![]() ![]() Laboratory and Diagnostic Testing Lkc differential: Neutraphils 68%, Bands 7%, Lymphs 7%, Monos 8%, EOS 2 % UA: Starw colored. GU: Cervical motion tenderness, adnexal tenderness, foul smelling vaginal drainage. Abd: soft, tender, increase suprapubic tenderness. Cardio: Regular rate and rhythm normal S1 and S2. Genitourinary Clinical Case Study Physical exam BP 100/80, HR 80, RR 16, T 99.7 F, Wt 120, Ht 5∠ Gen: Female in moderate distress. NKAD ROS Last pap 6 months ago, Denies breast discharge. Medication History None Trimethoprim (TOM) Sulfamethoxazole (SMX) rash. Genitourinary Clinical Case Study Social: Denies smoking, alcohol and drug abuse. Family/ Social History Family: Single history of multiple sexual partners currently leaves with new boyfriend and two children. Genitourinary Clinical Case Study Past Surgical History Tubal Ligation 2 years ago. PMH Recurrent UTIs (3 year) gonorheax2 chlamydia X1 Gravida IV Para III. HPI Complains of urinary symptoms similar to those of previous urinary tract infections (UTIs) which started approximately 2 days ago also experiencing severe lower abdominal pain and noted brown fouls smelling discharge after having unprotected intercourse with her former boyfriend. Reimbursement claims with a date of service on or after Octorequire the use of ICD-10-CM codes.Genitourinary Clinical Case Study Genitourinary Clinical Case Study Title: Genitourinary Clinical Case Patient Setting: 28 year old female presents to the clinic with a 2 days history of frequency, burning and pain upon urination increase lower abdominal pain and vaginal discharge over the past week. R93.9 Diagnostic imaging inconclusive due to excess body fat of patient.R93.8 Abnormal findings on diagnostic imaging of other specified body structures.R93.7 Abnormal findings on diagnostic imaging of other parts of musculoskeletal system.R93.6 Abnormal findings on diagnostic imaging of limbs.R93.5 Abnormal findings on diagnostic imaging of other abdominal regions, including retroperitoneum.R93.4 Abnormal findings on diagnostic imaging of urinary organs.R93.3 Abnormal findings on diagnostic imaging of other parts of digestive tract.R93.2 Abnormal findings on diagnostic imaging of liver and biliary tract. ![]()
0 Comments
Leave a Reply. |