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

Problems with mother-in-law: __________

Screening for osteoporosis: __________

Positive Mantoux test: __________

Ascites due to cirrhosis of liver: __________

Patient is admitted to the hospital with the "worst headache" he has ever had. Workup for aneurysm is performed and was negative for aneurysm. There is a strong family history of stroke. No cause for the headache is determined: __________

List one reason why a screening code would not be necessary.

The patient was admitted to the hospital for monitoring of seizure-like spells. Video electroencephalogram monitoring (external) of these episodes was performed and did not reveal any epileptic activity.Final Diagnosis: Transient alteration of awareness. Seizure disorder ruled out.

Impending stroke with dizziness and facial weakness: __________

The patient was admitted for biopsy of an enlarged lymph node in the area of the left axilla. The patient has a past medical history of breast cancer with a mastectomy of the left breast 1 year ago. The patient is no longer receiving any therapy for her cancer. A needle biopsy was done. The pathology report showed normal lymphatic tissue with no evidence of metastatic spread.Final Diagnosis: Lymphadenopathy left axilla; metastasis ruled out Procedure: Needle core biopsy axillary lymph node

Camp physical: __________

What does BMI stand for?

The patient was admitted for prophylactic breast removal. The patient has a strong family history of breast cancer, and the patient has severe fibrocystic disease in both breasts, making breast exam difficult. The patient was taken to the OR, and a bilateral simple mastectomy was performed. The patient recovered with no problems. The pathology report showed no evidence of malignancy.Final Diagnosis: Family history of breast cancer; severe fibrocystic disease Procedure: Bilateral simple mastectomy

The patient was admitted with abdominal pain in the right upper quadrant. Workup included an EGD that showed some mild gastritis, and abdominal ultrasound was positive for gallstones in the gallbladder.Final Diagnosis: Abdominal pain due to gastritis versus cholelithiasis Procedure: Esophagogastroduodenoscopy with biopsy of the stomach

Patient is admitted to hospice care for treatment of terminal ESRD.

Match each definition to one of the following items. -Vaccination

The infant was seen in the ER for fever. Physician documented fever due to vaccination.

Patient has a cystostomy: __________

Encounter for blood alcohol test: __________

The NIHSS describes the level of consciousness in comatose patients.

Gas pain: __________