65 year-old was admitted in the hospital two days ago and is being examined today by his
primary care physician, who has been seeing him since he has been admitted. Primary care
physician is checking for any improvemen
...
65 year-old was admitted in the hospital two days ago and is being examined today by his
primary care physician, who has been seeing him since he has been admitted. Primary care
physician is checking for any improvements or if the condition is worsening.
CHIEF COMPLAINT: CHF
INTERVAL HISTORY: CHF symptoms worsened since yesterday.
Now has some resting dyspnea. HTN remains poorly controlled with systolic pressure running in
the 160s. Also, I'm concerned about his CKD, which has worsened, most likely due to
cardio-renal syndrome.
REVIEW OF SYSTEMS: Positive for orthopnea and one episode of PND. Negative for flank
pain, obstructive symptoms or documented exposure to nephrotoxins.
PHYSICAL EXAMINATION:
GENERAL: Mild respiratory distress at rest
VITAL SIGNS: BP 168/84, HR 58, temperature 98.1.
LUNGS: Worsening bibasilar crackles
CARDIOVASCULAR: RRR, no MRGs.
EXTREMITIES: Show worsening lower extremity edema.
LABS: BU - ANSA 1 year post-thyroidectomy patient who had thyroid cancer is coming in for area imaging of the
neck and chest to evaluate for metastases. What CPT® code(s) is/are reported for the nuclear
medicine exam?
a. 78013
b. 78015, 78020
c. 78014
d. 78015 - ANSA 16 year-old female was hit by a car while crossing a two-lane highway. She was taken to the
hospital by ambulance. She was found to have an open wound of the left lower thigh, just above
the knee and a displaced fracture of the left femoral neck. She was taken to the operating room
within four hours of her injury. She was given general endotracheal anesthesia and was prepped
and draped in sterile fashion. Debridement including excision of devitalized skin and muscle
was performed on the lateral thigh. The area was approximately 15 sq cm. After debridement
and thorough copious irrigation, the wound was closed with layer sutures and a dressing was
applied and then covered with adhesiv
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