Exam 13: Endocrine, nutritional, and Metabolic Diseases

The ____ system works with the nervous system to maintain body activities and homeostasis and to respond to stress.

A patient is an elderly gentleman who was admitted from the ER with pain and swelling of his right knee.The pain is throbbing in nature,and the knee feels warm and is very tender to touch.The patient has a knee X-ray,and uric acid levels are elevated.Colchicine is started,and the patient's symptoms are much improved within 48 hours.The patient has diabetes.The patient is advised to limit alcohol consumption and to avoid dietary purines. Final Diagnosis: Gouty arthropathy right knee. Diabetes mellitus,type 2 on insulin.

The coding of diabetes mellitus can be complicated because of various manifestations that can be associated with the disease.

A patient is admitted with diabetic gangrene of the left little toe.The toe was completely amputated.The patient has uncontrolled type 1 diabetes.

Primary hyperparathyroidism: __________

All of the following are possible signs of malnutrition EXCEPT ____.

A patient was admitted for a total (open)thyroidectomy.Patient had been having progressive symptoms with a substernal multinodular goiter.The procedure was performed as planned.Pathology confirmed a multinodular goiter.The patient was able to tolerate a solid food diet.

The ____ is responsible for the "fight or flight" response during stress.

Hypoglycemia: __________

Marasmus: __________

A patient is admitted because of cystic fibrosis with pulmonary exacerbation.Sputum cultures grew Pseudomonas,and antibiotics are adjusted accordingly.The patient is also treated for hypernatremia and dehydration. a.E84.8,B96.5,E86.0,E87.0 b.E84.0,B96.5,E86.0,E87.0 c.E84.0,B96.4,E87.0 d.B96.5,E84.0,E86.0,E87.0

In ICD-10-CM,if the diabetes is due to an adverse effect of a drug,there is an Instructional note to assign a T36-T50 code as an additional or secondary code.

The most common cause of a goiter is ____ deficiency.

MATCHING Match the following conditions with the correct treatment/medication. -Postural drainage and chest percussion treatments,pancreatic enzymes and vitamins,antibiotics for infections,and possibly lung transplant

An adult patient is admitted for gastric banding procedure for treatment of morbid obesity.Patient has been obese most of her adult life and has failed all attempts at supervised diet;she has a BMI of 41.3.Patient has a family history of diabetes.She hopes to see improvement in her type 2 diabetes,with expected weight loss for bariatric surgery.Patient undergoes a laparoscopic bypass with Roux-en-Y limb to jejunum and is put on the bariatric diet,which she tolerates without difficulty.She is discharged in satisfactory condition. Discharge Diagnosis: Morbid obesity. Diabetes. Procedure: Laparoscopic gastric bypass.

A(n)____________________ is an enlargement of the thyroid gland.

Iritis right eye due to diabetes,type 2,out of control: __________

A 15-year-old male patient with cystic fibrosis was diagnosed at the age of 2 and has respiratory and gastrointestinal manifestations.Patient needs a PEG tube to maximize his nutritional status.A percutaneous gastrostomy tube is inserted,and feeds are initiated.The patient's mother is instructed on gastrostomy care and tube feedings. Final Diagnosis: Cystic fibrosis. Moderate malnutrition. Procedure: Percutaneous endoscopic gastrostomy placement.

MATCHING Match the following conditions with the correct treatment/medication. -Replacement therapy with calcium and vitamin D

MATCHING Match the following conditions with the correct treatment/medication. -Diet,exercise,behavior modification,and bariatric surgery