Question

The patient is a 70-year-old female who was a former office employee of her primary care...

The patient is a 70-year-old female who was a former office employee of her primary care physician. She had called the doctor's office three days prior to admission complaining of general weakness and nausea, and, according to her niece who checked in on her every few days, was apparently not able to get around her house very well. The physician advised her to come to the office, and she agreed but did not show up. The patient had often been noncompliant with medications and treatments recommended. When the doctor's office called her after she failed to show, she said she did not feel well enough to drive but her niece would drive her to the doctor's office the next day. The patient did not show up the next day either. On the third day, the doctor's office called her again. When she sounded less responsive on the telephone, one of the doctor's office staff nurses was given permission to go to the house to check on the patient. When the nurse got to the home, she found the front door unlocked and the patient in bed very lethargic, feverish, and not responding clearly to questions. An ambulance was called, and the patient was brought to the Emergency Department and admit­ ted as an inpatient. The patient was known to have type 1 diabetes with several body systems affected. She was also known to have alcohol dependence, consuming a pint of vodka on a daily basis. Initial laboratory work showed a glucose level of 245, urinalysis with 3+ bacteria and greater than 150 white cells with 10-20 RBCs, a positive blood alcohol level indicating acute intoxication, and ketoacidosis. A urine culture grew E. coli bacteria. She was started on IV antibiotics. She improved steadily and described herself as feeling the best she had felt in a long time. She was watched closely for signs of alcohol withdrawal, but nothing obvious was noted. During her hospital stay, the following conditions were treated: diabetes mellitus, type 1, with ketoacidosis with coma; diabetes mellitus with worsening nephropathy; diabetic severe nonproliferative retinopathy and macular edema; E. coli urinary tract infection; history of UTIs; alcohol dependence; and noncompliance with medical care. The attending physician was queried and documented that the diabetic ketoacidosis best met the definition of principal diagnosis. A social work consultation was requested, and the patient and her niece were given information about assisted living centers to help the patient live safely with some medical supervision. However, the patient flatly refused to consider the option and was discharged home with home health services requested for medical management. Code the following conditions in the scenario that were treated during her hospital stay. Hint: there are 7 medical codes.

Homework Answers

Know the answer?
Your Answer:

Post as a guest

Your Name:

What's your source?

Earn Coins

Coins can be redeemed for fabulous gifts.

Not the answer you're looking for?
Ask your own homework help question
Similar Questions
The patient is a 70-year-old female who was a former office employee of her primary care...
The patient is a 70-year-old female who was a former office employee of her primary care physician. She had called the doctor's office three days prior to admission complaining of general weakness and nausea, and, according to her niece who checked in on her every few days, was apparently not able to get around her house very well. The physician advised her to come to the office, and she agreed but did not show up. The patient had often been...
This 87 year old established patient is seen in the office by her primary care physician...
This 87 year old established patient is seen in the office by her primary care physician for congestive heart failure and hypertension. The doctor performs a detailed history and exam with medical decision making of moderate complexity. She also asked to discuss and document the wishes of further medical treatment if, at a future time, she lacks the capacity to make those decisions. Her daughter is present as Power of Attorney and a Living Will was established. 35 minutes is...
1. Mrs. Elle, 80 years of age, is a female patient who is diagnosed with end-stage...
1. Mrs. Elle, 80 years of age, is a female patient who is diagnosed with end-stage cancer of the small intestine. She is currently receiving comfort measures only in hospice. She has gangrene of her right foot and has a history of diabetes controlled with oral agents. She is confused and the physician has determined that she is unable to make her own informed decisions. The hospice nurse, not realizing that the weekly order for CBC and renal profile had...
Silvia Gonzales, a 51-year-old female, is at the office for a 3-month return check for her...
Silvia Gonzales, a 51-year-old female, is at the office for a 3-month return check for her newly diagnosed Type 2 diabetes. She states that she has taken the medication she received for her “sugar” and she knows the doctor wants to a do a special “sugar test” this time. Her medication list includes Januvia® 100 mg daily. The physician has ordered a fasting blood sugar (FBS) and a hemoglobin A1C blood test. You will need to perform both of these...
Malpractice Case Study At 8:00am, a teenage patient arrives at her nephrologist’s office to receive her...
Malpractice Case Study At 8:00am, a teenage patient arrives at her nephrologist’s office to receive her daughters scheduled dialysis. A few minutes into her dialysis treatment, the patient begins to bleed at her catheter site. The patient is sent to the ER at hospital. Upon arrival, the ER physicians collaborate with the patient’s nephrologist to discuss and implement plan of care. The plan of care included a CBC and a CMP. At 10:30 AM, the ER physicians sutures the catheter...
A 22-year old white female presents in her physician’s office with genital itching and sharp, severe...
A 22-year old white female presents in her physician’s office with genital itching and sharp, severe pain on the labia. She complains of three previous episodes of pain over the past 6 months, each of which were followed by the appearance of red sores which crusted and healed without a scar. On examination the physician observes a cluster of small red blisters localized in the area of the worst pain. No significant discharge was observed from the vagina. The patient’s...
A healthy 62-year-old female patient comes into your primary care clinic with complaints of diplopia and...
A healthy 62-year-old female patient comes into your primary care clinic with complaints of diplopia and ptosis that has been worsening over the last few months. She states she has had slightly blurry vision and halo around objects. She has noticed her chewing and swallowing has become more difficult recently and she seems to choke on her food more frequently. what would be 3 different diagnoses ? thank you! Patient has no previous medical history. She takes a multi-vitamin and...
Description: Sylvia Gonzales, a 51-year-old female, is at the office for a 3-month return check for...
Description: Sylvia Gonzales, a 51-year-old female, is at the office for a 3-month return check for her newly diagnosed Type 2 diabetes. She states that she has taken the medication she received for her “sugar” and she knows the doctor wants to a do a special “sugar test” this time. Her medication list includes Januvia® 100 mg daily. The physician has ordered a fasting blood sugar (FBS) and a hemoglobin A1C blood test. You will need to perform both of...
A 75-year-old patient at a licensed healthcare provider care center suffered from diabetes, dementia, coronary artery...
A 75-year-old patient at a licensed healthcare provider care center suffered from diabetes, dementia, coronary artery disease, immobile decubitus ulcers (bedsores), and was unable to walk, talk, or feed herself. Her physician prescribed a daily whirlpool bath as a medical treatment for the decubitus ulcers. The facility did not have a whirlpool so she was given a regular daily bath. A certified nursing assistant prepared a bath for the patient and placed her in hot water that was 138 degrees...
Mike is a 69 year old man who presents to the outpatient office with a cough...
Mike is a 69 year old man who presents to the outpatient office with a cough past medial history of hypertension and diabetes mellitus. his cough is productive bring up green phlegm runny nose, sore throat denies fever sore throat pain when swallowing. he has no story of smoking or seasonal allergies. on physical examination , temperature is 98/*f pulse 72 respiration 14 and blood pressure 134/64. lungs ; rhonchi present to bilateral upper lobes sat 98*/. ears TM bulging...
ADVERTISEMENT
Need Online Homework Help?

Get Answers For Free
Most questions answered within 1 hours.

Ask a Question
ADVERTISEMENT
Active Questions
  • A) i) The voltage across a Zener diode is not constant. How do you characterize the...
    asked 18 minutes ago
  • Aumented Matrix using elimination method for solving a system of linear equations. Apply row operations to...
    asked 30 minutes ago
  • The past twenty years have seen advancements in technology that were critical to further understanding concepts...
    asked 39 minutes ago
  • What is the SPOT position of a wheat user/consumer like Pillsbury? What is the appropriate forward/futures...
    asked 47 minutes ago
  • Summative evaluations frequently include __________________ A) Time to mastery. B) Cost of program development. C) Functionality...
    asked 54 minutes ago
  • Child abuse occurs in that type of family environments? A) step families B) low income families...
    asked 1 hour ago
  • A disk with a c value of 1/2, a mass of 4 kg, and radius of...
    asked 1 hour ago
  • 1. Modern couples in the United States are having fewer children. a. True b. False 2.According...
    asked 1 hour ago
  • Assume the following information regarding U.S. and European annualized interest rates: Currency                          &n
    asked 2 hours ago
  • What is the basis of reliability for the following: 1)Dying declaration 2) business records 3)excited utterness...
    asked 2 hours ago
  • P6-9 (L02,4) (Analysis of Business Problems) James Kirk is a financial executive with McDowell Enterprises. Although...
    asked 2 hours ago
  • Written story about someone who engages in primary deviance and then becomes a secondary deviant. Make...
    asked 2 hours ago