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Chapter 6 Nervous System
Homework 9/19/13
Code the following diagnoses:
Huntingtons chorea: G10
Restless leg syndrome: G25.81
Juvenile myoclonic epilepsy, not intractable with status epilepticus: G40.B01
Primary central sleep apnea: G47.31
Aseptic meningitis: G03.0
Cyclical vomiting, with refactory migraine: G43.A1
Incomplete paraplegia: G82.22
Brain death: G93.82
Essential tremor: G25.0
Multiple sclerosis: G35
Case Summary Exercises:
Inpatient admission: The patient, a teenager, was admitted for evaluation and control of his intractable seizures. On days one, three, and four, seizures were recorded per video EEG. His video EEGs were consistent with epileptiform discharges of right temporal lobe origin. Dilantin and phenobarbital dosages were adjusted, and the patient was discharged in satisfactory condition.
Discharge diagnosis: Partial complex epilepsy localized to the right temporal lobe.
Dx code: G40.219
Inpatient admission: The elderly male patient, a type 1 diabetic, developed weakness of the right arm and leg. The weakness worsened; eventually he fell and was unable to move. When brought to the emergency department, he was able to speak but unable to use his right arm or leg. A consultation after admission suggested either an acute left-sided cortical stroke or a TIA. Diagnostic radiographic procedures were scheduled; however, he completely recovered before the procedures could be completed and was able to ambulate with no neurological deficits within 24 hours of admission. He was discharged and will have a workup performed for cerebrovascular insufficiency as an outpatient.
Discharge diagnoses: (1) Probable transient ischemic attack, (2) diabetes mellitus.
Dx codes: G45.9, E10.9 and optional Z79.4
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