Question: MEDICAL CODING: Please help me code this case study. Thank you. Clinical Impression: GI bleed, r/o sprue, H. pylori Gross Description: Part A-Received labeled small
MEDICAL CODING: Please help me code this case study. Thank you.
Clinical Impression: GI bleed, r/o sprue, H. pylori
Gross Description:
Part A-Received labeled small bowel in formalin are fragments of tissue collectively measuring about 1 cm in greatest dimension processed entirely. One block.
Part B-Received labeled gastric in formalin are fragments of tissue collecting measuring about 0.8 cm in greatest dimension processed entirely. One block.
Microscopic Description:
Part A-Duodenal mucosa shows an intact villous architecture without increased intraepithelial lymphocytes. No Brunner gland hyperplasia, fovelolar metaplasia, active inflammation or Giardia are identified.
Part B-Gastric mucosa shows mildly reactive appearing foveolar epithelium and underlying gastric glands with lamina propria showing fibromuscular tissue with scattered chronic inflammatory cells. No intestinal metaplasia is identified. Warthin-Starry stain reveals no Helicobacter pylori forms.
Pathologic Diagnosis:
Part A-Small bowel, duodenum biopsy No diagnostic abnormality
Part B-Stomach, biopsy Mild chronic gastritis
Step by Step Solution
There are 3 Steps involved in it
Get step-by-step solutions from verified subject matter experts
