This topic contains a solution. Click here to go to the answer

Author Question: Sylvia is 36, and complains of a somewhat sudden loss of hearing over the past several weeks. She ... (Read 72 times)

rmenurse

  • Hero Member
  • *****
  • Posts: 513
Sylvia is 36, and complains of a somewhat sudden loss of hearing over the past several weeks. She states that there is the sensation of fullness in her right ear, and that she has had episodes of vertigo. He also states she hears ringing and hissing, and at times, a roaring noise. Careful examination of both ears shows no evidence of otitis media or other issues. An MRI scan shows no reason for the hearing loss. She is eventually diagnosed with autoimmune inner ear disease and is started on prednisone. Depending on her response to the prednisone, she may be switched to methotrexate. She schedules a follow-up appointment in two weeks.
 
  Sylvia is 36, and complains of a somewhat sudden loss of hearing over the past several weeks. She states that there is the sensation of fullness in her right ear, and that she has had episodes of vertigo. He also states she hears ringing and hissing, and at times, a roaring noise. Careful examination of both ears shows no evidence of otitis media or other issues. An MRI scan shows no reason for the hearing loss. She is eventually diagnosed with autoimmune inner ear disease and is started on prednisone. Depending on her response to the prednisone, she may be switched to methotrexate. She schedules a follow-up appointment in two weeks.
 
   Dx: Autoimmune inner ear disease
   First-listed diagnosis: ________
  Fill in the blank with correct word.

Question 2

Gregory is a 17-year-old male who is having problems with his hearing. He has some mild tinnitus, but also states that he thinks his ability to hear has lessened over the past five or so months. He also says, that while it sounds crazy, I'd swear I hear better in noisy environments as opposed to quiet ones. After thorough examination and a temporal CT scan, Gregory is diagnosed with otosclerosis. His physician discusses various treatment options available to Gregory. He could take a wait and see approach, but doing nothing will really only lead to progressive hearing loss. Since the stapes bone is affected by this condition, he could opt to have the stapes replace through a stapedectomy or statpedotomy. Gregory wants to talk with his parents before proceeding with any treatment and will return with his parents in two days.
 
  Dx: Bilateral otosclerosis
 
   First-isted diagnosis: ________
   Secondary diagnoses: ________
  Fill in the blank with correct word.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

Jody Vaughn

  • Sr. Member
  • ****
  • Posts: 344
Answer to Question 1

Answer: Autoimmune inner ear disease  coded to unspecified disease of right inner ear - H83.91

Answer to Question 2

First-isted diagnosis: ________
Answer: Bilateral otosclerosis  H80.93

Secondary diagnoses: ________
Answer: None




rmenurse

  • Member
  • Posts: 513
Reply 2 on: Jun 27, 2018
Gracias!


bulacsom

  • Member
  • Posts: 329
Reply 3 on: Yesterday
Excellent

 

Did you know?

It is widely believed that giving a daily oral dose of aspirin to heart attack patients improves their chances of survival because the aspirin blocks the formation of new blood clots.

Did you know?

The tallest man ever known was Robert Wadlow, an American, who reached the height of 8 feet 11 inches. He died at age 26 years from an infection caused by the immense weight of his body (491 pounds) and the stress on his leg bones and muscles.

Did you know?

Certain topical medications such as clotrimazole and betamethasone are not approved for use in children younger than 12 years of age. They must be used very cautiously, as directed by a doctor, to treat any child. Children have a much greater response to topical steroid medications.

Did you know?

Studies show that systolic blood pressure can be significantly lowered by taking statins. In fact, the higher the patient's baseline blood pressure, the greater the effect of statins on his or her blood pressure.

Did you know?

GI conditions that will keep you out of the U.S. armed services include ulcers, varices, fistulas, esophagitis, gastritis, congenital abnormalities, inflammatory bowel disease, enteritis, colitis, proctitis, duodenal diverticula, malabsorption syndromes, hepatitis, cirrhosis, cysts, abscesses, pancreatitis, polyps, certain hemorrhoids, splenomegaly, hernias, recent abdominal surgery, GI bypass or stomach stapling, and artificial GI openings.

For a complete list of videos, visit our video library