Patient is 10 years old and suffers from cystic fibrosis. Due to the worsening of the cystic fibrosis, the patient was started on large doses of prednisolone to help manage his symptoms. The patient presented to his pulmonologist's office where both he and his mother complained of polydipsia and polyuria. He has also been very tiredabove and beyond the usual tiredness associated with his cystic fibrosis. Based on the patient's symptoms, the doctor checked his blood sugars using a glucometer. The results were a staggeringly high 495. The physician diagnoses the patient with steroid-induced diabetes mellitus. She decided to admit the patient to the hospital to get his blood sugars under rapid control. She also ordered an endocrinology consult.
Dx: Steroid-induced diabetes mellitus; cystic fibrois
What will be an ideal response?
Question 2
Patient presents with complaints of abdominal pain, muscle cramps, and tingling in fingers, toes, and lips. Physical exam showed brittle ails, and dry scaly skin. Lab test showed hypomagnesemia, hypocalcemia, and increased phosphorus levels. The parathyroid hormone level was also below normal. Based on the patient's symptoms and the abnormal lab work, the physician diagnosed the patient with parathyroid tetany. He prescribed calcium carbonate and vitamin D. He also told the patient to stay away from carbonated beverages and to eat a diet rich in calcium.
Fill in the blank with correct ICD-10 code.
Dx: Parathyroid tetany
Patient with typical rheumatoid arthritis contractures.
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Cystic fibrosis is caused by a mutation in a protein called CFTR