Question

​​​​​​CODE AND SEQUENCE THE FOLLOWING:

1. Hyperthyroidism with exophthalmos
2. Rickets due to vitamin D deficiency     
3. Pickwickian syndrome with morbid obesity (adult) BMI is 45.     
4. Hashimoto’s disease
5. Gangrene toe due to diabetes type I    
6. Secondary hyperparathyroidism    
7. Multinodular goiter.  
8. Family history of Graves Disease.    
9. Metabolic acidosis    
10. Addison’s Disease and dehydration

Answer 1

1) Hyperthyroidism with exophthalmos

ICD 10 CODE - H05.20 / E05.00

Hyperthyroidism occur when your thyroid releases too many of these hormones. An autoimmune disorder called Graves disease is most common cause of hyperthyroidism and bulging of eyes. In this condition, tissue around your eye become inflamed. This creates bulging effect / exophthalmos.

2. Rickets due to vit D deficiency

Code : E55.0 ( rickets) , E55.9 (vit D deficiency)

Rickets is softening and weakening of bones in children , usually because of an extreme and prolonged vit D deficiency.

3. Pickwickian syndrome with morbid obesity ( adult)

Code : E66.2

It is obesity hypoventilation syndrome and is deficiency as the presence of awake alveolar hypoventilation charecterised by daytime hypercapnia ( arterial Pco2 morethan 45 mmHg ) that is thought to be a sequence of diminished ventilatory drive and capacity related to obesity.

4. Hashimotos disease

Code : E06.3

Hashimotos disease is an autoimmune disorder that can cause hypothyroidism or under active thyroid. With this disease , your immune system attack your thyroid . The thyroid become damaged and can't make enough thyroid hormone.

5. Gangrene toe due to Diabetes

Code: E11.52

Dry gangrene is the type of gangrene that can occur as a complication of a pre-existing health condition , including type l and ll diabetes. As a result of damage to the body due to prolonged hyperglycemia, it's possible for blood circulation to be cut off.

6. Hyperparathyroidism

Code : E21.1

Hyperparathyroidism is excessive secretion of parathyroid hormone by parathyroid glands in response to hypocalcemia , with resultant hypoplasia of these glands. This disorder primarily seen in patient with chronic kidney failure.

7. Multi nodular goiter

Code: E04.2

Multinodular goiter is a goiter where there as many lumps that appears with in the gland . This probably the most common thyroid gland disorder.

8. Family history of Graves disease

Code : Z83.49

Family history of Graves disease is a known risk factor , there is likely a gene or genes that can make a person more susceptible to the disorder.

9. Metabolic acidosis

Code : E87.2

Metabolic acidosis develop when too much acid produced in the body.

10. Addison's diseases

Code: E27.1

A disorder in which the adrenal glands does not produce enough hormones.

11. Dehydration

Code : E86.0

A dangerous loss of body fluid caused by illness , sweating or inadequate intake.

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