40 Questions
What is the correct ICD-10-CM code for chronic post-procedural pain following a thoracotomy and pacemaker insertion?
G89.12
What is the correct ICD-10-CM code for a right detached retina with a single retinal break?
H33.0
What is the most likely cause of the patient's vision loss in the right eye?
Retinal detachment
What is the appropriate next step in the management of the patient with a right detached retina?
Perform laser surgery to reattach the retina
What is the most likely cause of the patient's chronic post-procedural pain following the thoracotomy and pacemaker insertion?
Nerve damage
What is the appropriate treatment for the patient's chronic post-procedural pain?
Physical therapy and nerve blocks
What is the most likely mechanism of injury for the patient's right detached retina?
Blunt trauma to the eye
What is the purpose of the two-way radio communication between the medics and the ED physician?
To allow the ED physician to give the medics treatment orders
What is the main diagnosis for the patient's condition?
Phantom limb syndrome
What is the correct ICD-10-CM code for the patient's condition?
G54.6, Z89.512
What is the patient's behavior when experiencing pain?
Yelling loudly until a nurse arrives
What was the reason for the psychologist's assessment of the patient?
The patient was experiencing hallucinations
What was the result of the psychologist's assessment?
The patient was found to have no prior history of psychosis
What was the patient's recent medical history?
The patient had undergone a below knee amputation
What is the significance of the physician's documentation in this case?
It is crucial, as it determines the appropriate ICD-10-CM code
What is the significance of the patient's below knee amputation in this case?
It is a necessary component of the patient's diagnosis
What type of closure was performed on the 7.5-cm abdominal wound?
Simple closure
Which wound required a complex repair?
Right arm (7.6 cm)
How was the scalp wound of 8.0 cm treated?
Stapled
Which of the following sites had the largest laceration?
Trunk
What type of closure was applied to the left arm's wound?
Intermediate closure
Which part of the body received layered sutures?
Trunk
Which site was not sutured but stapled?
Right arm
Which wound required multiple procedures for complete repair?
Trunk (13.0 cm)
What type of injury did Michael sustain?
Penetrating injury
Where did the incident occur?
At a bar
How was Michael transported to the emergency department?
By ambulance
What procedure did the emergency department physician perform?
Thoracotomy
What did the physician find during the thoracotomy exploration?
No injuries to vital organs or arteries
What structures did the physician repair after the exploration?
Chest muscles, fascia, subcutaneous, and dermis
What was the physician's primary concern regarding the location of the penetrating wound?
Potential injury to vital organs and arteries
What type of repair did the physician perform after the exploration?
Layered repair
What is the correct procedure code for the encounter described in the text?
90947
Why were the codes 90937, 90945, and 99233x2 eliminated for the encounter?
They are bundled E/M services and should not be separately reported.
What led to the patient's dialysis treatments being decreased to once per day?
The patient's confinement.
What symptom did the 25-year-old male patient complain about in the ENT department?
Severe rhinorrhea, coughing, and wheezing.
What was indicated by the allergy tests administered by the patient's PCP?
Severe allergies to cat dander, mold, and dust mites.
How many multi dose vials did the physician prepare for the allergen immunotherapy?
Two vials with different antigens.
How many injections did the patient receive during the allergen immunotherapy encounter?
Two injections from two vials.
What was the purpose of conducting a detailed history and examination during the allergy immunotherapy encounter?
To administer a prescription drug treatment.
Test your knowledge on assessing chronic post-procedural pain in patients. Explore a case scenario of a patient experiencing extreme pain post-amputation and the involvement of healthcare professionals in the assessment process.
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