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Exam 25: Complications of Surgical and Medical Care

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Question 21

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To aspirate means to ____.

A) breathe in a foreign substance
B) eat
C) drink
D) sleep

E) A) and D)
F) B) and D)

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Question 22

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What does DVT stand for?

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Deep vein ...

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Question 23

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During a posterior lumbar fusion at L4-L5 for spinal stenosis,the surgeon accidentally nicks the dura.The fusion was performed via an open posterior procedure on the posterior column using morselized allograft.Patient has a history of asthma for which he takes meds p.r.n.

Patient admitted with an abscess due to Streptococcus of abdominal surgical wound,initial encounter.Cultures were positive for Streptococcus.The abscess of the skin was incised and drained.

If the documentation is unclear whether the diagnosis was the result of a procedure or condition,a physician query should be initiated.

Mechanical complications are related to ____________________ malfunctions.

A patient had a pancreatectomy for chronic pancreatitis and has now developed postpancreatectomy diabetes mellitus along with diabetic nephrosis.

Patient had an outpatient ERCP for extraction of a common bile duct stone.The patient developed acute abdominal pain and was admitted to rule out post ERCP pancreatitis.Impression: Post ERCP pancreatitis.

What are some examples of procedures resulting in complications that occur during medical care and not during surgery?

Patient with an intestine transplant with diverticulitis of the intestinal graft: __________

Patient with decreased visual acuity due to corneal graft rejection.Admitted for cadaver keratoplasty (external) of the left eye.

NSTEMI following laparoscopic appendectomy for acute appendicitis.Physician documents that the NSTEMI was due to the procedure: __________

When looking for a complication code in the Index,the coder should first look under the ____________________.

Patient has subclavian vein thrombosis due to PICC: __________

Iatrogenic is a term used to signify that a condition is a result of treatment.

Coding complications always imply that poor care has been delivered.

When no entry is found under the main term for the condition,the coder should refer to the main term ____________________.

A patient comes to the hospital with chronic cholecystitis,and a laparoscopic cholecystectomy is performed.The patient's bowel function was slow to return,and on day 3 the patient developed a post-operative ileus.__________

Code only complications that occur within 2 weeks of a transplant surgery.

A patient comes to the hospital with acute appendicitis and is taken to the OR for an open appendectomy.During the course of the surgery,the liver is accidentally lacerated and repaired.The patient recovers without any ill effects.__________