Exam 25: Complications of Surgical and Medical Care

Patient presents with pseudoaneurysm right femoral artery due to recent cardiac cath.

Patient with acute osteomyelitis right femur due to infected right knee joint replacement,initial encounter: __________

The patient had a cerebrovascular accident embolic in nature and was documented by the surgeon as being due to the surgical procedure.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 approach.Cardiopulmonary bypass is performed during the surgery.

Leaking silicone breast implant,initial visit: __________

Patient with a history of a kidney transplant comes to the ER with gastroenteritis.His history is positive for CKD,stage 2,and hypertension.

How often are code Z94.0 and a T86.1- code used together?

A patient is admitted with a urinary tract infection (UTI) resulting from E.coli.The patient has an indwelling Foley catheter following recent radical prostatectomy for cancer.The coder queries the physician regarding the relationship of the UTI and the Foley,and the physician documents that the UTI is caused by the Foley.The patient is morbidly obese with type II diabetes,controlled with insulin.

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.

Patient is admitted for treatment of primary liver cancer.Patient had a liver transplant 2 years ago.Patient has a past medical history of hypertension and COPD and is a former alcoholic,now in remission.Patient has been sober for 10 years.

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

The term dehiscence means ____.

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

Complications affect only certain body systems.

A patient had a kidney transplant 2 years ago but developed ESRD again due to transplant failure.The patient has been on dialysis for the past year.The patient is now complaining of SOB and edema and is admitted for fluid overload and hemodialysis.Dialysis is performed multiple times during this stay.

Codes under subcategory T86 are used ____.

Pneumonitis due to organism growing in ventilation (air conditioning) system: __________

Patient was hospitalized 1 month prior to this admission.During that admit,she was diagnosed with COPD and placed on a ventilator;her sputum was positive for Pseudomonas aeruginosa.She is admitted today with another case of pneumonia.

There is a time limit for complications to occur.

Leakage of peritoneal dialysis catheter.Patient is on dialysis for end-stage renal disease.Peritoneal catheter was removed (percutaneous removal of infusion device from peritoneal cavity).Patient has a history of hypertension and type II diabetes with associated neuropathy.

Mechanical complication of gastrostomy: __________