Check my work
13
Using the techniques described in this chapter carefully read through the case study and determine the most accurate ICD-10-PCS
codels)
6.66
points
Sloped
Patient: Warren Ellis
DATE OF CONSULTATION: 11/16/2018
REFERRING PHYSICIAN: Charles Craigen, MD
REASON FOR CONSULTATION: Evaluation and management of painful lymphadenitis.
Thank you for this infectious disease consultation
HISTORY OF PRESENT ILLNESS: The patient is a 41-year-old male who about 3 days prior to admission noticed what appeared to be
a painful inguinal lymph node on the left that seemed to progressively increase in size. This started while on a business trip, but after
he returned to work, he noticed it became a lot more tender and swollen. He finally presented to the emergency department after
having a couple of days of onset of fever and was admitted for further evaluation. The patient on arrival did have a low-grade
temperature of 100. He was started initially on Flagyl and Cipro, that was changed to doxycycline and Rocephin, and now he is on
Zithromax and vancomycin.
The patient does not have any known infection as far as he knows. The patient has not had any exposure to tuberculosis, although
he said that he has had weight loss and some night sweats, but this has only started since the onset of his symptoms about a week
ago. He has not had any long-term weight loss or long-term night sweats or cough. The patient had traveled for that weekend prior to
getting his onset of symptoms, but he did not do any camping. He does have two cats at home but no obvious cat bite or scratches as
far as he knows. The patient has also been involved in a new sexual relationship about several months ago and has not had an HIV
< Prev
13 of 15
Next >
Sign out
90