Patient was involved in an auto accident. He was the driver of a car that hit a pothole and he lost control of the car and hit a tree. The airbags deployed. He arrives at the ED on a backboard and has a cervical collar around his neck. He is complaining of neck pain with radiation down the right arm. His past medical history is significant for HTN, GERD, glaucoma, and right knee replacement. His blood pressure was slightly elevated on arrival at the ED and was closely monitored. Based on his physical symptoms, he had a CT of the head and neck, which were negative for bony injury. The physician decided to seek an ophthalmic consult because he wanted to make sure there was not any injury to eyes. Aside from the preexisting glaucoma, the eyes appeared to be uninjured. He was place in a neck brace, sent home with some muscle relaxants, and told to follow up with his PCP.
Diagnoses: Whiplash injury, cervical spine; HTN, GERD, glaucoma
First-listed/principal diagnosis: ________
Secondary diagnoses: ________
Procedures: ________
What will be an ideal response?
Question 2
When assigning a PCS code, the coder may select more than one value from some of the columns.
Indicate whether this statement is true or false.
Nurses possess a wide variety of experiences which they take into each patient encounter.
Nurse-patient interaction; nonverbal communication
Patient teaching: hair and scalp assessment
Patient teaching: neck assessment
A patient’s cognitive ability depends on his or her psychologic status, which is influenced by ...