hcps should treat the patient as a case and not as a person. hcps should treat the patient as a case and not as a person. true false

The finding that is most likely associated with the observation of an extremely purple-blue stoma while changing a patient's ileal conduit is ischemia.

Ischemia refers to inadequate blood supply to a tissue or organ, which can cause tissue death and discoloration. It is important to promptly address ischemia to prevent further damage and potential complications.
Hi! I'd be happy to help you with your question. The finding most likely associated with the observation of an extremely purple-blue stoma while changing a patient's ileal conduit is ischemia.
                                    Ischemia occurs when there is an insufficient supply of blood to an organ or tissue, often due to a blocked blood vessel. In the case of an ileal conduit, a purple-blue stoma may indicate that there is not enough blood flow to the stoma, potentially leading to tissue damage or necrosis. It is important to monitor and address any signs of ischemia promptly to prevent complications.

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The nurse should monitor the patient and document the observations, as these are normal findings for a post-operative day 1 transverse colostomy.

A stoma that is deep pink with edema and a small amount of sanguineous drainage is considered normal for the first day after a colostomy surgery. The deep pink color indicates a healthy blood supply, while the edema and sanguineous drainage are typical in the initial post-operative period.

In the days following the surgery, the nurse should continue to monitor the stoma for any changes in color, size, or appearance, as well as assessing the patient's overall condition. If the stoma becomes dark, pale, or if there is an increase in drainage or other concerning symptoms, the nurse should notify the healthcare provider. In the meantime, the nurse should educate the patient and their family on stoma care and management.

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The most appropriate response to a parent expressing concerns about their child with sickle cell disease becoming addicted to opioids would be:

"I understand your concern. It's important to closely monitor your child's medication use and any potential side effects. While opioids can be an effective part of managing pain in sickle cell disease, there is a risk of dependence and addiction. However, addiction is different from physical dependence, which can occur with long-term opioid use. We will work together to develop a comprehensive pain management plan that minimizes the risks and maximizes the benefits. Additionally, we can explore alternative pain management strategies and involve a multidisciplinary team, including a pain specialist and a counselor, to address your child's needs. Your involvement and open communication will be vital in ensuring your child's well-being. Let's discuss your concerns further and develop a plan that prioritizes both pain control and your child's overall health."

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Hyponatremia is a condition characterized by low levels of sodium in the blood. It is often associated with overhydration, which dilutes the sodium concentration in the blood. The correct option is C.

This can occur when an individual drinks excessive amounts of water or other fluids, or when the body has difficulty excreting excess water. Insufficient intake of dietary calcium or excessive intake of dietary sodium are not directly linked to hyponatremia, although they can contribute to other health problems.

Dehydration, on the other hand, can lead to hypernatremia, which is the opposite of hyponatremia and is characterized by high levels of sodium in the blood. Therefore, the correct answer to the question is c. overhydration.

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Investigations of the Flint Michigan lead poisoning crisis revealed that the city's water supply was contaminated with lead due to a series of failures and negligence by state and local officials.

The city had switched its water source to the Flint River without proper corrosion control, which caused lead to leach from the aging pipes into the water. Despite numerous complaints from residents about discolored and foul-smelling water, officials downplayed the severity of the problem and failed to take action. This led to thousands of residents, many of whom were children, being exposed to high levels of lead for months. The crisis exposed systemic issues with environmental racism and the prioritization of cost-cutting measures over public health and safety. It also highlighted the importance of government accountability and transparency in protecting the well-being of communities.

However, the corrosive water from the river leached lead from the city's aging pipes, exposing residents to hazardous levels of lead. Inadequate water treatment procedures, insufficient testing, and delayed response from authorities exacerbated the situation. The crisis highlighted the importance of stringent water quality management, regular monitoring, and proactive measures to protect public health. The Flint water crisis underscored the urgent need for upgrading infrastructure and implementing effective communication between government agencies, as well as ensuring public access to safe and clean water.

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Abbey and Extreme Diet Debbie are both registered dietitians. This means that they have completed the necessary education and training required to become experts in the field of nutrition.

As registered dietitians, they are qualified to provide nutrition advice and counseling to individuals and groups. However, there may be differences in their approach to nutrition and weight management. While Abbey may focus on a balanced, sustainable approach to nutrition, Extreme Diet Debbie may promote more extreme and restrictive diets. It is important for individuals seeking nutrition advice to carefully consider the credentials and philosophy of their dietitian to ensure that their approach aligns with their own health goals and values.
Both Abbey and Extreme Diet Debbie are registered dietitians, which means they have the expertise to provide evidence-based nutrition guidance. As professionals, they adhere to a code of ethics and stay updated on current nutrition research. They develop personalized meal plans and promote healthy eating habits to support clients' goals, such as weight management, sports performance, or managing chronic conditions. While their approaches may vary, as registered dietitians, they prioritize client safety and well-being in their recommendations. Remember to consult a registered dietitian for tailored advice to meet your specific nutrition needs.

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Osteoporosis is a condition where bones become weak and brittle, which can increase the risk of fractures. It is often associated with lower body weight, particularly in women, due to a lack of sufficient nutrients for bone health.

The correct  answer  is d. underweight.

Higher body fatness and heavier body weights can actually provide protection against osteoporosis, as they can help to absorb shock and reduce the risk of fractures. Exercise is also important for bone health, but alone it is not enough to prevent osteoporosis.

Being underweight can contribute to osteoporosis because a lower body weight typically means less bone mass, making the bones more susceptible to damage. Additionally, underweight individuals may have lower levels of essential nutrients needed for bone health, such as calcium and vitamin D.
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Neural centers controlling vomiting and respiration are found in the brainstem.

The brainstem is located at the base of the brain and is responsible for many critical functions, including regulating breathing and controlling nausea and vomiting. The area of the brainstem responsible for these functions is the medulla oblongata.

The medulla oblongata contains specialized neurons that receive input from various sensory systems and regulate the rhythm and depth of breathing. These neurons also play a critical role in coordinating the reflexes that trigger vomiting in response to noxious stimuli.

Other regions of the brain, such as the cerebellum and the vestibular system, also contribute to the regulation of vomiting. Dysfunction in these neural centers can result in serious medical conditions, such as respiratory failure or intractable vomiting. Understanding the neural basis of these functions is critical for developing treatments for these disorders.

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The neural centers controlling vomiting and respiration are found in the medulla oblongata, a part of the brainstem.

The neural centers controlling vomiting and respiration are found in the medulla oblongata, which is a part of the brainstem. The medulla oblongata is responsible for regulating vital functions such as breathing and coordinating reflexes like vomiting.

These neural centers receive input from various sensory systems and send signals to the muscles involved in vomiting and respiration.

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The nurse will administer ferrous sulfate drops along with vitamin C to a child on the pediatric unit. However, iron is not easily absorbed by the body on its own.

Ferrous sulfate drops are often prescribed to children who are anemic or have low levels of iron in their body. To increase the absorption of iron, the nurse will administer the drops along with vitamin C. Vitamin C helps the body to better absorb iron and also aids in the production of red blood cells. Therefore, it is important to provide the drops with vitamin C to ensure that the child receives the full benefit of the medication.

Ferrous sulfate is a form of iron supplement, and Vitamin C is often administered with it because it enhances the absorption of iron. This ensures that the child receives the maximum benefit from the ferrous sulfate drops, allowing for improved iron levels and overall health.
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Doctors generally take into consideration all of the following side effects when choosing a particular antipsychotic drug for a schizophrenic patient except for d. abuse potential.

When choosing an antipsychotic drug for a schizophrenic patient, doctors typically take into consideration side effects such as sedation, autonomic side effects (e.g., dry mouth, blurred vision), and hypotension (low blood pressure). However, abuse potential is not typically a major consideration when selecting antipsychotic medications for treating schizophrenia. The focus is primarily on managing the symptoms of schizophrenia and minimizing the side effects associated with the medication.

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The cells that are associated with allergic disorders and immediate hypersensitive reactions include mast cells, basophils, and eosinophils.

These cells release inflammatory mediators such as histamine, leukotrienes, and cytokines in response to an allergen, leading to the characteristic symptoms of an allergic reaction. Mast cells are found in tissues such as the skin, respiratory tract, and gastrointestinal tract, while basophils and eosinophils are types of white blood cells that circulate in the bloodstream.

Mast cells play a key role in the early phase of allergic reactions, as they release histamine and other mediators within minutes of exposure to an allergen. Basophils and eosinophils are also involved in the later phases of allergic reactions and are particularly important in allergic asthma and other respiratory allergies. Understanding the role of these cells in allergic reactions is important for developing effective treatments for allergic disorders.

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Proliferative diabetic retinopathy is a complication of diabetes that affects the retina and can cause blindness if left untreated.

The changes seen in this condition are the result of anoxic stimulation, which means that the retina is not receiving enough oxygen due to damaged blood vessels. This leads to the growth of new blood vessels, which are fragile and prone to bleeding. Minute hemorrhages, or tiny spots of bleeding, are a common feature of proliferative diabetic retinopathy. These changes can also lead to macular damage, which affects central vision, and papilledema, which is swelling of the optic nerve. Early detection and treatment are essential to prevent vision loss in patients with proliferative diabetic retinopathy.
Changes seen in proliferative diabetic retinopathy are primarily the result of anoxic stimulation (a). Anoxic stimulation refers to the lack of oxygen in the retina, which causes the release of growth factors that stimulate the formation of abnormal blood vessels. These new vessels can leak blood and lead to complications such as vitreous hemorrhage, macular edema, and even vision loss. While macular damage (b), papilledema (c), and minute hemorrhages (d) can be associated with diabetic retinopathy, they are not the main driving force behind the changes seen in proliferative diabetic retinopathy.

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Influenza has a sudden onset with fever, marked muscle aching, and severe malaise. Option C

Common cold symptoms include nasal congestion, runny nose, sneezing, sore throat, and mild fatigue are more common in infectious rhinitis (common cold). It often develops more gradually and hardly ever results in severe systemic symptoms like those associated with influenza.

In order to identify influenza from infectious rhinitis, option c, which defines the quick onset of symptoms with fever, muscle aches, and severe malaise, is the distinguishing factor.

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Decreasing the use of fossil fuels like coal and oil will decrease all of the forms of air pollution except D) CFCs.

CFCs are a type of air pollutant that is not created by the burning of fossil fuels. They are created by the breakdown of certain chemicals, such as chlorofluorocarbons, which are used in a variety of products, including refrigerators, air conditioners, and aerosol cans.

CFCs are a major contributor to ozone depletion, which is a hole in the ozone layer that allows harmful ultraviolet radiation to reach the Earth's surface. Ultraviolet radiation can cause a variety of health problems, including skin cancer, cataracts, and immune system suppression.

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The temporary stoppage of intestinal peristalsis is known as ileus. Ileus is a temporary cessation of intestinal peristalsis, resulting in decreased movement of food and fluid through the digestive tract.

Peristalsis is the rhythmic contraction and relaxation of the smooth muscles in the digestive tract, which moves food and fluid through the system. Ileus occurs when these contractions temporarily stop, leading to reduced movement in the intestines. This can be caused by various factors, such as surgery, certain medications, inflammation, or electrolyte imbalances.

Symptoms of ileus include abdominal pain, bloating, nausea, vomiting, and constipation. Treatment for ileus may involve managing the underlying cause, providing supportive care, and in some cases, using medications to stimulate intestinal activity. If left untreated, ileus can lead to complications like bowel obstruction or infection.

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The facial nerve is identified and preserved with the use of a nerve stimulator during a parotidectomy. during a parotidectomy, the facial nerve is identified and preserved with the use of a nerve stimulator.

During a parotidectomy, which is the surgical removal of the parotid gland (a salivary gland located near the ear), it is crucial to identify and preserve the facial nerve. The facial nerve is responsible for controlling the muscles of facial expression. Its branches pass through the parotid gland, and it is at risk of injury during the surgery.

To aid in the identification and preservation of the facial nerve, a nerve stimulator may be used. A nerve stimulator is a device that can deliver small electrical impulses to the nerve, causing the muscles controlled by the nerve to twitch. By using a nerve stimulator, the surgeon can locate the facial nerve and ensure that it is protected during the procedure.

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A group of cells working together to perform a function is called a tissue. A tissue is a group of cells that are similar in structure and function.

They are also organized together in a particular manner to perform specific functions. The four main types of tissues found in animals include:

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Nonpar Medicare physician fee schedule allowed amount: $450 ;  Limiting charge: $517.50 ;  Medicare beneficiary balance of the limiting charge: $132.50 ;  Medicare write off amount: $200

To calculate the amounts for a nonpar who bills Medicare a submitted charge of $650, we need to take into account the Nonpar Medicare physician fee schedule allowed amount and the limiting charge.

The Nonpar Medicare physician fee schedule allowed amount is the maximum amount that Medicare will pay for a particular service or procedure. In this case, the allowed amount is $450.

The limiting charge is the maximum amount that a nonpar provider can charge a Medicare beneficiary for a particular service or procedure. The limiting charge is calculated as 115% of the Nonpar Medicare physician fee schedule allowed amount, which in this case is $517.50.

Therefore, the Medicare beneficiary is billed the balance of the limiting charge, which is the difference between the submitted charge and the limiting charge. In this case, the balance of the limiting charge is $132.50 ($650 - $517.50).

However, there is also a Medicare write off amount, which is the difference between the submitted charge and the Nonpar Medicare physician fee schedule allowed amount. In this case, the Medicare write off amount is $200 ($650 - $450).

So, to summarize:

- Nonpar Medicare physician fee schedule allowed amount: $450
- Limiting charge: $517.50
- Medicare beneficiary balance of the limiting charge: $132.50
- Medicare write off amount: $200

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It is a true statement that speakers can increase immediacy by using engaging nonverbal behaviors.

Speakers can convey more urgency by employing captivating nonverbal behaviors. Maintaining eye contact, using facial expressions, using gestures and body movements, and having an open and welcoming stance are nonverbal actions that can strengthen the speaker-audience connection and foster a feeling of intimacy and involvement.

These nonverbal cues promote immediate communication by creating rapport, grabbing listeners' attention, and communicating the speaker's passion and interest.

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The smoking-related disease that destroys the air sacs in the lungs is called emphysema. Emphysema is a chronic lung disease that causes damage to the alveoli, which are the tiny air sacs in the lungs that are responsible for the exchange of oxygen and carbon dioxide.

This damage leads to the loss of elasticity in the lung tissue, making it difficult for the lungs to expand and contract properly. As a result, people with emphysema experience shortness of breath, wheezing, and a chronic cough. Unfortunately, there is no cure for emphysema, and the damage to the lungs is irreversible.

However, quitting smoking and avoiding exposure to secondhand smoke can help slow the progression of the disease and improve symptoms.

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D). Compared to the typical American diet, the DASH (Dietary Approaches to Stop Hypertension) eating pattern provides more calcium.

The DASH diet emphasizes consuming fruits, vegetables, whole grains, lean proteins, and low-fat dairy products. It also limits the intake of sodium, saturated and trans fats, added sugars, and processed foods. The recommended daily intake of calcium for adults is 1000-1200 mg per day, and the DASH diet provides an adequate amount of calcium through the inclusion of low-fat dairy products like milk, yogurt, and cheese.

Calcium is essential for building and maintaining strong bones and teeth, regulating muscle function, and supporting nerve transmission. Consuming an adequate amount of calcium through diet can help prevent osteoporosis, a condition that causes bones to become weak and brittle. Overall, the DASH eating pattern provides a well-balanced and nutrient-rich diet that can benefit overall health and well-being.

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A characteristic of an atherogenic diet is a high intake of trans fat. This is because trans fats have been shown to raise LDL (bad) cholesterol levels and lower HDL (good) cholesterol levels, leading to an increased risk of atherosclerosis.

Option b is correct.

A long answer to this question would involve a detailed explanation of how an atherogenic diet contributes to the development of cardiovascular disease and the specific mechanisms by which trans fats affect cholesterol levels.
A characteristic of an atherogenic diet is b. high trans fat.

An atherogenic diet is one that promotes the formation of fatty plaques in the arteries, which can lead to heart disease. High trans fat intake can increase LDL (bad) cholesterol levels and lower HDL (good) cholesterol levels, contributing to the development of plaque in the arteries.

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The two important parts of a physical fitness program are skill-related and health-related. Skill-related fitness includes components such as agility, balance, coordination, power, speed, and reaction time.

These components are important for activities that require physical skill, such as sports or dancing. On the other hand, health-related fitness includes components such as cardiovascular endurance, muscular endurance, muscular strength, flexibility, and body composition. These components are important for overall health and wellbeing, as they improve heart and lung function, increase bone density, maintain muscle mass and improve joint mobility. A well-rounded fitness program should include exercises that target both skill-related and health-related components to achieve optimal physical fitness.
The two important parts of a physical fitness program are health-related and skill-related components. Health-related components focus on improving cardiovascular endurance, muscular strength, muscular endurance, flexibility, and body composition. Skill-related components aim to enhance agility, balance, coordination, power, reaction time, and speed. By incorporating both types of components, a well-rounded fitness program can be developed, promoting overall health and athletic performance.

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It is TRUE that after complement activation, basophils may degranulate releasing chemicals that causes vasodilation.

After complement activation, basophils can degranulate and release chemicals such as histamine, which can cause vasodilation. Basophils are a type of white blood cell involved in immune responses and inflammation. When complement proteins are activated, they can stimulate basophils to release their stored substances, including histamine, which can dilate blood vessels and contribute to the inflammatory response. This vasodilation helps to increase blood flow to the affected area, facilitating the recruitment of immune cells and promoting the inflammatory process.

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Cerebral palsy is a neurological condition that affects muscle control and movement. It is characterized by poorly controlled body movement, which can affect various parts of the body. The answer to the question is "D. body."

Individuals with cerebral palsy may experience spasticity, which causes stiff or rigid muscles, or athetosis, which causes slow and writhing movements. Ataxia, which results in uncoordinated movements, and dyskinesia, which causes involuntary movements, can also occur. These movement difficulties can affect extremities, neck, eyes, and other parts of the body. Early intervention and proper treatment can help individuals with cerebral palsy manage their symptoms and improve their quality of life.
Cerebral palsy is characterized by poorly controlled body movement (option D). This neurological disorder affects muscle tone, coordination, and motor skills, often resulting from brain damage before, during, or shortly after birth. The severity of cerebral palsy varies, with some individuals experiencing mild symptoms and others facing significant challenges in daily life. Though cerebral palsy may affect different areas such as extremity, neck, and eye movement, the most accurate answer is "body movement" as it encompasses all aspects of the disorder.

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The term that describes health approaches outside the realm of traditional western medicine and used in place of conventional treatments is alternative medicine. Alternative medicine includes a wide range of practices such as acupuncture, chiropractic, herbal medicine, homeopathy, and many others.

These practices often focus on treating the whole person rather than just the symptoms of a specific illness or condition. They may also emphasize the use of natural remedies and lifestyle changes to promote overall wellness.

While some alternative medicine practices have been scientifically proven to be effective, others lack evidence and may even be harmful. It is important to discuss any alternative medicine treatments with a healthcare provider to ensure their safety and effectiveness.

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The nurse should identify the following manifestations as possible indications of child neglect: A. Underweight and D. Burns on the palms of the hands.

Child neglect refers to the failure of a caregiver to provide adequate care, supervision, or resources necessary for a child's well-being. It can manifest in various ways, including physical, emotional, educational, or medical neglect. In the context of the given options:

A. Underweight: Persistent underweight or failure to thrive may be an indication of neglect, suggesting inadequate nutrition or lack of proper care.

B. Healing spiral fracture of the arm: This manifestation suggests a physical injury, but it may not be specifically indicative of neglect. It could be caused by accidental trauma or other factors unrelated to neglect.

C. Genital irritation: While genital irritation can be a sign of abuse or neglect in certain contexts, it alone may not be sufficient to identify neglect. Further assessment and investigation would be needed to determine the underlying cause.

D. Burns on the palms of the hands: Burns on the palms of the hands can be concerning for neglect, particularly if they are consistent with patterns suggestive of intentional harm, such as immersion burns or cigarette burns.

It is important to note that a comprehensive assessment is necessary to accurately identify child neglect, involving careful evaluation of the child's overall well-being, physical appearance, growth, developmental milestones, and any signs of abuse or neglect. Suspected cases of child neglect should be reported to the appropriate authorities or child protective services for further investigation and intervention.

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Laryngitis is a potentially dangerous condition because it may cause obstruction of the airway. So, option C is accurate.

Laryngitis refers to inflammation of the larynx, which is the voice box located in the upper part of the airway. When the larynx becomes inflamed, it can result in swelling and narrowing of the airway, leading to difficulty breathing and potential obstruction.

Obstruction of the airway can be a serious and life-threatening complication of laryngitis. It can manifest as difficulty breathing, shortness of breath, wheezing, or stridor (a high-pitched sound during breathing). In severe cases, complete obstruction of the airway can occur, causing respiratory distress or even respiratory failure.

Prompt medical attention is necessary if laryngitis symptoms progress to include significant breathing difficulties or signs of airway obstruction. Healthcare professionals may need to intervene by providing airway support, administering medications to reduce inflammation, or, in extreme cases, performing emergency procedures such as intubation or tracheostomy to secure the airway.

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Cervicitis and vaginitis are medical terms that refer to inflammation of the cervix and vagina, respectively.

Cervicitis is a condition characterized by inflammation of the cervix, which is the narrow neck of the uterus that connects to the vagina. This inflammation can be caused by a variety of factors, including infections such as chlamydia, gonorrhea, and human papillomavirus (HPV), as well as irritation from contraceptives or vaginal products. Symptoms of cervicitis may include abnormal vaginal discharge, pain during intercourse, and bleeding between periods.

Vaginitis, on the other hand, is inflammation of the vagina, which is the muscular canal that connects the cervix to the external genitalia. This condition can also be caused by infections, such as bacterial vaginosis, yeast infections, or sexually transmitted infections. Symptoms of vaginitis may include itching, burning, and a strong, unpleasant odor.

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The principal (first-listed) diagnosis for a patient with cerebral thrombosis with infarction and moderate arterial hypertension would be cerebral thrombosis with infarction.

This is because cerebral thrombosis with infarction is the primary reason for the patient's hospitalization and treatment, while moderate arterial hypertension is a secondary condition that may have contributed to the thrombosis. The code for cerebral thrombosis with infarction would be selected from the ICD-10-CM codes for cerebrovascular diseases (I60-I69), with additional codes used to specify the location and severity of the thrombosis. Accurate coding is essential for proper reimbursement and tracking of patient outcomes, as well as for clinical research and public health surveillance purposes.
For your question, the principal (first-listed) diagnosis is "Cerebral thrombosis with infarction." This condition involves the formation of a blood clot (thrombosis) within a cerebral artery, leading to a blockage of blood flow and ultimately resulting in brain tissue damage or death (infarction). The additional diagnosis of "Moderate arterial hypertension" refers to elevated blood pressure, which can be a risk factor for cerebral thrombosis. Proper coding of these diagnoses is essential for accurate medical documentation and billing.

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