Peter is a 38-year-old black male who is seen in his physician's office complaining of SOB, cough, and chest tightness. He also states he has a "strange rash on my arms and shins." He says he has lost weight the past few months and has night sweats. Peter is also being treated for HTN

Question

Because his physician knows that several members of Peter's family have been diagnosed with sarcoidosis, he starts his physical exam with that in mind. He pays particular attention to Peter's respiratory symptoms and the rash. The rash is, in fact, erythema nodosum, a sign of sarcoidosis. His physician orders an ACE level and CXR. He asks Peter to return to the office in one week. When Peter returns, his physician tells him the ACE level was very high. He diagnoses Peter with sarcoidosis of both the lung and skin, and starts him on prednisone. Peter is cautioned to take his BP each day and if it goes above 135/90, he is to call his physician right away. BP meds will be adjusted at that point, should it become necessary. Peter is asked to return to the office in one month, or sooner, if he feels it is necessary.

Dx: Sarcoidosis

First-listed diagnosis: ________
Secondary diagnoses: ________
Fill in the blank with correct word.

Answer 1

First-listed diagnosis: ________
Answer: The first listed diagnosis can be either sarcoidosis of lung –D86.0, or sarcoidosis of skin – D86.3. Which ever is not listed as the first diagnosis is then listed as the first secondary diagnosis.

Secondary diagnoses: ________
Answer: Sarcoidosis of lung – D86.0 or sarcoidosis of skin – D86.3
HTN – I10