Npatient Patient Discharge Explained for Students (Easy Guide)
This type of question evaluates analytical and critical thinking skills.
What This Question Is About
This question relates to npatient patient discharge and requires a structured academic response.
How to Approach This Question
Use appropriate theories and support your answer with clear reasoning.
Key Explanation
This topic involves npatient patient discharge. A strong answer should include explanation, application, and examples.
Original Question
NPATIENT RECORD—PATIENT 2 DISCHARGE SUMMARY DATE OF ADMISSION: 2/3 DATE OF DISCHARGE: 2/4 DISCHARGE DIAGNOSIS: Malignant ascites from metastatic adenocarcinoma of the colon COURSE IN HOSPITAL: This 59-year-old white female patient was admitted for continuous peripheral infusion chemotherapy with 5-FU and Leucovoran for malignant ascites. The patient tolerated her chemotherapy very well. She had no complications throughout her hospital course, and she was discharged to be followed further as an outpatient by her oncologist. INSTRUCTIONS ON DISCHARGE: Follow up in the office. HISTORY AND PHYSICAL EXAMINATION—PATIENT 2 ADMITTED: 2/3/20XX REASON FOR ADMISSION: Chemotherapy HISTORY OF PRESENT ILLNESS: The patient is a 59-year-old white female with carcinomatosis and malignant ascites from colon carcinoma, treatment in the past. She is admitted for continuous chemotherapy. The patient had a sigmoid colostomy 7 years ago, an anterior and posterior repair, and 6 weeks of radiation therapy completed 5 years ago with weekly chemotherapy consisting of 5FU and methotrexate for a year following radiation. Because of increasing abdominal girth, she was seen in June, and diagnosed with malignant ascites and carcinomatosis 3 months ago. At that time, she had an extensive evaluation including an upper gastrointestinal series, barium enema, CT scan, and ultrasound of the abdomen. She was told she had adhesions causing a partial obstruction and no colon cancer recurrence. No further surgery was pursued. For the past week, she has complained of frequent vomiting. Her weight has decreased another 6 pounds. She denies any abdominal pain. She has occasional diarrhea for which she takes Questran. She has had no blood in her colostomy drainage. PAST MEDICAL HISTORY: No hypertension, myocardial infarction, diabetes, or peptic ulcer disease. Anterior and posterior repair, colectomy, cholecystectomy, appendectomy, hysterectomy with bilateral salpingo-oophorectomy for uterine fibroids. ALLERGIES: None CHRONIC MEDICATIONS: Pancrease three times a day; Questran as needed for diarrhea; Os-Cal 2 × per day, 250 mg FAMILY HISTORY: Mother died at age 80. Father died of colon cancer at age 60. SOCIAL HISTORY: She smoked a pack a day for 20 years but quit 5 years ago. She denies any alcohol intake. She works in the shipping department. REVIEW OF SYSTEMS: Unremarkable What are the icd 10 cm codes for this encounter
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