A patient was admitted to the hospital following an automobile accident in which he suffered five closed fractured ribs on the right, which resulted in a right lung laceration. During hospitalization, the patient complained of chest pain. EKG was normal. The patient also complained of severe headaches. CT scan of the brain was negative. A chest tube was inserted for drainage, and the next day a thoracotomy was performed to close the lung laceration. The principal diagnosis code is __________.
a. R07.89
b. R51
c. S22.41xA
d. S27.331A
Question 2
A patient was admitted to the hospital in severe respiratory distress with an admitting diagnosis of rule out carcinoma of the lung.. The patient has had a long history of chronic obstructive bronchitis. After work-up and treatment, the patient was discharged. The attending physician documented the following diagnoses on the face sheet: chronic obstructive bronchitis and acute bronchitis due to pneumococcus, essential hypertension, arteriosclerotic heart disease. The following procedures were documented on the face sheet: bronchoscopy with biopsy. The principal diagnosis code is __________.
a. B95.3
b. C34.90
c. J44.0
d. I10
Measuring Patient Height
Example of problem focused patient
Patient teaching: hair and scalp assessment
Health care - patient-centered
Helping maintain accurate patient records is a critical part of the medical assistant's work.
National Patient Safety Goals for Acute-Care Hospitals