Patient is a 9-year-old boy who was bitten by a dog. The boy was ...

[genevieve1028]

Patient is a 9-year-old boy who was bitten by a dog. The boy was in the park playing with friends when he was bitten. He was brought to the ED by his parents. Physical exam showed a rather nasty bite on his left thigh. The wound was cleaned thoroughly, and after careful examination, it was determined several of the teeth marks were large enough to require a few sutures, which was quickly accomplished. He was given a tetanus shot and a prescription for prophylactic antibiotics. A report was filed with the police department. The animal was already in the custody of animal control. The dog's owner produced proof of rabies vaccination, but the dog will be held until verification of the vaccination can be completed. The child was sent home in good condition. His parents were instructed on the signs and symptoms of infection, and they were asked to follow up with the child's pediatrician within three days.
 
  Dx. Dog bite
 
   First-listed diagnosis: ________
   Secondary diagnoses: ________
  Fill in the blank with correct word.

Question 2

Patient was playing softball. He is the captain of his company's softball team. He had just hit a line drive and was attempting to make it to second base when he collided with the second baseman and fell. When he tried to stand back up, he felt intense pain in the lower right leg and had to be carried off the field. He was brought to the urgent care center for diagnosis and treatment. X-rays revealed a comminuted fracture of the shaft of the right fibula. Patient requested an orthopedic consult, which the urgent care was unable to provide. He was transferred to the local hospital emergency department where he will be met by the orthopedist.
 
  Dx. Fractured fibula
 
   First-listed diagnosis: ________
   Secondary Diagnoses  ________
  Fill in the blank with correct word.

[scottmt]

Answer to Question 1

First-listed diagnosis: ________
Answer: Open bite, left thigh  S71.152A

Secondary diagnoses: ________
Answer: Bitten by a dog  W54.0XXA; Place of occurrence  public park  Y92.830

Answer to Question 2

First-listed diagnosis: ________
Answer: Comminuted fracture, shaft of right fibula  S82.451A

Secondary Diagnoses  ________
Answer: Collision with another person, with fall  W03.XXXA; place of occurrence  baseball field  Y92.320; activity  playing baseball  Y93.64