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HISTORY OF PRESENT ILLNESS
The patient is a 20-year-old female. On the day of admission, she appeared in the emergency department complaining of shortness of breath, chills and fever.

PHYSICAL EXAMINATION
Blood pressure: 94/50. Pulse: 160. Respirations: 52 and labored with bilateral rhonchi. Temperature: 100.8 ºF. Numerous petechiae on the lower extremity were noted. Jugular venous distention was noted. The GI exam showed a tender liver.

DATABASE
EKG showed a right axis deviation and sinus tachycardia. The chest x-ray showed multiple pulmonary opacities with a right upper lobe cavitation. Platelets 9000, hemoglobin 9.1, hematocrit was 27.9, WBCs 10,000.

IMPRESSION
Due to progressive respiratory failure, the patient was intubated prior to admission. The patient was diagnosed with acute renal failure and was placed in the ICU. The patient also has bacterial endocarditis due to a staphylococcal infection and was started on triple antibiotics.
ICD-10-CM:
ICD-10-CM:
ICD-10-CM:
ICD-10-CM:

Respuesta :

lheduardomarques

The codes assigned to this patient were:

  • ICD 10 R50. 9 Unspecified fever
  • ICD 10 S15.2 Injury to the external jugular vein
  • ICD 10 - I49.5, Sinus node syndrome.
  • ICD10 - R91 - Abnormal Findings of Diagnostic Imaging Tests of the Lung.
  • ICD10 -N17 Acute renal failure
  • ICD 10 - I33 Acute and subacute endocarditis
  • ICD 10 - I33.0 Acute and subacute infective endocarditis

What does the ICD mean?

The International Classification of Diseases and Related Health Problems, better known as the ICD, is one of the main epidemiological tools in everyday medical practice. The main function of the ICD is to monitor the incidence and prevalence of diseases, through universal standardization.

With this information, we can conclude that ICD-10 is the 10th revision of the International Statistical Classification of Diseases and Related Health Problems

Learn more about ICD-10 in brainly.com/question/27932590

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