A Physician Performed An Aspiration Via Thoracentesis On A P
A Physician Performed An Aspiration Via Thoracentesis On A Patient In
A physician performed an aspiration via thoracentesis on a patient in observation status in the hospital. The patient has advanced lung cancer with malignant pleural effusion. Later the same day, due to continued accumulation of fluid, the patient was returned to the procedure room and the same physician performed a repeat thoracentesis. Report diagnosis and procedure codes. Do not report observation codes. Assign the correct codes and modifier for this encounter. ICD-9-CM and CPT Code(s):__________________ ICD-10-CM Code(s):________________________ A 12-year-old boy presents with his father to the ER due to open wounds to his arm, hand, and upper leg. The injury occurred when the boy fell on a barbed-wire forearm, right hand, and left thigh. Procedure: Suture repair of the following: single-layer closure, 4.0cm, forearm, layered closure, 3.0cm, hand; 6.0 simple repair, thigh. ICD-9-CM Reason for Visit Code(s):_____________________________________ ICD-9-CM and CPT code(s):________________________________________ ICD-10-CM Reason for Visit Code(s):_________________________________ ICD-10-CM Code(s):___________________________________ From the health record of a patient seen in the emergency room/observation area for an allergic reaction: Discharge Summary Date of Discharge : 01/08/XX Chief Complaint : Allergic reaction to Bactrim, resulting in angioedema and mild respiratory distress. Hospital Course : Fifty-six-year-old male admitted for angioedema after taking Bactrim for an ear infection. The patient had mild respiratory distress and marked swelling of his hands, face, and his oropharynx. The patient was given IV steroids in the Emergency Room and was admitted overnight for observation. The patient's swelling rapidly improved and by the morning after his admission he was back to baseline. He had no complaints of shortness of breath and desired to go home. Condition on Discharge: Good. Activity: As tolerated. Diet: As tolerated. Medications: Home medications only including: 1. Celebrex 200 mg one b.i.d. 2. Isosorbide 30 mg once a day. 3. Atenolol 25 mg per day. 4. Lipitor 10 mg per day. Follow-Up : Will be as needed with primary care physician if ear problem returns and/or respiratory distress. Emergency Assessment Chief Complaint : Swelling, itching, and change in voice. Present Illness: This is a 56-year-old white male with a history of allergic reaction to an antibiotic in the past, who presents today after taking his second dose of Bactrim this morning at home. He then had acute onset of swelling, redness, itching, and change in voice; also states that he was slightly short of breath but no wheezing. He denies any nausea, vomiting, fevers, chills. Past Medical History: Coronary arter disease, MI 2 years ago, is currently take Celebrex, Isosorbide, Atenolol, Lipitor, and Bactrim that he just started on his morning. Physical Examination: Appears very red, swollen diffusely with erythematous rash, macular type rash. Blood pressure is 145/77, heart rate of 120, respiration rate 18 and 02; saturation is 96%. On room air. HEENT: He does have swollen eyelids, both upper and lower eyelids, with also some facial swelling and some uvular swelling as well as some lateral pharyngeal and uvualr swelling, which appears to be allergic in nature. His tongue appears also slightly swollen, does not have any neck swelling, also has an erythematous rash. Lungs: Clear to auscultation with no wheezing noted. Abdomen: Soft, nontender. Ed Course: Received Benadryl 25 mg IV, Pepcid 20 mg IV, Solu-Medrol 125 mg IV. At this point, his voice was still changing, and decision was made to admit the patient to the hospital for observation and then to observe and given a second dose of Solu-Medrol and Benadryl. Consultation between patient's private physician. Select the correct codes for this observation patient. a. 961.0, 786.09, 995.1, 693.0, E857, E849.0 b. 995.20, E931.0, E849.0 c. 995.1, 786.09, E931.0, E849.0 d. 995.1, 786.09, 693.0, E930.9, E849.0 ICD-10-CM Code(s):_____________________________ Part 1 Question 1 (Multiple Choice Worth 2 points) Examine the electromagnetic spectrum below. What can you conclude about x-rays compared to microwaves? X-rays have the same frequency as microwaves. X-rays have a lower frequency than microwaves. X-rays have a longer wavelength than microwaves. X-rays have a shorter wavelength than microwaves. Question 2 (Multiple Choice Worth 2 points) In the diagram below, what is the property of the wave indicated by the letter A? Amplitude Frequency Trough Wavelength Question 3 (Multiple Choice Worth 2 points) Which type of electromagnetic radiation is the primary cause of sunburns? Radio waves Ultraviolet rays Visible waves Rays Question 4 (Multiple Choice Worth 2 points) Which of the following describes the relationship between frequency and wavelength? As frequency increases, wavelength increases. As frequency decreases, wavelength decreases. As frequency increases, wavelength decreases. As frequency increases, wavelength is unaffected. Question 5 (Multiple Choice Worth 2 points) Which of the following types of waves has more energy than an x-ray? Gamma rays Microwaves Radio waves Visible light Question 6 (Multiple Choice Worth 2 points) Which of the following represents the equilibrium of a wave? A B C D Question 7 (Multiple Choice Worth 2 points) Which of the following is a type of wave that travels at a right angle relative to the direction of motion? Amplitude Longitudinal Propagated Transverse Question 8 (Multiple Choice Worth 2 points) If a star is located 100 light years from Earth, what can you conclude about the light from the star? The light will take 100 years to reach Earth. The light will take 100 seconds to reach Earth. The light will take 300,000 years to reach Earth. The light will travel a total of 300,000 kilometers to reach Earth. Question 9 (Multiple Choice Worth 2 points) Which of the following types of electromagnetic radiation has the longest wavelength? Radio waves Ultraviolet waves Visible light X-rays Question 10 (Multiple Choice Worth 2 points) Examine the diagram of the electromagnetic spectrum below. If a wave has a wavelength of 1 kilometer, it must be a(n) gamma ray Microwave radio wave ray Question 11 (Essay Worth 5 points) In your own words, explain why longitudinal waves cannot travel in space. Question 12 (Essay Worth 5 points) Suppose you are an astronomer, and a child asks you to explain the light given off by stars. In your own words, describe the relationship between the energy, frequency, and wavelength. Be sure to include information about the electromagnetic spectrum in your discussion. Part 2 Question 1 (Multiple Choice Worth 2 points) Given the following blackbody curve graph, what color will Star A be? Blue Red White Yellow Question 2 (Multiple Choice Worth 2 points) Which of the following processes begins when a star enters the main sequence? Nuclear fission Nuclear fusion Condensation of a nebula Appearance of a supernova Question 3 (Multiple Choice Worth 2 points) Use the HR diagram below to answer the question. Which of the following types of stars had a greater initial mass? Blue main sequence Orange main sequence Supernova White dwarf Question 4 (Multiple Choice Worth 2 points) Which of the following is a massive star that has reached the end of its stellar evolution? Neutron star Red giant Stellar nebula White dwarf Question 5 (Multiple Choice Worth 2 points) Which of the following is the most likely end for a star that formed from a very small nebular cloud? Black hole Planetary nebula Red supergiant Supernova Question 6 (Multiple Choice Worth 2 points) Which of the following characteristics of stars is affected by a star's temperature? Brightness Color Distance from Earth Size Question 7 (Multiple Choice Worth 2 points) Which of the following classifications of star temperature is coolest? O M G A Question 8 (Multiple Choice Worth 2 points) Which of the following is an advantage of using parallax rather than the Doppler effect to determine star distance? Parallax is easier to use than Doppler shift. Parallax is more accurate for stars that are very far away. The Doppler effect can be used only for sounds in space. Doppler shift indicates only a change in location, not actual distance. Question 9 (Multiple Choice Worth 2 points) Use the HR diagram below to answer the question. Which of the following star types is the brightest? Red main sequence Red supergiant White dwarf Yellow main sequence Question 10 (Multiple Choice Worth 2 points) An astronomer sees two stars in the sky. Both stars are equally far from Earth, but the first star is brighter than the second star. Which of the following is a valid conclusion about the first star? It is larger than the second star. It is smaller than the second star. It is older than the second star. It is younger than the second star. Question 11 (Multiple Choice Worth 2 points) A star is observed moving away from Earth. What can you conclude about the spectrum of that star? The spectrum will shift to the blue. The spectrum will shift to the red. The spectrum will not change. The spectrum will shift first to the blue, and then to the red. Question 12 (Multiple Choice Worth 2 points) Given the following images, choose the one that most likely represents a B-class star. A B C D Question 13 (Multiple Choice Worth 2 points) Which of the following types of stars started out on the main sequence with the largest initial mass? A B C D Question 14 (Multiple Choice Worth 2 points) Which of the following is used to calculate the distance to a star based on subtle shifts in the star's position relative to an observer on Earth? Absolute magnitude Doppler shift Emissions Parallax Question 15 (Multiple Choice Worth 2 points) Which of the following types of stars is the coolest? A B C D