Patient is a nine-year-old girl who was diagnosed with Evans ...

[shofmannx20]

Patient is a nine-year-old girl who was diagnosed with Evans syndrome two years ago. She has been in remission with a regimen of IV immunoglobin, but now presents with fatigue, weakness, and SOB. She has also been bruising very easily more so than usual. Blood work shows low platelets and a decrease in RBCs. Evans syndrome is notorious for cycles of exacerbation and remission. I fear she is now out of remission. The course of treatment will be changed, and we will initiate a regimen of immunosuppressant drugs, most likely vincristine.
 
  Dx. Evans syndrome
 
   First-listed diagnosis: ________
  Fill in the blank with correct word.

Question 2

Glenn is a 60-year-old white male who has CKD. He recently entered stage 3; his GFR is 58. Glenn was seen by his physician and was complaining of weakness, fatigue, difficulty concentrating, and occasional dizziness, especially upon standing. His physician ran a CBC and found that Glenn was extremely anemic. In addition to the CKD and anemia, Glenn has type 1 diabeteswhich is the cause of his CKD. After discussing the anemia with Glenn, and the various treatment options available to him, Glenn and his physician decided to start him on ProCrit once a month. If the anemia does not improve, the dosage will be increased. Glenn was instructed to have a CBC in one month, and then return to the office several days after that.
 
  Dx: Anemia due to CKD
 
   First-listed diagnosis: ________
   Secondary diagnoses: ________
  Fill in the blank with correct word.

[mistyjohnson]

Answer to Question 1

Answer: Evans syndrome  D69.41

Answer to Question 2

First-listed diagnosis: ________
Answer: Type 1 diabetes with diabetic chronic kidney disease  E10.22

Secondary diagnoses: ________
Answer: CKD, stage 3  N18.3; anemia due to CKD  D63.1

[shofmannx20]

TYSM

[bulacsom]

Excellent