Chuck is a 63-year-old man who was scheduled to undergo a hiatal hernia repair. He has a history of hyperlipidemia, the aforementioned hiatal hernia, HTN, and GERD. As part of his pre-op clearance, he had an EKG that showed a right bundle branch block. He is here for further work up of this finding. He is scheduled for labs (to include troponin level, creatine kinase, and ESR) along with
myocardial perfusion studies and a cardiac catheterization.
Dx: Right bundle branch block
First-listed diagnosis: ________
Secondary diagnoses: ________
Fill in the blank with correct word.
First-listed diagnosis: ________
Answer: Right bundle branch block – I45.10
Secondary diagnoses: ________
Answer: Hiatal hernia – K44.9; hypertension – I10; GERD – K21.9
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