Exam 20: Diseases of the Musculoskeletal System and Connective Tissue

The patient was admitted with disc herniation at L4 to L5. The patient has failed conservative treatments such as physical therapy. NSAIDs and even steroid injections did not provide much relief. The patient was taken to surgery, and an open discectomy was performed. The patient recovered uneventfully and was discharged. Instructions were given to avoid lifting anything heavier than 10 lb until after the postoperative clinic visit.Final Diagnosis: Herniated disc Procedure: Discectomy (partial)

____ is a chronic, inflammatory, autoimmune disease that can damage connective tissue anywhere in the body. It causes inflammation of the skin, joints, nervous system, kidneys, lungs, and other organs.

A patient is admitted for right THR for seropositive hip rheumatoid arthritis. The patient has a past medical history of CVA and myelodysplastic syndrome (MDS). The patient has an open total hip replacement (ceramic on ceramic prosthesis) and on day 1 is transfused with two autologous units of red blood cells via peripheral vein. Coder queries physician regarding the reason for the blood transfusion, and the physician documents acute blood loss anemia. __________

A patient is admitted to rule out lupus nephritis. The patient was diagnosed with systemic lupus erythematosus 5 years ago. A percutaneous left kidney biopsy is performed, and lupus nephritis is confirmed.

Dorsopathies are conditions or diseases that affect the front or rib cage.

Degenerative polyarticular arthritis: __________

Match each definition to one of the following items. -Organ or tissue replaced by other means-right hip

Match each definition to one of the following items. -Family history of other musculoskeletal diseases

Staphylococcal pyogenic arthritis of left knee: __________

Tenosynovitis in the right shoulder: __________

Right plantar fasciitis: __________

____ is one of the most common diseases affecting the muscles; it is characterized by widespread muscle pain associated with chronic fatigue.

Internal derangement of left knee: __________

What drug could be given to treat rheumatoid arthritis?

____________________ is a metabolic bone disorder that results in decreased bone mass and density.

ICD-10-CM uses the sixth character when coding to identify pathologic fractures.

Arthroscopic surgery is a highly invasive surgery that involves the use of instruments to perform surgery through very large incisions.

Match each definition to one of the following items. -Special screening-osteoporosis

Spinal stenosis is the widening or rupture of the spinal canal.

Spinal decompression is a surgical procedure that frees the ____________________ in the spinal canal.