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[Solved]: DISCHARGE SUMMARY Patient presented with severe…

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DISCHARGE SUMMARY Patient presented with severe abdominal pain over the past 7–10 days. Denied nausea, vomiting, fever and chills. Had multiple bowel movements over the past several days before admission. EXAM: BP 120/70l, respirations 18, pulse 102, afebrile Softly distended abdomen, tender with minimal bowel sounds. Also noted a small hernia. Stool was heme positive. WBC 13,700, hemoglobin 17.7, hematocrit 54.9, electrolytes normal, amylase 61 Patient was admitted with diagnosis of possible small bowel obstruction and NG tube placed. He was kept NPO. X-ray demonstrated feces through the large bowel and two loops of small bowel with possible air fluid levels. The patient was hydrated with decompression. However, there was no improvement. Patient taken to the OR and underwent exploratory laparotomy. Peritoneum lysis of adhesions was performed. Postoperative course was complicated by difficulty with bowel movements and poor intake. Discharge on day 10 to be followed up in surgery clinic. Question Select the correct ICD-10-PCS primary procedure code.

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