 diabetes mellitus, (3) questionable sepsis.