Allison is 64 years old and has a past medical history of hypothyroidism, for which she takes Synthroid, and atopic dermatitis, which she treats with a steroid cream. She has been complaining about haziness and blurred vision, so she was seen for a comprehensive eye exam. The ophthalmologist went over her past medical history and reviewed recent labs he had had her PCP send over. System issues
such as hypothyroidsism and steroid medications can affect some eye diseases. After examining her eyes, Allison was diagnosed with a senile nuclear cataract of the left eye. The ophthalmologist discussed her treatment options, such as surgery. Allison scheduled surgery for a cataract extraction the following week.
Dx: Senile cataract, left eye, hypothyroidism, atopic dermatitis
First-listed diagnosis: ________
Secondary diagnoses: ________
Fill in the blank with correct word.
First-listed diagnosis: ________
Answer: Age-related nuclear cataract, left eye – H25.12
Secondary diagnoses: ________
Answer: Hypothyroidism – E03.9, Atopic dermatitis – L20.9
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