Ann is a 60-year-old woman with significant hypertensive heart ...

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Ann is a 60-year-old woman with significant hypertensive heart disease who was admitted to the hospital for an arthroplasty on her right wrist. Given her heart disease, the patient underwent cardiac clearance prior to admission, and was cleared for surgery. The patient also has a history of breast cancer. She had a double mastectomy nine years ago and after treatment, has had no recurrence of the disease.
 
  The patient was seen in my office two weeks ago, complaining of pain in the right wrist. She denied any injury to the wrist. After running a series of tests, x-rays, and bone scintigraphy, she was diagnosed with idiopathic avascular necrosis of the carpal bone.
 
   First-listed diagnosis/principal diagnosis: ________
   Secondary diagnoses: ________
  Fill in the blank with correct word.

Question 2

Patient is a 57-year-old female who is being seen because of neck pain. She also complains of numbness and tingling in the fingers and hand. X-ray of the spine shows mild stenosis in the cervical region and narrowing of the disc spaces. The patient has a history of osteopenia and hypertension. Her physician is keeping a careful watch on the osteopenia and recently prescribed a beta blocker for the HTN. When measured during the current visit, the patient's blood pressure was very well controlled. The patient was told to continue with the current beta blocker regimen. The physician decided to treat the neck pain conservatively with ice and heat, exercises, and NSAIDs.
 
  Dx: Hypertension, cervical disc disease
   First-listed diagnosis: ________
   Secondary diagnoses: ________
  Fill in the blank with correct word.

[alvinum]

Answer to Question 1

First-listed diagnosis/principal diagnosis: ________
Answer: Idiopathic avascular/aseptic necrosis, right carpal bone  M87.037

Secondary diagnoses: ________
Answer: Hypertensive heart disease  I11.9; personal history of breast cancer  Z85.3; absence (acquired) both breasts  Z90.13

Answer to Question 2

First-listed diagnosis: ________
Answer: Cervical disc disease  cervical disc disorder, unspecified cervical region  M50.90

Secondary diagnoses: ________
Answer: Hypertension  I10

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Wow, this really help

[olderstudent]

TYSM