A 52-year-old man with recent left arm and chest pain that occurred at work while carrying...
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A 52-year-old man with recent left arm and chest pain that occurred at work while carrying a heaving object. He has hypertension and takes a diuretic daily. No other pertinent medical history. PROCEDURE: He is exercised by Bruce protocol for a duration of 7 minutes, using the treadmill. Maximum heart rate achieved was 135, 86 percent. Maximum predicted was 137. His blood pressure during the stress test was a maximum of 176/84. He denied any arm pain with this exercise. Following exercise, he was placed at rest. At 1 minute, he had STT wave depression and T-wave inversion in the interior and V5 and V6 leads. His blood pressure dropped to 76/40 at 5 minutes. During this time, he remained pain free and felt fine. At the 10-minute mark, the T-wave inversion resolved and the STT waves returned to normal. IMPRESSION: He was advised that a cardiac catheterization would be appropriate to rule out ischemic heart disease, and this is scheduled. List the diagnoses pertinent to each case, starting with the Principal diagnosis, then adding all secondary diagnoses and finally listing and coding all the Procedures. (Do not code the diagnoses. just list them) A 52-year-old man with recent left arm and chest pain that occurred at work while carrying a heaving object. He has hypertension and takes a diuretic daily. No other pertinent medical history. PROCEDURE: He is exercised by Bruce protocol for a duration of 7 minutes, using the treadmill. Maximum heart rate achieved was 135, 86 percent. Maximum predicted was 137. His blood pressure during the stress test was a maximum of 176/84. He denied any arm pain with this exercise. Following exercise, he was placed at rest. At 1 minute, he had STT wave depression and T-wave inversion in the interior and V5 and V6 leads. His blood pressure dropped to 76/40 at 5 minutes. During this time, he remained pain free and felt fine. At the 10-minute mark, the T-wave inversion resolved and the STT waves returned to normal. IMPRESSION: He was advised that a cardiac catheterization would be appropriate to rule out ischemic heart disease, and this is scheduled. List the diagnoses pertinent to each case, starting with the Principal diagnosis, then adding all secondary diagnoses and finally listing and coding all the Procedures. (Do not code the diagnoses. just list them)
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Related Book For
Smith and Roberson Business Law
ISBN: 978-0538473637
15th Edition
Authors: Richard A. Mann, Barry S. Roberts
Posted Date:
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