Deck 15: Diseases of the Circulatory System
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Deck 15: Diseases of the Circulatory System
1
Patient was admitted to have a drug-eluting stent inserted into the LAD for coronary atherosclerosis.Procedure was performed percutaneously.
A)I25.110,027144Z
B)I25.10,027034Z
C)I25.10,027134Z
D)I25.110,027034Z
A)I25.110,027144Z
B)I25.10,027034Z
C)I25.10,027134Z
D)I25.110,027034Z
B
2
Patient is admitted with CHF and known hypertensive heart disease.
A)I50.9,I11.0
B)I11.0,I50.9
C)I50.9,I10
D)I11.0,I50.30
A)I50.9,I11.0
B)I11.0,I50.9
C)I50.9,I10
D)I11.0,I50.30
B
3
Patient presents with left carotid artery thrombosis with infarct and current right hemiparesis.Patient has residual aphasia from a previous stroke.
A)I69.854,I63.032,I69.320
B)I63.032,I69.032,I69.320
C)I63.032,G81.91,I69.320
D)I69.320,G81.90,I69.854
A)I69.854,I63.032,I69.320
B)I63.032,I69.032,I69.320
C)I63.032,G81.91,I69.320
D)I69.320,G81.90,I69.854
C
4
Patient comes to the hospital with chest pain.A diagnostic left heart cath is performed,and no coronary artery disease is observed.The cardiologist documents the diagnosis as noncardiac chest pain.
A)R07.9,4A0239Z
B)R07.89,4A023N7
C)R07.9,4A023N7
D)R07.89,A023N8
A)R07.9,4A0239Z
B)R07.89,4A023N7
C)R07.9,4A023N7
D)R07.89,A023N8
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5
Patient is admitted with syncope.After tests are performed,it is determined that the patient has sick sinus syndrome.
A)R00.1,I49.8
B)R00.1,I49.5
C)I49.5
D)I49.8
A)R00.1,I49.8
B)R00.1,I49.5
C)I49.5
D)I49.8
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6
Patient was admitted for treatment of gangrenous cellulitis of left lower leg.
A)L03.116,I96
B)I96
C)L03.115,I96
D)I96,L03.116
A)L03.116,I96
B)I96
C)L03.115,I96
D)I96,L03.116
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7
Diseases of the circulatory system in ICD-10-CM are coded from ____.
A)K00-K94
B)I00-I99
C)H00-H59
D)F01-F99
A)K00-K94
B)I00-I99
C)H00-H59
D)F01-F99
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8
Patient is admitted through the ER with atrial fibrillation and a history of COPD.She is taken to the EPS lab for EPS mapping,and percutaneous radiofrequency ablation of the AV node.
A)I48.91,Z87.09,02K84ZZ,02574ZZ
B)I48.91,J44.9,02K83ZZ,02573ZZ
C)I48.91,J44.9,02574ZZ,02K83ZZ,4A023FZ
D)I48.91,J44.9,02583ZZ,02K83ZZ
A)I48.91,Z87.09,02K84ZZ,02574ZZ
B)I48.91,J44.9,02K83ZZ,02573ZZ
C)I48.91,J44.9,02574ZZ,02K83ZZ,4A023FZ
D)I48.91,J44.9,02583ZZ,02K83ZZ
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9
Molly has a blood pressure of 150/100.She would be classified as having ____ by her clinician.
A)normal blood pressure
B)hypotension
C)pre-hypotension
D)hypertension
A)normal blood pressure
B)hypotension
C)pre-hypotension
D)hypertension
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10
Patient is admitted through the ER,presenting with acute chest pain.The patient has a history of COPD and pneumonia as well as type II DM with diabetic neuropathy.He has a history of hypertension and gout for which he takes meds.He is currently smoking about one pack per day.After study it is determined that patient has had an acute anterolateral wall infarct.He is taken to the cath lab for a PTCA with the insertion of a drug eluting stent of the LAD.
A)R07.9,I21.09,J18.9,I10,Z72.0,J44.9,027034Z
B)I21.09,R07.9,J18.9,Z272.0,J449.9,027034Z
C)I21.09,I10,F17.210,M10.9,J44.9,E11.40,027034Z
D)R07.9,I10,J18.9,F17.210,M10.9,J44.9,027034Z
A)R07.9,I21.09,J18.9,I10,Z72.0,J44.9,027034Z
B)I21.09,R07.9,J18.9,Z272.0,J449.9,027034Z
C)I21.09,I10,F17.210,M10.9,J44.9,E11.40,027034Z
D)R07.9,I10,J18.9,F17.210,M10.9,J44.9,027034Z
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11
Patient is admitted with chest pain and rules in for an anterolateral MI.There is a family history of CAD.
A)I21.3,Z82.49
B)I22.9,Z82.49
C)I21.09,Z82.49
D)I21.11,Z82.49
A)I21.3,Z82.49
B)I22.9,Z82.49
C)I21.09,Z82.49
D)I21.11,Z82.49
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12
Patient with alcoholic cirrhosis of the liver with bleeding esophageal varices.Watch for withdrawal symptoms due to patient's alcohol dependence.
A)I85.11,K70.31,F10.19
B)K70.30,I85.11,F10.20
C)I85.11,K70.30,F10.20
D)K70.30,I85.00,F10.19
A)I85.11,K70.31,F10.19
B)K70.30,I85.11,F10.20
C)I85.11,K70.30,F10.20
D)K70.30,I85.00,F10.19
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13
The patient was admitted with left-sided hemiparesis due to a cerebrovascular accident.The patient has a history of previous CVA with residual facial droop.
A)I63.9,G81.94,I69.392
B)G81.94,I63.9,I69.892
C)I69.354,G81.94
D)163.9,Z86.73,G81.94
A)I63.9,G81.94,I69.392
B)G81.94,I63.9,I69.892
C)I69.354,G81.94
D)163.9,Z86.73,G81.94
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14
The ____ is the middle layer of the heart composed of cardiac muscle.
A)epicardium
B)myocardium
C)endocardium
D)none of the above are correct
A)epicardium
B)myocardium
C)endocardium
D)none of the above are correct
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15
A patient is admitted with facial droop,right-sided hemiparesis,and nystagmus.Testing reveals occlusion of the left carotid artery with cerebral infarct.The patient has uncontrolled hypertension and atrial fibrillation,which is treated with Coumadin.Before discharge,the patient's nystagmus and facial droop have resolved.The patient is discharged to rehab for continued therapy for left-sided hemiparesis.
A)I63.232,G81.90,I10,I48.91,Z79.01
B)I63.232,G81.91,H55.00,R29.810,I10,I48.91,Z79.01
C)G81.90,I63.232,I10,I48.91,Z79.01
D)I65.22,G81.90,H55.00,I10,I48.91,Z79.01
A)I63.232,G81.90,I10,I48.91,Z79.01
B)I63.232,G81.91,H55.00,R29.810,I10,I48.91,Z79.01
C)G81.90,I63.232,I10,I48.91,Z79.01
D)I65.22,G81.90,H55.00,I10,I48.91,Z79.01
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16
All of the following are tests performed to determine whether a myocardial infarction has occurred EXCEPT ____.
A)CPK
B)EKG
C)urinalysis
D)ECG
E)troponin level test
A)CPK
B)EKG
C)urinalysis
D)ECG
E)troponin level test
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17
Patient was admitted with acute on chronic systolic and diastolic congestive heart failure.
A)I50.43
B)I50.23,I50.33
C)I50.43,I50.23,I50.33
D)I50.40,I50.30
A)I50.43
B)I50.23,I50.33
C)I50.43,I50.23,I50.33
D)I50.40,I50.30
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18
A patient is admitted with chest pain and is ruled in for an NSTEMI.The patient has a history of a CABG and PTCA with stent placement.Patient is taking medications for hypertension,CAD,and CHF.
A)I22.2,I25.119,I11.9,150.9,Z95.1,A95.5
B)R07.9,I21.4,I25.10,I10,I50.30,Z95.1,Z95.5
C)I21.4,I11.9,I25.10,786.50,I50.9,Z95.1,Z95.5
D)I21.4,I10,I25.10,I50.9,Z95.1,Z95.5
A)I22.2,I25.119,I11.9,150.9,Z95.1,A95.5
B)R07.9,I21.4,I25.10,I10,I50.30,Z95.1,Z95.5
C)I21.4,I11.9,I25.10,786.50,I50.9,Z95.1,Z95.5
D)I21.4,I10,I25.10,I50.9,Z95.1,Z95.5
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19
Patient comes to the hospital for repair of an abdominal aortic aneurysm.The repair is performed by implantation of synthetic graft in the abdominal aorta via percutaneous approach.
A)I71.3,04U04JZ
B)I71.4,04V04DZ
C)I71.3,04V04DZ
D)I71.4,04U03JZ
A)I71.3,04U04JZ
B)I71.4,04V04DZ
C)I71.3,04V04DZ
D)I71.4,04U03JZ
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20
Patient comes into the ER after fainting at work.The physician determines that the fainting was caused by hypertensive urgency.
A)R55.0,R03.0
B)R55.0
C)I10,R55
D)I10
A)R55.0,R03.0
B)R55.0
C)I10,R55
D)I10
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21
In ICD-10-CM,a subsequent acute MI is an MI that occurs within 28 days of the previous MI.
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22
Atherectomy is the removal of plaque from the vessel.
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23
The two main types of heart failure are systolic and diastolic.
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24
Acute myocardial infarction,commonly referred to as a(n) ____________________,occurs when there is complete blockage of blood flow in a coronary artery.
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25
____________________ is the sudden loss of heart function.
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26
Enlarged twisted veins that usually occur in legs and may require surgical treatment are called ____________________.
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27
The normal heart rate of a healthy adult is between _____ and _____ beats per minute.
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28
Tachycardia is an abnormally high heart rate of more than 100 beats per minute.
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29
Match the following definitions with the correct word.
a.Transient ischemic attack
b.Atherosclerosis
c.Aneurysm
d.Pericarditis
e.Endocarditis
f.Cardiomyopathy
g.Conduction disorder
h.Diagnostic cardiac catheterization
Inflammation of the lining of the heart chambers and valves
a.Transient ischemic attack
b.Atherosclerosis
c.Aneurysm
d.Pericarditis
e.Endocarditis
f.Cardiomyopathy
g.Conduction disorder
h.Diagnostic cardiac catheterization
Inflammation of the lining of the heart chambers and valves
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30
Match the following definitions with the correct word.
a.Transient ischemic attack
b.Atherosclerosis
c.Aneurysm
d.Pericarditis
e.Endocarditis
f.Cardiomyopathy
g.Conduction disorder
h.Diagnostic cardiac catheterization
Inflammation of the covering of the heart
a.Transient ischemic attack
b.Atherosclerosis
c.Aneurysm
d.Pericarditis
e.Endocarditis
f.Cardiomyopathy
g.Conduction disorder
h.Diagnostic cardiac catheterization
Inflammation of the covering of the heart
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31
Match the following definitions with the correct word.
a.Transient ischemic attack
b.Atherosclerosis
c.Aneurysm
d.Pericarditis
e.Endocarditis
f.Cardiomyopathy
g.Conduction disorder
h.Diagnostic cardiac catheterization
A problem in the electrical impulses that regulate heartbeats
a.Transient ischemic attack
b.Atherosclerosis
c.Aneurysm
d.Pericarditis
e.Endocarditis
f.Cardiomyopathy
g.Conduction disorder
h.Diagnostic cardiac catheterization
A problem in the electrical impulses that regulate heartbeats
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32
Deep vein thrombosis (DVT) is a blood clot that forms deep in a vein,usually in the leg or hip.
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33
Insertion of pacemakers most often requires five codes.
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34
Match the following definitions with the correct word.
a.Transient ischemic attack
b.Atherosclerosis
c.Aneurysm
d.Pericarditis
e.Endocarditis
f.Cardiomyopathy
g.Conduction disorder
h.Diagnostic cardiac catheterization
A procedure that may be used on a patient with chest pain,angina,or acute MI to determine the severity of the coronary artery disease
a.Transient ischemic attack
b.Atherosclerosis
c.Aneurysm
d.Pericarditis
e.Endocarditis
f.Cardiomyopathy
g.Conduction disorder
h.Diagnostic cardiac catheterization
A procedure that may be used on a patient with chest pain,angina,or acute MI to determine the severity of the coronary artery disease
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35
MI is the abbreviation for ____________________.
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36
The time limit for assigning the acute MI in ICD-10-CM is 28 days.
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37
AF is the abbreviation for ____________________.
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38
Match the following definitions with the correct word.
a.Transient ischemic attack
b.Atherosclerosis
c.Aneurysm
d.Pericarditis
e.Endocarditis
f.Cardiomyopathy
g.Conduction disorder
h.Diagnostic cardiac catheterization
A stricture or hardening of the artery due to deposits of plaque
a.Transient ischemic attack
b.Atherosclerosis
c.Aneurysm
d.Pericarditis
e.Endocarditis
f.Cardiomyopathy
g.Conduction disorder
h.Diagnostic cardiac catheterization
A stricture or hardening of the artery due to deposits of plaque
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39
In ICD-10-CM,there are fourth character designations to classify hypertension as to whether it is benign,malignant,or unspecified.
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40
Patient has atherosclerosis of the left femoral artery with intermittent claudication and rest pain.An open fempop bypass (left) using synthetic substitute is performed on this patient with a chronic total occlusion.
A)I70.92,I70.222,041L0JJ
B)I70.222,I70.91,041L0JM
C)I70.222,I70.92,041L0JL
D)I70.221,41L0KL
A)I70.92,I70.222,041L0JJ
B)I70.222,I70.91,041L0JM
C)I70.222,I70.92,041L0JL
D)I70.221,41L0KL
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41
Match the following Z codes to their meanings.
a.Z82.3
b.Z94.1
c.Z95.811
d.Z95.9
e.Z76.82
History of heart transplant
a.Z82.3
b.Z94.1
c.Z95.811
d.Z95.9
e.Z76.82
History of heart transplant
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42
Match the following Z codes to their meanings.
a.Z82.3
b.Z94.1
c.Z95.811
d.Z95.9
e.Z76.82
Postprocedural status unspecified cardiac device
a.Z82.3
b.Z94.1
c.Z95.811
d.Z95.9
e.Z76.82
Postprocedural status unspecified cardiac device
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43
Malignant hypertension with congestive failure: __________
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44
Bifascicular block: __________
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45
Match the following definitions with the correct word.
a.Transient ischemic attack
b.Atherosclerosis
c.Aneurysm
d.Pericarditis
e.Endocarditis
f.Cardiomyopathy
g.Conduction disorder
h.Diagnostic cardiac catheterization
A stroke that lasts only a few minutes
a.Transient ischemic attack
b.Atherosclerosis
c.Aneurysm
d.Pericarditis
e.Endocarditis
f.Cardiomyopathy
g.Conduction disorder
h.Diagnostic cardiac catheterization
A stroke that lasts only a few minutes
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46
Match the following definitions with the correct word.
a.Transient ischemic attack
b.Atherosclerosis
c.Aneurysm
d.Pericarditis
e.Endocarditis
f.Cardiomyopathy
g.Conduction disorder
h.Diagnostic cardiac catheterization
Disorder of the muscle of the heart chambers that impedes the functioning of the heart
a.Transient ischemic attack
b.Atherosclerosis
c.Aneurysm
d.Pericarditis
e.Endocarditis
f.Cardiomyopathy
g.Conduction disorder
h.Diagnostic cardiac catheterization
Disorder of the muscle of the heart chambers that impedes the functioning of the heart
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47
Anterolateral myocardial infarct,initial visit: __________
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48
Sick sinus syndrome: __________
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49
Match the following Z codes to their meanings.
a.Z82.3
b.Z94.1
c.Z95.811
d.Z95.9
e.Z76.82
Family history of stroke
a.Z82.3
b.Z94.1
c.Z95.811
d.Z95.9
e.Z76.82
Family history of stroke
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50
Bilateral stenosis of carotid artery: __________
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51
Match the following treatment/medication to the correct condition.
a.Angina
b.Atrial fibrillation
c.Congestive heart failure
d.Hypertension
Blood thinners (Coumadin,Plavix,Ticlid);rate control: calcium channel blockers: Cardizem,verapamil;beta blockers: atenolol,Lopressor,Inderal,digoxin,Lanoxin
a.Angina
b.Atrial fibrillation
c.Congestive heart failure
d.Hypertension
Blood thinners (Coumadin,Plavix,Ticlid);rate control: calcium channel blockers: Cardizem,verapamil;beta blockers: atenolol,Lopressor,Inderal,digoxin,Lanoxin
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52
Match the following Z codes to their meanings.
a.Z82.3
b.Z94.1
c.Z95.811
d.Z95.9
e.Z76.82
Heart assist device
a.Z82.3
b.Z94.1
c.Z95.811
d.Z95.9
e.Z76.82
Heart assist device
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53
Match the following Z codes to their meanings.
a.Z82.3
b.Z94.1
c.Z95.811
d.Z95.9
e.Z76.82
Awaiting organ transplant status
a.Z82.3
b.Z94.1
c.Z95.811
d.Z95.9
e.Z76.82
Awaiting organ transplant status
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54
Match the following definitions with the correct word.
a.Transient ischemic attack
b.Atherosclerosis
c.Aneurysm
d.Pericarditis
e.Endocarditis
f.Cardiomyopathy
g.Conduction disorder
h.Diagnostic cardiac catheterization
Bulging or ballooning out of a vessel
a.Transient ischemic attack
b.Atherosclerosis
c.Aneurysm
d.Pericarditis
e.Endocarditis
f.Cardiomyopathy
g.Conduction disorder
h.Diagnostic cardiac catheterization
Bulging or ballooning out of a vessel
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55
What is the abbreviation for congestive heart failure?
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56
Match the following treatment/medication to the correct condition.
a.Angina
b.Atrial fibrillation
c.Congestive heart failure
d.Hypertension
Diuretics such as Lasix,Bumex,and Zaroxolyn;beta blockers
a.Angina
b.Atrial fibrillation
c.Congestive heart failure
d.Hypertension
Diuretics such as Lasix,Bumex,and Zaroxolyn;beta blockers
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57
What is the function of the heart?
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58
Match the following treatment/medication to the correct condition.
a.Angina
b.Atrial fibrillation
c.Congestive heart failure
d.Hypertension
Nitroglycerin,beta blockers,and calcium channel blockers: Coreg,Lopressor,Norvasc
a.Angina
b.Atrial fibrillation
c.Congestive heart failure
d.Hypertension
Nitroglycerin,beta blockers,and calcium channel blockers: Coreg,Lopressor,Norvasc
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59
What is the function of blood vessels?
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60
Match the following treatment/medication to the correct condition.
a.Angina
b.Atrial fibrillation
c.Congestive heart failure
d.Hypertension
Diuretics: Aldactone;beta blockers: atenolol,Vasotec,Cozaar,Calan,Cardizem,and Aldomet
a.Angina
b.Atrial fibrillation
c.Congestive heart failure
d.Hypertension
Diuretics: Aldactone;beta blockers: atenolol,Vasotec,Cozaar,Calan,Cardizem,and Aldomet
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61
A patient is admitted with three-vessel coronary artery disease for coronary artery bypass.The patient has had a previous stroke and is receiving Coumadin.The patient has a history of aortic porcine valve replacement and also has hyperlipidemia and a strong family history of sudden cardiac death.The patient is taken to the OR for an open three-vessel aorta to coronary artery using greater saphenous vein.The left greater saphenous vein was harvested via percutaneous approach.Cardiopulmonary bypass is performed during the surgery.
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62
Benign renovascular hypertension: __________
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63
Right iliac vein phlebitis: __________
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64
Prinzmetal angina: __________
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65
Inflammed stasis ulcers of the left leg (calf) with fat layer exposed in a patient with varicose veins: __________
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66
A patient is admitted with dyspnea and fluid overload.Chest X-ray reveals bilateral pleural effusion,right greater than left,and pulmonary congestion with possible congestive heart failure.BNP is elevated,confirming congestive heart failure.Echo shows a mild pulmonary hypertension and aortic valve stenosis.The patient is receiving medication for atrial fibrillation and has a history of alcoholic cardiomyopathy and alcohol dependence.Discharge Diagnoses: Congestive heart failure.Pulmonary hypertension.Aortic valve stenosis.Atrial fibrillation.
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