Question

INPATIENT HOSPITAL GENDER: M AGE: 33 Chief complaint:

Unexplained loss of weight, fever, weakness, night sweats, itching,
tinling in legs, SOB, elevated red cell count Assessment:
Leukocytosis with po

Answer 1

The patient's symptoms could indicate a hematologic disorder or infection, requiring a comprehensive clinical evaluation and possibly specialist consultation.

Step-by-step explanation:

The patient in question is experiencing a range of symptoms including unexplained loss of weight, fever, weakness, night sweats, itching, tingling in legs, and shortness of breath (SOB). Elevated red cell count and leukocytosis are also noted, which could suggest a hematologic disorder or infection. Differential diagnosis could include conditions such as lymphoma, tuberculosis, or an acute infection. Given the complexity and severity of symptoms, a thorough clinical evaluation is warranted. This could include further blood tests, imaging studies, and possibly a referral to a specialist for additional evaluation and treatment planning. Comparatively, other clinical cases demonstrate varies symptoms like weight loss, profuse sweating, increased heart rate, and difficulty sleeping, which may be symptoms of endocrine disorders or infections.

Answer 2

Given the symptoms and assessment mentioned, here are two possible ICD-10-CM codes that may apply:

1. R50.9 - Unspecified fever: This code represents the patient's symptom of unexplained fever.

2. R61 - Generalized hyperhidrosis (Night sweats): This code represents the symptom of night sweats mentioned in the chief complaint.

Step-by-step explanation:

Proper coding requires a thorough assessment and diagnosis by a qualified healthcare professional. The ICD-10-CM codes are used to accurately classify and document medical conditions for billing and statistical purposes.

It is important to consult with a healthcare professional or refer to the patient's complete medical records to determine the appropriate codes.

Your question is incomplete, but most probably the full question was:

INPATIENT HOSPITAL GENDER: M AGE: 33 Chief complaint: Unexplained loss of weight, fever, weakness, night sweats, itching, tinling in legs, SOB, elevated red cell count Assessment: Leukocytosis with polycythemia vera Plan: FU with clinic in 1 wk. ICD-10-CM Codes(2):________