ICD-10 Case Studies
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Explore This IssueJanuary 2015
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A 68-year-old female patient has a follow-up visit for her gout pain. She is complaining of pain in her lower back. The patient is currently on methotrexate 10 mg weekly and infliximab. After a full examination, the rheumatologist diagnosed the patient with drug-induced gout. The patient is 5’4”, weighs 280 lbs. and is morbidly obese, with a BMI of 40.2 kg/m2. The patient is assessed as having an acute flair of drug-induced gout.
A 48-year-old male patient presents for a follow-up visit for systemic lupus erythematosus with lung involvement. The patient states he has shortness of breath and is also experiencing mild chest pain when he tries to take a deep breath. He was seen by a pulmonologist last year, when he was diagnosed with pulmonary hypertension.
A 35-year-old male patient presents for a follow-up visit for his diagnosis of seronegative inflammatory rheumatoid arthritis. He reports pain in both wrists and the left elbow and left knee. The patient is on methotrexate 10 mg weekly.
A 72-year-old female patient returns for a follow-up visit for her diagnosis of osteoporosis. She complains of pain on the left side of her back. She had a pathological fracture of her left hip last year, which she had recovered from.