Larry is a 77-year-old male who has a history of HTN, restless leg syndrome, DVT, and essential tremor. He presented to the hospital complaining of bloody diarrhea and LLQ pain. He also c/o nausea. He is dehydrated. CT scan of the abdomen showed diverticular disease of the ascending colon with a likely abscess. Hgb and Hct were low normal, though there are concerns they could go lower once he is
rehydrated. The patient is being admitted for antibiotic treatment and rehydration. Will address any other concerns as needed.
Admitting diagnoses: Diverticulitis with abscess and hemorrhage; HTN, restless legs syndrome, history of DVT— on Coumadin; essential tremor.
What will be an ideal response?
Answer: Diverticulitis with abscess and bleeding—K57.21
HTN—I10
Restless legs syndrome—G25.81
Essential tremor—G25.0
History of DVT—Z86.72
Long term use of Coumadin—Z79.01
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