UNIT 3 LAB QUIZ
Sadie Thompson, an 18-month-old female, was born with TAR syndrome
(thrombocytopenia with absent radius). Sadie is brought in today by her mother with the
complaint of excessive bruising without significant trauma. After an examination and the
laboratory tests are completed, Dr. Dotson diagnosis Sadie with congenital
thrombocytopenia purpura.
Q87.2
D69.42
Lindsey Williams, a 33-year-old female, has not been feeling well and is seen by Dr.
Goldburg, who notes jaundice. Lindsey admits to feeling weak and being dizzy. Blood
tests return a hemoglobin of 6.3 g/dL. Lindsey is admitted to the hospital for a blood
transfusion; while there, a peripheral blood smear was performed that showed
echinocytes, confirming a diagnosis of pyruvate kinase deficiency anemia.
D55.2
Victor Motts, a 6-month-old male, is brought in by his mother to see his pediatrician, Dr.
Stewart. Victor experienced a type of spasm. Dr. James notes skeletal abnormalities and
cyanosis as well as some hearing difficulties and admits him to Weston Hospital. A
fluorescence in situ hybridization (FISH) blood test confirms a diagnosis of Di George’s
syndrome.
D82.1
Tilley Cabe, a 9-month-old female, is brought in to see Dr. Peterson, her pediatrician.
Tilley has had a persistent low-grade fever for 4 days that has not diminished. Dr.
Peterson notes a temperature of 100.2 and splenomegaly. Tilley is not thriving. Dr.
Peterson admits her to the hospital. The laboratory results reveal Tilley has a low natural
killer cell activity and cytopenia, which confirm the diagnosis of hemophagocytic
lymphohistiocytosis (HLH).
D76.1
Mark Hennecy, a 32-year-old male, presents today with the complaints of feeling tired all
the time, difficulty concentrating, and abdominal pain. Dr. Mather notes mild jaundice. After
a thorough examination and review of the laboratory results, Mark is diagnosed with
Gilbert’s syndrome.
E80.4
Pauline Allyson, a 2-week-old female, is brought in by her mother to see her pediatrician,
Dr. Goldburg. Pauline is having feeding difficulties with vomiting. She also has diarrhea.
Dr. Goldburg notes the child is failing to thrive, as well as hepatosplenomegaly and
abdominal distention. Pauline is admitted to the hospital, where lab tests confirm the
absence of lysosomal lipase acid (LIPA). Pauline is diagnosed with Wolman’s disease.
E75.5
Loretta Sims, a 14-year-old female, presents today with the complaint of abdominal
bloating and cramps with vomiting. Mrs. Sims, her mother, says this usually occurs shortly
,after Loretta has drunk milk or eaten yogurt. Dr. Albany completes an examination and the
hydrogen breath test confirms the diagnosis of primary lactose intolerance.
E73.9
Dr. Masters administered general anesthesia to Ashton Hopkins, an otherwise healthy 32-
year-old firefighter. Dr. Woody performed a third-degree burn excision, followed by a skin
grafting on Ashton’s chest, where 9% of his body surface was burned while he was
rescuing a little girl from a house fire.
01952-P1
Martha Gantt, a 76-year-old female with a history of hypertension and diabetes mellitus, is
brought into the OR for Dr. Brunson to perform a corneal transplant. Dr. Williams, the
anesthesiologist, administers the anesthesia.
0144-P2-AA
99100
Dr. Billingsworth administered anesthesia to Ralph Skipper, a 7-month-old male requiring
a hernia repair in the lower abdomen. Dr. Sims, the neonatologist, noted that, without the
surgery, Ralph was not expected to survive.
00834-P5
99100
Gerry Sherman, a healthy 28-year-old male, plays professional basketball and is given
anesthesia by Dr. Wallace before having a diagnostic arthroscopy of his right knee by Dr.
Hook.
01382-P1
Sue Pittman, a 46-year-old female, presents today with the complaints of tiredness and
numbness. Sue was diagnosed with hypertension 2 years ago. Dr. Charmers notes
muscle weakness with slight paralysis. Sue is admitted to the hospital, where blood tests
reveal a high level of calcium. After a complete workup, Sue is diagnosed with familial
aldosteronism, type I.
E26.02
I10 - HTN
Vanessa Dostoimov, a 67-year-old female, had a pericardiotomy 6 weeks ago. Dr. Baker
last saw Vanessa 2 weeks ago for a fever and chest pain. Today, Dr. Baker notes patient
is experiencing similar symptoms today and documents a pericardial rub, tachycardia, and
hepatomegaly. Vanessa is admitted to the hospital for a possible pericardiocentesis. After
a thorough examination and review of the test results, Vanessa was diagnosed with
postcardiotomy syndrome.
I97.0 – page 694
Gary Allen, a 59-year-old male, presents today with chest pain and cough. Upon
examination, Dr. Rogers documents a low-grade fever, dyspnea, tachypnea, and a pleural
friction rub. The decision is made to admit Gary to Weston Hospital, where he is
diagnosed with a saddle embolus of pulmonary artery with acute cor pulmonale.
,I26.02 – page 661
Richard Greene, 33-year-old male, comes to see Dr. Walter with the complaints of
tiredness and weakness. Dr. Walter completes bloodwork and a bone marrow biopsy.
Richard is diagnosed with chronic lymphocytic, B-cell type leukemia.
C91.10: Leukemia>C91.1> PAGE 489, had to use a 5th character
Sam Goodman, a 9-year-old male, presents today for a sports physical in order to play on
his school baseball team. Dr. Inabinet notes splenomegaly. The results from the CBC test
and peripheral blood smear confirm a diagnosis of Hb-C disease.
D58.2 Hb-C Disease: Disease>Hgb>Hb-C>page 506
Juanita Ilderton, a 41-year-old female, received a blood transfusion 12 hours ago; now
she is experiencing fever, chills, and dizziness. A direct Coombs’ test is performed, which
confirms a diagnosis of acute Rh blood transfusion incompatibility after a transfusion.
T80.410A
Glenn Carballero, a 15-year-old male, presents today with the complaint of weakness and
generalized muscular pains. Dr. Douglass notes an erythematous periorofacial macular
rash. After a thorough examination and laboratory tests are completed, Glenn is
diagnosed with biotinidase deficiency.
D81.810
Billy Stevenson, a 10-year-old male, is brought in by his father to see Dr. Loveichelle. Billy
has developed a cough and fever. Billy says he feels really tired. Mr. Stevenson also
stated they can’t get Billy to eat. Dr. Loveichelle completes an examination and an in-
house CBC. Billy’s hemoglobin is 7.4 g/dL. Billy is admitted to the hospital for a full
workup. Once all the laboratory results have been reviewed, Billy is diagnosed with
hookworm anemia.
B76.9 – p 461
D63.8 – page 508 – says to code underlying condition first
Ivory Presnell, a 75-year-old female, comes in today complaining of fever, chills, and night
sweats. She says she feels tired and has lost 5 lbs. within a week. Dr. Shirley notes nail
clubbing and completes an in-house CBC test; results: hemoglobin of 7.9 g/dL. Ivory is
admitted to Weston Hospital, where a tissue biopsy is taken, returning a positive reading
for extra-pulmonary tuberculosis. Ivory is diagnosed with anemia due to tuberculosis.
A18.89; p 57>A18.89 from page 445
D63.8 (coding book specifically states to code these two codes.
Lindsey Williams, a 33-year-old female, has not been feeling well and is seen by Dr.
Goldburg, who notes jaundice. Lindsey admits to feeling weak and being dizzy. Blood
tests return a hemoglobin of 6.3 g/dL. Lindsey is admitted to the hospital for a blood
transfusion; while there, a peripheral blood smear was performed that showed
echinocytes, confirming a diagnosis of pyruvate kinase deficiency anemia.
Page 57 > Pyruvate kinase > D55.2 (page 505)
, Tilley Cabe, a 9-month-old female, is brought in to see Dr. Peterson, her pediatrician.
Tilley has had a persistent low-grade fever for 4 days that has not diminished. Dr.
Peterson notes a temperature of 100.2 and splenomegaly. Tilley is not thriving. Dr.
Peterson admits her to the hospital. The laboratory results reveal Tilley has a low natural
killer cell activity and cytopenia, which confirm the diagnosis of hemophagocytic
lymphohistiocytosis (HLH).
Page 241>D76.1>D76.1 (page 511)
Sadie Thompson, an 18-month-old female, was born with TAR syndrome
(thrombocytopenia with absent radius). Sadie is brought in today by her mother with the
complaint of excessive bruising without significant trauma. After an examination and the
laboratory tests are completed, Dr. Dotson diagnosis Sadie with congenital
thrombocytopenia purpura.
Q87.2
D69.42
James Abney, a 7-month-old male, is brought in by his parents to see Dr. Fay, his
pediatrician. Dr. Fay notes a temperature of 106 F, jaundice, and generalized weakness
and admits James to Weston Hospital for a full work-up. The CBC and Coombs’ test
results confirm the diagnosis of favism anemia.
D55.0: Anemia>Favism>D55.0 from page 505
Buddy Dent, a 59-year-old male with chronic kidney disease, stage 4, comes to see Dr.
Wilberly complaining of extreme weakness. Dr. Wilberly completes a full blood workup and
notes the following results: hemoglobin—8.2 g/dL, creatinine—52 mg/dL, and BUN—102
mg/dL. Buddy is diagnosed with anemia due to chronic kidney disease and is scheduled
for a transfusion.
N18.4 (page 870): CKD, stage 4
D63.1 (page 56 then page 507): Anemia in CKD> notation says to code first CKD
Rosalyn Burkett, a 37-year-old female, presents today with the complaint of migraines and
blurred vision. After an examination and a review of the laboratory tests, Dr. Flick
diagnoses Rosalyn with Lupus anticoagulant syndrome.
D68.62 (page 323 then 509)
_+_+_+_+_+_+_+_+_+__+_++_+_+
Sadie Thompson, an 18-month-old female, was born with TAR syndrome
(thrombocytopenia with absent radius). Sadie is brought in today by her mother with the
complaint of excessive bruising without significant trauma. After an examination and the
laboratory tests are completed, Dr. Dotson diagnosis Sadie with congenital
thrombocytopenia purpura.
Q87.2
D69.42
Lindsey Williams, a 33-year-old female, has not been feeling well and is seen by Dr.
Goldburg, who notes jaundice. Lindsey admits to feeling weak and being dizzy. Blood
tests return a hemoglobin of 6.3 g/dL. Lindsey is admitted to the hospital for a blood
transfusion; while there, a peripheral blood smear was performed that showed
echinocytes, confirming a diagnosis of pyruvate kinase deficiency anemia.
D55.2
Victor Motts, a 6-month-old male, is brought in by his mother to see his pediatrician, Dr.
Stewart. Victor experienced a type of spasm. Dr. James notes skeletal abnormalities and
cyanosis as well as some hearing difficulties and admits him to Weston Hospital. A
fluorescence in situ hybridization (FISH) blood test confirms a diagnosis of Di George’s
syndrome.
D82.1
Tilley Cabe, a 9-month-old female, is brought in to see Dr. Peterson, her pediatrician.
Tilley has had a persistent low-grade fever for 4 days that has not diminished. Dr.
Peterson notes a temperature of 100.2 and splenomegaly. Tilley is not thriving. Dr.
Peterson admits her to the hospital. The laboratory results reveal Tilley has a low natural
killer cell activity and cytopenia, which confirm the diagnosis of hemophagocytic
lymphohistiocytosis (HLH).
D76.1
Mark Hennecy, a 32-year-old male, presents today with the complaints of feeling tired all
the time, difficulty concentrating, and abdominal pain. Dr. Mather notes mild jaundice. After
a thorough examination and review of the laboratory results, Mark is diagnosed with
Gilbert’s syndrome.
E80.4
Pauline Allyson, a 2-week-old female, is brought in by her mother to see her pediatrician,
Dr. Goldburg. Pauline is having feeding difficulties with vomiting. She also has diarrhea.
Dr. Goldburg notes the child is failing to thrive, as well as hepatosplenomegaly and
abdominal distention. Pauline is admitted to the hospital, where lab tests confirm the
absence of lysosomal lipase acid (LIPA). Pauline is diagnosed with Wolman’s disease.
E75.5
Loretta Sims, a 14-year-old female, presents today with the complaint of abdominal
bloating and cramps with vomiting. Mrs. Sims, her mother, says this usually occurs shortly
,after Loretta has drunk milk or eaten yogurt. Dr. Albany completes an examination and the
hydrogen breath test confirms the diagnosis of primary lactose intolerance.
E73.9
Dr. Masters administered general anesthesia to Ashton Hopkins, an otherwise healthy 32-
year-old firefighter. Dr. Woody performed a third-degree burn excision, followed by a skin
grafting on Ashton’s chest, where 9% of his body surface was burned while he was
rescuing a little girl from a house fire.
01952-P1
Martha Gantt, a 76-year-old female with a history of hypertension and diabetes mellitus, is
brought into the OR for Dr. Brunson to perform a corneal transplant. Dr. Williams, the
anesthesiologist, administers the anesthesia.
0144-P2-AA
99100
Dr. Billingsworth administered anesthesia to Ralph Skipper, a 7-month-old male requiring
a hernia repair in the lower abdomen. Dr. Sims, the neonatologist, noted that, without the
surgery, Ralph was not expected to survive.
00834-P5
99100
Gerry Sherman, a healthy 28-year-old male, plays professional basketball and is given
anesthesia by Dr. Wallace before having a diagnostic arthroscopy of his right knee by Dr.
Hook.
01382-P1
Sue Pittman, a 46-year-old female, presents today with the complaints of tiredness and
numbness. Sue was diagnosed with hypertension 2 years ago. Dr. Charmers notes
muscle weakness with slight paralysis. Sue is admitted to the hospital, where blood tests
reveal a high level of calcium. After a complete workup, Sue is diagnosed with familial
aldosteronism, type I.
E26.02
I10 - HTN
Vanessa Dostoimov, a 67-year-old female, had a pericardiotomy 6 weeks ago. Dr. Baker
last saw Vanessa 2 weeks ago for a fever and chest pain. Today, Dr. Baker notes patient
is experiencing similar symptoms today and documents a pericardial rub, tachycardia, and
hepatomegaly. Vanessa is admitted to the hospital for a possible pericardiocentesis. After
a thorough examination and review of the test results, Vanessa was diagnosed with
postcardiotomy syndrome.
I97.0 – page 694
Gary Allen, a 59-year-old male, presents today with chest pain and cough. Upon
examination, Dr. Rogers documents a low-grade fever, dyspnea, tachypnea, and a pleural
friction rub. The decision is made to admit Gary to Weston Hospital, where he is
diagnosed with a saddle embolus of pulmonary artery with acute cor pulmonale.
,I26.02 – page 661
Richard Greene, 33-year-old male, comes to see Dr. Walter with the complaints of
tiredness and weakness. Dr. Walter completes bloodwork and a bone marrow biopsy.
Richard is diagnosed with chronic lymphocytic, B-cell type leukemia.
C91.10: Leukemia>C91.1> PAGE 489, had to use a 5th character
Sam Goodman, a 9-year-old male, presents today for a sports physical in order to play on
his school baseball team. Dr. Inabinet notes splenomegaly. The results from the CBC test
and peripheral blood smear confirm a diagnosis of Hb-C disease.
D58.2 Hb-C Disease: Disease>Hgb>Hb-C>page 506
Juanita Ilderton, a 41-year-old female, received a blood transfusion 12 hours ago; now
she is experiencing fever, chills, and dizziness. A direct Coombs’ test is performed, which
confirms a diagnosis of acute Rh blood transfusion incompatibility after a transfusion.
T80.410A
Glenn Carballero, a 15-year-old male, presents today with the complaint of weakness and
generalized muscular pains. Dr. Douglass notes an erythematous periorofacial macular
rash. After a thorough examination and laboratory tests are completed, Glenn is
diagnosed with biotinidase deficiency.
D81.810
Billy Stevenson, a 10-year-old male, is brought in by his father to see Dr. Loveichelle. Billy
has developed a cough and fever. Billy says he feels really tired. Mr. Stevenson also
stated they can’t get Billy to eat. Dr. Loveichelle completes an examination and an in-
house CBC. Billy’s hemoglobin is 7.4 g/dL. Billy is admitted to the hospital for a full
workup. Once all the laboratory results have been reviewed, Billy is diagnosed with
hookworm anemia.
B76.9 – p 461
D63.8 – page 508 – says to code underlying condition first
Ivory Presnell, a 75-year-old female, comes in today complaining of fever, chills, and night
sweats. She says she feels tired and has lost 5 lbs. within a week. Dr. Shirley notes nail
clubbing and completes an in-house CBC test; results: hemoglobin of 7.9 g/dL. Ivory is
admitted to Weston Hospital, where a tissue biopsy is taken, returning a positive reading
for extra-pulmonary tuberculosis. Ivory is diagnosed with anemia due to tuberculosis.
A18.89; p 57>A18.89 from page 445
D63.8 (coding book specifically states to code these two codes.
Lindsey Williams, a 33-year-old female, has not been feeling well and is seen by Dr.
Goldburg, who notes jaundice. Lindsey admits to feeling weak and being dizzy. Blood
tests return a hemoglobin of 6.3 g/dL. Lindsey is admitted to the hospital for a blood
transfusion; while there, a peripheral blood smear was performed that showed
echinocytes, confirming a diagnosis of pyruvate kinase deficiency anemia.
Page 57 > Pyruvate kinase > D55.2 (page 505)
, Tilley Cabe, a 9-month-old female, is brought in to see Dr. Peterson, her pediatrician.
Tilley has had a persistent low-grade fever for 4 days that has not diminished. Dr.
Peterson notes a temperature of 100.2 and splenomegaly. Tilley is not thriving. Dr.
Peterson admits her to the hospital. The laboratory results reveal Tilley has a low natural
killer cell activity and cytopenia, which confirm the diagnosis of hemophagocytic
lymphohistiocytosis (HLH).
Page 241>D76.1>D76.1 (page 511)
Sadie Thompson, an 18-month-old female, was born with TAR syndrome
(thrombocytopenia with absent radius). Sadie is brought in today by her mother with the
complaint of excessive bruising without significant trauma. After an examination and the
laboratory tests are completed, Dr. Dotson diagnosis Sadie with congenital
thrombocytopenia purpura.
Q87.2
D69.42
James Abney, a 7-month-old male, is brought in by his parents to see Dr. Fay, his
pediatrician. Dr. Fay notes a temperature of 106 F, jaundice, and generalized weakness
and admits James to Weston Hospital for a full work-up. The CBC and Coombs’ test
results confirm the diagnosis of favism anemia.
D55.0: Anemia>Favism>D55.0 from page 505
Buddy Dent, a 59-year-old male with chronic kidney disease, stage 4, comes to see Dr.
Wilberly complaining of extreme weakness. Dr. Wilberly completes a full blood workup and
notes the following results: hemoglobin—8.2 g/dL, creatinine—52 mg/dL, and BUN—102
mg/dL. Buddy is diagnosed with anemia due to chronic kidney disease and is scheduled
for a transfusion.
N18.4 (page 870): CKD, stage 4
D63.1 (page 56 then page 507): Anemia in CKD> notation says to code first CKD
Rosalyn Burkett, a 37-year-old female, presents today with the complaint of migraines and
blurred vision. After an examination and a review of the laboratory tests, Dr. Flick
diagnoses Rosalyn with Lupus anticoagulant syndrome.
D68.62 (page 323 then 509)
_+_+_+_+_+_+_+_+_+__+_++_+_+
