Exam 26: Complications of Surgical and Medical Care

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

Leaking silicone breast implant,initial visit: __________

When looking for a complication code in the Index,the coder should first look under the ____________________.

When no entry is found under the main term for the condition,the coder should refer to the main term ____________________.

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

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 obstructionthat was slow to resolve.__________

There is a time limit for complications to occur.

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.

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 prostate 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 2 diabetes,controlled with insulin.The patient is still under active treatment for the cancer.

MATCHING Match each item to one of the following definitions. -A growth made up of a bundle of nerve fibers

The term dehiscence means ____.

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

Coding complications always imply that poor care has been delivered.

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

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.

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

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

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 2 diabetes with associated neuropathy.

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.

MATCHING Match each item to one of the following definitions. -Leakage of infused substance into vasculature or subcutaneous tissue