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A patient cut his left foot on a piece of glass two hours ago and is seen in the emergency department to have sutures placed. The doctor tells you there is no tendon injury and circulatory, sensory, and motor are intact. What is the best diagnosis for his complaint?

a) Laceration of the foot
b) Laceration of the left foot
c) Uncomplicated laceration of the left foot - initial encounter
d) Uncomplicated laceration of the foot - initial encounter

1 Answer

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Final Answer:

A patient cut his left foot on a piece of glass two hours ago and is seen in the emergency department to have sutures placed. The doctor tells you there is no tendon injury and circulatory, sensory, and motor are intact the best diagnosis for his complaint Uncomplicated laceration of the left foot - initial encounter. so the correct option is c) Uncomplicated laceration of the left foot - initial encounter

Step-by-step explanation:

Uncomplicated Laceration: The description of "no tendon injury" and intact circulatory, sensory, and motor functions indicates that the laceration is uncomplicated, without involvement of deeper structures.

Left Foot: The doctor specifies that the laceration is on the left foot, making option c) "Uncomplicated laceration of the left foot" more accurate.

Initial Encounter: Since the patient is being seen two hours after the injury, it is considered the initial encounter for medical treatment. This aligns with option c).

The term "uncomplicated" implies that the laceration is straightforward without involving significant damage to structures like tendons. The mention of the left foot specifies the location of the injury. The phrase "initial encounter" is used to denote the first visit for medical attention, which is appropriate in this case as the patient is presenting two hours after the injury. so the correct option is c) Uncomplicated laceration of the left foot - initial encounter

Given the absence of tendon injury and intact circulatory, sensory, and motor functions, the diagnosis is an "Uncomplicated laceration of the left foot - initial encounter." This diagnosis helps in accurate medical coding and documentation.

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