reading discharge summary icd 9 cm

Please review the Discharge Summary and answer the following questions: 

  • What is Jane Dare’s chief complaint?
  • What medications were prescribed and why?
  • What are Jane Dare’s symptoms?
  • What was discovered to be the main cause of Jane Dare’s symptoms?
  • What diagnostic tests were performed in the hospital for this visit?
  • What were the results of the diagnostic tests?
  • What chronic conditions were listed in Jane Dare’s history prior to her discharge diagnosis?
  • What is the Attending’s name?
  • Assign the appropriate codes to the discharge diagnoses. Apply all coding guidelines to discharge diagnoses for proper sequencing.
 
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