Patient has left upper lobe carcinoma, diagnosed over five…

 Patient has left upper lobe carcinoma, diagnosed over five years ago but is seen now for a fracture of the shaft of the right femur. During this admission, the patient was diagnosed with metastatic bone cancer (from the lung), and this fracture is a result of the metastatic disease. This patient’s lung cancer was treated with radiation, and there is no longer evidence of an existing primary malignancy. Principal Diagnosis: Diagnosis: Diagnosis: Diagnosis:  

The patient is a 38-year-old male who is admitted for repair…

The patient is a 38-year-old male who is admitted for repair of a right hiatal hernia that is causing reflux esophagitis. The patient admits to smoking 1 PPD for the past 15 years. The patient also has HTN that is well-controlled on his current medications, and he has type 2 DM that is well-controlled on injectable insulin.  The patient underwent repair of right esophageal hiatal hernia, open approach. The patient tolerated the procedure well. The patient will be rechecked tomorrow and may be discharged home at that time.  Principal Diagnosis: Diagnosis: Diagnosis: Diagnosis: Diagnosis: Diagnosis: Principal Procedure: Procedure:  

This is a patient with a long-standing history of alcohol de…

This is a patient with a long-standing history of alcohol dependence that has resulted in alcoholic cirrhosis. The patient also has a past history of smoking 2 PPD, quit one year ago, and he has a history of hyperlipidemia and HTN which are both well-controlled on medications. The patient was admitted today due to red, coffee-ground hematemesis. An EGD revealed bleeding esophageal varices, and these were excised during the procedure. The varices are secondary to the alcoholic cirrhosis. There were no problems identified within the stomach or the duodenum. Due to the blood loss, the patient was transfused via peripheral vein in his left arm with multiple units of packed red cells and frozen plasma.  The Discharge Summary listed the following diagnoses: esophageal varices with bleeding due to alcoholic cirrhosis; alcoholic cirrhosis, and alcohol dependence.  Note: there are 3 procedure codes required for this patient.  Principal Diagnosis: Diagnosis: Diagnosis: Diagnosis: Diagnosis: Diagnosis: Principal Procedure: Procedure: Procedure: