Exam 9: Symptoms, Signs, and Abnormal Clinical and Laboratory Findings Not Elsewhere Classified, and Z Codes

Screening for sickle cell disorder: __________

The patient is admitted to the hospital with right lower quadrant pain and nausea and vomiting. The patient had a low-grade fever. A diagnosis of acute appendicitis is made, and the patient is taken to the OR for removal of the appendix via an open approach.

Match each definition to one of the following items. -Objective evidence of a disease or of a patient's condition as perceived by the patient's examining physician

Urinary hesitancy due to enlarged prostate: __________

Encounter for admission exam for prisoner: __________

A Z code for long-term use of antibiotics should not be assigned when antibiotics are taken for a short period of time for an acute illness.

A(n) ________________ is subjective evidence of a disease or of a patient's condition as perceived by the patient.

Match each definition to one of the following items. -Subjective evidence of a disease or of a patient's condition as perceived by the patient

The patient is admitted to the hospital with fever and dehydration resulting from pneumonia.

Retained metal fragment: __________

A person who has had an allergic episode related to a substance or food in the past should always be considered allergic to the substance.

A screening code may be listed first if the reason for the visit is specifically a screening exam.

Patient is admitted for workup of normal-pressure hydrocephalus (NPH) because of ataxic gait. NPH is ruled out, and the patient is discharged home: __________

Which of the following is a category of Z codes?

The patient was admitted from her primary care physician's office for palpitations. The patient has never had an episode like this. The patient does have a family history of coronary artery disease. The patient was monitored by telemetry, but no specific cardiac arrhythmias were identified. The patient was instructed to return for follow-up if palpitations recurred.Final Diagnosis: Palpitations; cardiac arrhythmia ruled out; family history of coronary artery disease

A(n) ____ code is used to explain continuing surveillance following completed treatment of a disease, condition, or injury.

Principal diagnosis is documented as right upper quadrant abdominal pain due to cholecystitis versus peptic ulcer disease: __________

Another name for the coma scale is ______________ Coma Scale score.

Patient was seen in the clinic. Final diagnosis is RUQ rebound abdominal tenderness.

Match each definition to one of the following items. -Done in the absence of any signs or symptoms