American Public University
CHEM 133 CHEM 133 Array UNIT 4 LAB QUIZ
Victor Lockhart, a 29-year-old male, presents today with a fever of
100.6 F. He says 1 minute he is sweating and the next he is
shivering and his stomach hurts. Dr. Osterlund documents paleness
and tenderness in the right hypochondria region. Victor is admitted
to Weston Hospital, where blood tests, a li
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Victor Lockhart, a 29-year-old male, presents today with a fever of
100.6 F. He says 1 minute he is sweating and the next he is
shivering and his stomach hurts. Dr. Osterlund documents paleness
and tenderness in the right hypochondria region. Victor is admitted
to Weston Hospital, where blood tests, a liver function test, and a CT
scan confirm the diagnosis of amebic liver abscess due to
Entamoeba histolytica.
Lauren Wheatle, a 68-year-old female, presents today with chest
discomfort when resting. Dr. Billings completes an examination with
ECG. The ECG reveals an elevated ST segment. Lauren is admitted
to the hospital, where blood tests show elevated cardiac enzymes
and a cardiac echo confirms the diagnosis of variant angina.
Which of the following is a full code description?
Cutaneous abscess of chest wall L02.213
Ruby Jenkins, a 26-year-old female, presents with popping or clicking
sounds in her ears. After a thorough examination and the
appropriate tests, Dr. Thompson diagnoses Ruby with palatal
myoclonus.
Paul Plum, an 8-month-old male, is brought in by his mother to see
Dr. Wallace, Paul’s pediatrician. Paul’s stomach feels hard and he is
also having some diarrhea and vomiting. Dr. Wallace notes Paul is
failing to thrive and hospitalizes him. After blood tests and a
hydrogen breath test are completed, Paul is diagnosed with
congenital lactase deficiency.
Raykeem McFadden, a 63-year-old female, was last seen in this
office 6 months ago for her annual checkup; no concerns were noted
at that time. She presents today because of excessive itching after a
warm bath. She also complains of a burning sensation in her arms,
especially her left arm. Dr. Dingle completes a physical exam and
notes aphasia, hepatosplenomegaly, and some loss of physical
coordination. Raykeem is admitted to the hospital. The laboratory
tests and bone marrow aspiration confirm a diagnosis of
polycythemia vera.
Charles Copeland, a 48-year-old male, presents today to see Dr.
McElmurray. Charles is scheduled to have a cardiac pacemaker
implanted. Dr. McElmurray completes the pre-procedural
cardiovascular examination and clears Charles for the implant.
Mendenhall Aguirre, a 37-year-old male, presents today with a
burning sensation during urination. Dr. Boykin collects a penile swab
specimen for a microscopic examination, which confirms
trichomonal prostatitis.
Martha Henry, a 38-year-old female, was diagnosed with breast cancer.
Martha had a mastectomy 1 month ago and Dr. Martin chose to delay the
breast reconstruction. Martha presents today for the breast reconstruction
procedure.
Alexandra Smith, a 31-year-old female, presents today to donate blood
platelets for her child, who has been diagnosed with thrombocytopenia
Monica Pressley, a 37-year-old female, comes to see Dr. Wheaten today
because she has been having diarrhea and abdominal cramping and states
her heart feels like its quavering. The MRI scan confirms a diagnosis of
benign pancreatic islet cell adenoma.
Official _____ are a listing of rules and regulations instructing you how to use
a specific code set accurately…..guidelines
Elizabeth Conyers, a 56-year-old female, presents with unexplained
weakness, weight loss, and dizziness. Dr. Amos completes a
thorough examination and does a work-up. The protein
electrophoresis (SPEP) and quantitative immunoglobulin results
confirm the diagnosis of Waldenström’s macroglobulinemia.
Steven Crooks, a 16-year-old male, presents today with a sore
throat. Dr. Hoffman notes acute pharyngitis with a low-grade fever,
as well as petechiae on the roof of the mouth. A serological test
confirms the diagnosis of Epstein–Barr infectious mononucleosis.
Kewane Childs, a 44-year-old female, has a history of smoking
cigarettes for 15 years; she quit last year. Kewane sees Dr. Cope for
a dry cough, hoarse voice, and coughing up blood. Dr. Cope notes
crepitation and dyspnea. Kewane is admitted to the hospital. The
MRI scan and lung function tests confirm a diagnosis of neoplasm of
the trachea, malignant primary.
Margaret Carll, a 28-year-old female, presents today with the
complaint of feeling dizzy and has some headaches. Dr. Dithomas
notes a fever and completes an ECG, which shows an ST depression.
PMH and PFH are noncontributory. Margaret is admitted to the
hospital, where further blood tests, a chest CT scan, and a
ventilation scan confirm the diagnosis of hyperventilation (tetany).
Babbs Fisher, a 48-year-old female, just returned from an African vacation.
Babbs is brought in by her husband, George, who noticed she was acting
confused. Dr. Carla notes a low fever. Babbs states she feels tired and has a
sore throat. She started vomiting this morning and admits to abdominal pain.
Dr. Carla examines Babbs and orders an enzyme-linked immunosorbent
assay (ELISA) test, which confirms the diagnosis of Ebola virus. Babbs is
admitted to Weston Hospital for treatment.
Eric Lewter, a 56-year-old male, presents with the feeling of tiredness but has
been sleeping a lot over the last 3 to 4 months. Eric is accompanied by his
wife, Peggy, who states she has noticed some mild mood changes as well.
Dr. Shealy completes a thorough examination and the appropriate tests and
diagnoses Eric with Kleine-Levin syndrome (KLS).
Kevin Genutis, a 24-year-old male, presents with the complaint of
experiencing early orgasm and ejaculation, usually a minute or two after
beginning sexual activity. Dr. Fox completes an examination and diagnoses
Kevin with premature ejaculation.
Robin Pullen, a 36-year-old female, comes to see Dr. Ditolla because
she is running a fever and has a sore throat and overall body aches.
Test results are positive for H1N1. Robin is diagnosed with swine
influenza.
Edwina Henning, a 61-year-old female, was diagnosed with atrial
fibrillation and her cardiologist, Dr. Balestrero, prescribed heparin,
an anticoagulant. Edwina is taking the heparin as prescribed and
presents today for therapeutic drug monitoring.
Erina Castles, a 43-year-old female, presents today with a few
pimples on her chest. Dr. Moss noted some slight redness and
swelling in the area and orders blood tests. The results of the blood
tests confirm the diagnosis that Erina is a carrier of staphylococcal,
methicillin resistant (MRSA).
Charles Homer, a 6-year-old male, is brought in by his parents to see
his pediatrician, Dr. Freibert. Mrs. Homer is concerned because
Charles has been eating dirt and sand and he has tried to eat paper
for approximately 1 month. Dr. Freibert completes a thorough
examination and notes paleness and failure to thrive. Charles is
admitted to Weston Hospital for a full workup. After reviewing the
laboratory and developmental test results, Charles is diagnosed with
pica.
Ralph Bradley, a 36-year-old male, comes to see Dr. Harper because
he is weak, losing weight, and vomiting and has diarrhea with some
blood showing. Ralph was diagnosed with HIV 3 years ago. Dr.
Harper completes an examination noting paleness, tachycardia, and
tachypnea. Ralph is admitted to the hospital. The biopsied tissue
from an endoscopy confirms a diagnosis of Kaposi’s sarcoma of
gastrointestinal organ.
The Main Section and Tabular List of the code books all contain additional
_____ and _____ to help you determine the most accurate code…..SYMBOLS,
NOTATIONS
William Amerson, a 41-year-old male, comes in for his annual eye
examination. Dr. Leviner notes a benign right conjunctiva nevus.
Tammy Coco, a 33-year-old female, went on a tour of 19th century
buildings last week. The company that conducted the tour just
announced asbestos was found in some of these buildings. Tammy
comes to see Dr. Kiefer today because she is concerned she might
have been exposed to asbestos. Dr. Kiefer completes the
appropriate tests, which return a negative result for asbestos
exposure.
Melissa Roxburgh, a 21-year-old female, presents for a checkup.
Melissa states she is deliberately trying to lose weight, exercises
strenuously, and uses appetite suppressants. Dr. Fritz documents a
BMI of 16.5, hypotension, and tachycardia as well as Melissa’s
inability to concentrate. Dr. Fritz decides to admit Melissa. After
reviewing the laboratory results and a psychological evaluation,
Melissa is diagnosed with anorexia nervosa, restricting type.
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