Patient is a 57-year-old female who is being seen because of neck pain. She also complains of numbness and tingling in the fingers and hand. X-ray of the spine shows mild stenosis in the cervical region and narrowing of the disc spaces. The patient has a history of osteopenia and hypertension. Her physician is keeping a careful watch on the osteopenia and recently prescribed a beta blocker for
the HTN. When measured during the current visit, the patient's blood pressure was very well controlled. The patient was told to continue with the current beta blocker regimen. The physician decided to treat the neck pain conservatively with ice and heat, exercises, and NSAIDs.
Dx: Hypertension, cervical disc disease
First-listed diagnosis: ________
Secondary diagnoses: ________
Fill in the blank with correct word.
First-listed diagnosis: ________
Answer: Cervical disc disease – cervical disc disorder, unspecified cervical region – M50.90
Secondary diagnoses: ________
Answer: Hypertension – I10
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