Sylvia is 36, and complains of a somewhat sudden loss of hearing ...

[rmenurse]

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.

[Jody Vaughn]

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]

Gracias!

[helenmarkerine]

TYSM