Author Question: Tracy is a 30-year-old woman who was brought to the emergency department by her boyfriend. The ... (Read 64 times)

sdfghj · **on:** Jun 27, 2018

Tracy is a 30-year-old woman who was brought to the emergency department by her boyfriend. The boyfriend stated they had gone to the local coffee shop and Tracy ordered a cappuccino. She did not think to test the temperature of the cappuccino by first taking a sip. Instead, she took a big gulp of the drink and immediately knew it was excessively hot. She did not think to spit the liquid out and swallowed it instead. Physical exam showed thermal burns inside the mouth and endoscopy showed burns in the esophagus.

Dx: Burns to mouth and esophagus from hot cappuccino.

First-listed diagnosis: ________
Secondary diagnoses: ________
Fill in the blank with correct word.

Question 2

Patient was out hiking in the forest with her dog when she accidentally tripped over a rock. When she stood up, she seemed okay, according to her and decided to return to her car. By the time she got to her vehicle, she noted pain and swelling in her left knee. At that point, she had difficulty bending the knee and decided to drive herself to the ED for treatment. Exam showed she had sprained her lateral collateral ligament. She was put in a knee immobilizer and told to follow RICErest, ice, compression, and elevation. She was also advised to contact her PCP tomorrow. The patient declined a prescription for pain medication.

Dx: Sprained knee

First-listed diagnosis: ________
Secondary diagnoses: ________
Fill in the blank with correct word.

annierak · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

First-listed diagnosis: ________
Answer: Can be either burn to mouth or esophagus thermal burn to mouth T28.0XXA OR thermal burn to esophagus T28.1XXA

Secondary diagnoses: ________
Answer: Thermal burn to mouth T28.0XXA or thermal burn to esophagus T28.1XXA; contact with hot drinks X10.0XXA; place of occurrence coffee shop (restaurant/caf) Y92.511

Answer to Question 2

First-listed diagnosis: ________
Answer: Sprained lateral collateral ligament left knee S83.422A

Secondary diagnoses: ________
Answer: Tripping over a rock with fall W18.09XA; place of occurrence forest Y92.821; activity hiking Y93.01