Exam 26: Complications of Surgical and Medical Care

Patient had an outpatient ERCP for extraction of a common bile duct stone. The patient developed acute abdominal pain and was admitted to rule out post ERCP pancreatitis.Impression: Post-ERCP pancreatitis

Patient with an intestine transplant with diverticulitis of the intestinal graft: __________

Patient had an outpatient surgical procedure this morning and was discharged in stable condition. Patient returns because of inability to void. A Foley catheter is inserted.Diagnosis: Postoperative urinary retention

Coding complications always imply that poor care has been delivered.

Patient has left subclavian vein thrombosis due to PICC: __________

Patient with decreased visual acuity due to corneal graft rejection. Patient was admitted for cadaver keratoplasty (external) of the left eye with removal of the previous corneal graft.

Iatrogenic is a term used to signify that a condition is a result of treatment.

Codes under subcategory T86 are used ____.

Patient was hospitalized 1 month before this admission. During that admit, she was diagnosed with COPD and placed on a ventilator for 2 days. She is admitted today with pneumonia.

Match each definition to one of the following items. -Leakage of infused substance into vasculature or subcutaneous tissue

Rejection of heart transplant confirmed by right percutaneous ventricular biopsy: __________

Complications affect only certain body systems.

A patient comes to the hospital with chronic cholecystitis, and a laparoscopic cholecystectomy is performed. The patient's bowel function was slow to return, and on day 3, the patient developed a postoperative obstruction that was slow to resolve. __________

What are some examples of procedures resulting in complications that occur during medical care and not during surgery?

Match each definition to one of the following items. -Occurs when bony healing is not achieved at the fracture site.

Can code Z94.0 and a T86.1-code be used together?

A patient had a partial pancreatectomy for chronic pancreatitis and has now developed postpancreatectomy diabetes mellitus along with diabetic nephrosis.

Match each definition to one of the following items. -A tightening of muscle and skin that prevents normal movement

The patient had an embolic cerebrovascular accident and was documented by the surgeon as being a postoperative complication. The patient initially had been admitted for treatment of coronary artery arteriosclerosis with CABG. The patient is taken to the OR for an open three-vessel aorta to coronary artery using greater saphenous vein. The left greater saphenous vein was harvested via percutaneous endoscopic approach. Cardiopulmonary bypass is performed during the surgery.

Displacement of an insulin pump, initial encounter; patient has type 1 DM: __________