UPX Material - University of Phoenix
University of Phoenix Material
Urinary System – Analyzing a Progress Note
Part 1
Using the following progress note, define the highlighted terms within the chart provided.
This patient is a resident in a nursing home and is being assessed by a local doctor.
Progress note:
Patient is a 68 y.o. male with history of kidney stones, urinary tract infection (UTI), and diabetes insipidus. Nursing staff reports a change in mental status, foul smelling urine, and increased incontinence with complaints of pain with urination.
On examination patient is alert. Patient notes having increased pain with urination and burning along with extreme pain in the lower abdomen at times. A urine culture was positive for e-coli bacteria. The urinalysis is positive for WBCs, RBC, and increased pH with results favorable for stone formation.
Plan to start Macrobid, increase fluid intake, repeat urinalysis and kidney function in the morning. Please catheterize the patient. Portable ultrasound in am. If positive will discuss possible cystoscopy and nephrology referral.
Impression: UTI, kidney stone
D. George, M.D.
*Do not forget to include the sources for your definitions.
|Medical term |Definition |Sources |
|1. | | |
|2. | | |
|3. | | |
|4. | | |
|5. | | |
|6. | | |
|7. | | |
|8. | | |
|9. | | |
|10. | | |
Part 2
Using the information in the progress note, decide which code correctly represents the diagnosis. Underline the code of your choice.
|Medical term |Medical code |
|Urinary tract infection (UTI) |N39.0 Urinary tract infection, site not specified |
| | |
| |P39.3 Urinary tract infection of newborn |
| | |
| |N99.89 Other postprocedural complications and disorders of the |
| |genitourinary system |
| | |
| |N36.9 Urethral disorder unspecified |
|Diabetes insipidus |N25.1 Nephrogenic diabetes insipidus |
| | |
| |E23.2 Diabetes insipidus |
| | |
| |P70.2 Neonatal diabetes mellitus |
| | |
| |E11.9 Diabetes mellitus without complications |
|Kidney stone |N28.1 Cyst of kidney, acquired |
| | |
| |S37.009A Injury to kidney without mention of open wound into cavity,|
| |unspecified injury, initial encounter |
| | |
| |D30.00 Benign neoplasm of kidney, unspecified kidney |
| | |
| |N20.0 Calculus of kidney |
References
Centers for Medicare & Medicaid Services (23 Oct. 2014). “ICD-10-CM Diagnosis and Procedure Codes: Abbreviated and Full Code Titles.” Retrieved from
................
................
In order to avoid copyright disputes, this page is only a partial summary.
To fulfill the demand for quickly locating and searching documents.
It is intelligent file search solution for home and business.
Related download
- department of health state of louisiana
- cumulative official who updates to icd 10 1996 2001
- gastrostomy tube feeding documentation record
- insert title university of phoenix
- icd 10 cm tabular list of diseases and injuries 2017
- upx material university of phoenix
- treatments for urinary incontinence
- department of veterans affairs
Related searches
- university of phoenix portal
- university of phoenix online sign in
- university of phoenix ecampus website
- university of phoenix ecampus portal
- university of phoenix majors list
- university of phoenix bachelor programs
- university of phoenix bachelors cost
- university of phoenix student portal
- university of phoenix ecampus log in
- university of phoenix site down
- university of phoenix biology degree
- university of phoenix employee portal