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

Author Question: Seth is a 33-year-old man who presents to the ED with complaints of headache, high fever, chills, ... (Read 126 times)

fox

  • Hero Member
  • *****
  • Posts: 540
Seth is a 33-year-old man who presents to the ED with complaints of headache, high fever, chills, muscle pain, cough, hemoptysis, chest pain, and nausea and vomiting. He just returned from a weeklong cruise. CXR shows infiltrates. Legionella urinary antigen test was positive. The patient is being admitted for IV antibiotics and will be carefully monitored.
 
  Dx. Legionnaire's disease
 
   First-listed diagnosis: ________
  Fill in the blank with correct word.

Question 2

Patient is a 46-year-old man who presents with the following symptoms: dark urine, jaundiced skin and eyes, swollen belly, fatigue, weight loss. He also reports a fever over the past several days. The patient has a past medical history of hypertension and after some questioning; he reveals he is an IV meth user. He also acknowledged that he tested positive for hepatitis B several weeks ago but declined treatment. He hid his disease from his family, even to the point of wearing sunglasses constantly so they would not notice that his eyes were jaundiced. He admits to still injecting meth.
 
  Physical exam shows his liver is enlarged and almost hard to the touch. Ultrasound of the abdomen show a markedly cirrhotic liver. Blood work shows elevated liver enzymes. While assessing the patient, he started bleeding from his rectum. The plan was to admit the patient, but once the rectal bleeding started, he started bleeding out from every orifice, including his eyes and mouth. He went into cardiac arrest and could not be resuscitated.
 
   Dx. Cirrhosis of the liver, acute hepatitis B; IV drug abuse, cardiac arrest
 
   First-listed 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

Ptupou85

  • Sr. Member
  • ****
  • Posts: 334
Answer to Question 1

First-listed diagnosis: ________
Answer: Legionnaire's disease  A48.1

Answer to Question 2

First-listed diagnosis: ________
Answer: Cirrhosis of the liver  K74.60

Secondary diagnoses: ________
Answer: Acute hepatitis B  B16.9; methamphetamine abuse  F15.10; cardiac arrest  I46.8





 

Did you know?

Approximately 15–25% of recognized pregnancies end in miscarriage. However, many miscarriages often occur before a woman even knows she is pregnant.

Did you know?

More than 150,000 Americans killed by cardiovascular disease are younger than the age of 65 years.

Did you know?

Despite claims by manufacturers, the supplement known as Ginkgo biloba was shown in a study of more than 3,000 participants to be ineffective in reducing development of dementia and Alzheimer’s disease in older people.

Did you know?

Alzheimer's disease affects only about 10% of people older than 65 years of age. Most forms of decreased mental function and dementia are caused by disuse (letting the mind get lazy).

Did you know?

The average human gut is home to perhaps 500 to 1,000 different species of bacteria.

For a complete list of videos, visit our video library