Presentation
Age and Sex edits from the Medicare Code Editor alert you to codes that are used only with patients of a specific age or sex, helping to ensure accurate reporting Present on Admission symbol highlights the diseases that will always be coded as present [books.google.com]
However, testicular tumors can present precipitously if they undergo hemorrhage or necrosis, and produce swelling, pain and soreness. [auanet.org]
The most common presentation is bilateral, palpable, fixed, tender masses. Patients often present with generalized abdominal pain and rebound tenderness caused by peritoneal inflammation. [www1.cgmh.org.tw]
A rash is not a prominent presenting sign in patients with streptococcal TSS. [glowm.com]
Although the Index leads to varicose veins, this code should not be assigned if no varicosities are present. [quizlet.com]
Entire Body System
- Fever
unspecified 5 A0101 Typhoid meningitis 6 A0102 Typhoid fever with heart involvement 7 A0103 Typhoid pneumonia 8 A0104 Typhoid arthritis 9 A0105 Typhoid osteomyelitis 10 A0109 Typhoid fever with other complications 11 A011 Paratyphoid fever A 12 A012 [hive-worx.com]
Symptoms include Fever and chills Swollen glands or lymph nodes A rash with painful, red, tender skin. The skin may blister and scab over. [icdlist.com]
Redness Tenderness Swelling Warmth of the affected area Pelvic Cellulitis (Parametritis) : Inflammation of the tissue adjacent to the uterus, particularly in the broad ligament Treatment Principle Herb Formulas Points Clinical Manifestations Slight fever [americandragon.com]
Pyelonephritis: Other symptoms: high fevers that come and go along with chills / rigor. [healthtap.com]
Signs and symptoms include pain, tenderness and reddening in the affected area, fever, chills, and lymphadenopathy. [fpnotebook.com]
- Short Stature
stature N25.1 Nephrogenic diabetes insipidus Excludes1: diabetes insipidus NOS (E23.2) N25.8 Other disorders resulting from impaired renal tubular function N25.81 Secondary hyperparathyroidism of renal origin Excludes1: secondary hyperparathyroidism, [en.wikisource.org]
Gastrointestinal
- Abdominal Pain
Frequently, torsion resolves spontaneously, and the only presenting symptom is lower abdominal pain. [www1.cgmh.org.tw]
pain that is worse with pressure Abdominal spasms and tension Immobile masses in the lower abdomen with pain and tenderness Amenorrhea with distention and pain Dysmenorrhea Headache Sinus congestion Constipation Excess weight in the pelvis Lower back [americandragon.com]
A woman with parametritis can experience the following signs and symptoms: Fever Pelvic and/or lower abdominal pain Back pain Pain radiating down the leg Vaginal discharge Pain during intercourse The inflammation can become chronic and in long-standing [fertilitysmarts.com]
[…] differential Imaging: Abdominal Ultrasound (assess for urinary retention) Pyelonephritis – symptoms usually persist for Sx: Dysuria, hematuria, flank pain, abdominal pain, fever, urinary urgency/frequency, nausea, vomiting Labs: Leukocytosis with left [clinicaladvisor.com]
It is characterized by fever, uterine subinvolution, chills and sweats, abdominal pain that spreads laterally, and, if untreated, the formation of a large abscess and signs of peritonitis. [medical-dictionary.thefreedictionary.com]
Skin
- Chronic Abscess
Unspecified parametritis and pelvic cellulitis 2016 2017 2018 2019 Billable/Specific Code Female Dx Applicable To Any condition in N73.0 unspecified whether acute or chronic Abscess (connective tissue) (embolic) (fistulous) (infective) (metastatic) (multiple [icd10data.com]
Urogenital
- Salpingitis
[…] and oophoritis 614.1 - Chronic salpingitis and oophoritis 614.2 - Salpingitis and oophoritis not specified as acute, subacute, or chronic 614.4 - Chronic or unspecified parametritis and pelvic cellulitis 614.5 - Acute or unspecified pelvic peritonitis [emedcodes.com]
N7002Acute oophoritis N7003Acute salpingitis and oophoritis N7011Chronic salpingitis N7012Chronic oophoritis N7013Chronic salpingitis and oophoritis N7091Salpingitis, unspecified N7092Oophoritis, unspecified N7093Salpingitis and oophoritis, unspecified [cms.gov]
N70.0 Acute salpingitis and oophoritis N70.1 Chronic salpingitis and oophoritis Hydrosalpinx N70.9 Salpingitis and oophoritis, unspecified N71 Inflammatory disease of uterus, except cervix Includes: endo(myo)metritis metritis myometritis pyometra uterine [apps.who.int]
N70.1 Chronic salpingitis and oophoritis N70.9 Salpingitis and oophoritis, unspecified N71 Inflammatory disease of uterus, except cervix N71.0 Acute inflammatory disease of uterus N71.1 Chronic inflammatory disease of uterus N71.9 Inflammatory disease [www0.sun.ac.za]
[…] and oophoritis, unspecified N70.91 Salpingitis, unspecified N70.92 Oophoritis, unspecified N70.93 Salpingitis and oophoritis, unspecified N71 Inflammatory disease of uterus, except cervix N71.0 Acute inflammatory disease of uterus N71.1 Chronic inflammatory [icd10data.com]
- Pelvic Pain
Adenomyosis CHRONIC PELVIC PAIN Chronic pelvic pain is defined as continuous or intermittent pelvic pain of longer than 6 months duration. No symptoms uniquely identify genitourinary structures as a source of pelvic pain. [www1.cgmh.org.tw]
[…] on patients with endometriosis and chronic pelvic pain. [emedicine.medscape.com]
This can lead to infertility, ectopic pregnancy, pelvic pain, abscesses, and other serious problems. PID is the most common preventable cause of infertility in the United States. [icdlist.com]
Pelvic/Supra-Pubic Pain I. Problem/Condition. Pelvic/supra-pubic pain has a wide and varied differential diagnosis. [clinicaladvisor.com]
The perineum may be easily overlooked during imaging examinations, but it can potentially contain numerous acute conditions in patients presenting with pelvic pain. [appliedradiology.com]
- Cervical Motion Tenderness
During the bimanual exam, cervical motion tenderness and adnexal tenderness are most commonly associated with pelvic inflammatory disease (salpingitis, tubo-ovarian abscess). [clinicaladvisor.com]
Pelvic exam may reveal cervical motion tenderness that is exaggerated on the side of the tubal ectopic. Initially, a sensitive serum or urine pregnancy test should be performed. [www1.cgmh.org.tw]
- Pelvic Pain in Women
For more information, see Medscape Reference article Chronic Pelvic Pain in Women. [emedicine.medscape.com]
Workup
[…] frequency, urgency, dysuria), afebrile, pain with a full bladder Labs: Urinalysis, Urine Culture, Blood culture, CBC with differential, Syphilis, HIV, Endocervical culture Imaging: Abdominal Ultrasound or cystoscopy in men as it is rare and warrants workup [clinicaladvisor.com]
The diagnostic workup of a patient with suspected TSS starts with a complete physical examination to investigate signs of multiorgan involvement. A pelvic examination is performed, which includes the removal of a tampon if one is present. [glowm.com]
Laboratory
- Leukocytosis
• With the development of abscesses infiltrate:- neutrophilic leukocytosis occur shift to the left, • Dysproteinemia, •In bimanual study:- determined shortening and smoothing of the posterior or lateral vaginal vault, a more pronounced by the defeat [slideshare.net]
Laboratory tests Complete blood count (leukocytosis indicating infection, HELLP, ectopic pregnancy, Hbg/Hct -blood loss anemia) Basic metabolic profile (renal insufficiency, BUN:creat ratio may suggest pre-renal versus renal versus post renal etiology [clinicaladvisor.com]
Clinical manifestations include a persistent spiking temperature along with a leukocytosis and elevated erythrocyte sedimentation rate or C-reactive protein. [glowm.com]
Infarction also leads to fever and mild leukocytosis. If the ovary appears viable on laparoscopic examination, the pedicle may be untwisted and the cyst removed. An infarcted ovary needs to be removed. [www1.cgmh.org.tw]
However, a animal study failed to show adhesions following direct bacterial inoculation. [30] Infection may be accompanied by fever, leukocytosis, and gonococcal or chlamydial infection. [emedicine.medscape.com]
Treatment
During postoperative treatment, GnRH analogs resulted in significantly reduced pain scores in women who received treatment for 6 months. [www1.cgmh.org.tw]
Symptoms and signs include : Redness Tenderness Swelling Warmth of the affected area Pelvic Cellulitis (Parametritis) : Inflammation of the tissue adjacent to the uterus, particularly in the broad ligament Treatment Principle Herb Formulas Points Clinical [americandragon.com]
Treatment The following treatments are commonly recommended for cellulitis: Medication Cellulitis nearly always responds rapidly to antibiotics. [medicalnewstoday.com]
Early treatment is important. Waiting too long increases the risk of infertility. [icdlist.com]
A review of prescribed treatments in the IC database revealed that cystoscopy with hydrodistension is the most popular treatment. [emedicine.medscape.com]
Prognosis
Thrombosis of the iliofemoral veins carries a worse prognosis with increased incidence of late clinical complications such as post-thrombotic syndrome [ 15 ]. [patient.info]
Prognosis Over 90% of all cellulitis cases are cured after seven to ten days of antibiotic treatment. [encyclopedia.com]
Etiology
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. [icd10coded.com]
ETIOLOGY:- •The infection gains access following: •Delivery and abortion through placental site or from lacerations of the cervix, vaginal vault or lower uterine segment. [slideshare.net]
Polymicrobial etiology of acute pelvic inflammatory disease. New England Journal of Medicine 293: 166–171, 1975 PubMed CrossRef Google Scholar Ledger WJ. Selection of antimicrobial agents for treatment of infections of the female genital tract. [link.springer.com]
See: illustration ; necrotizing fasciitis Etiology Bacteria gain access through breaks in the skin and spread rapidly, overwhelming normal body defenses; lesions between the toes from athlete's foot are common entry sites. [medical-dictionary.thefreedictionary.com]
Myofascial Pain Myofascial etiologies occur in 15% of patients with chronic pelvic pain. [emedicine.medscape.com]
Epidemiology
System(s) affected: reproductive Synonym(s): postpartum infection; endometritis; endoparametritis; endomyometritis; myometritis; endomyoparametritis; metritis; metritis with pelvic cellulitis Epidemiology Incidence Occurs in women of childbearing years [unboundmedicine.com]
Epidemiology DVT has an annual incidence of about 1 in 1,000 people [ 3 ]. [patient.info]
“Sexually transmitted diseases, pelvic inflammatory disease, and infertility: an epidemiologic update”. Epidemiol Rev. vol. 12. 1990. pp. 199-220. Donaldson, CK. “Acute Gynecologic Disorders”. Radiol Clin North Am. vol. 53. 2015 Nov. pp. 1293-307. [clinicaladvisor.com]
Pathophysiology
Fifth leading cause of maternal mortality, accounting for 11% of maternal deaths Etiology and Pathophysiology Endometritis is more common in labors complicated by chorioamnionitis. [unboundmedicine.com]
The pathophysiology of SPT is outlined by Virchow's triad: Venous stasis Injury to the vascular epithelium A hypercoagulable state These factors explain why SPT is almost always a puerperal event that is most commonly diagnosed after postcesarean endomyometritis [glowm.com]
“Sleisenger & Fordtran's Gastrointestinal and liver disease: pathophysiology, diagnosis, management”. 2010. Copyright © 2017, 2013 Decision Support in Medicine, LLC. All rights reserved. [clinicaladvisor.com]
Prevention
/Avoidable - 50% Emergent - ED Care Needed - Not Preventable/Avoidable - 0% Primary diagnosis of injury 0% Primary diagnosis of mental health problems 0% Primary diagnosis of substance abuse 0% Primary diagnosis of Alcohol 0% Unclassified 0% We Could [medicbind.com]
PID is the most common preventable cause of infertility in the United States. Gonorrhea and chlamydia, two sexually transmitted diseases, are the most common causes of PID. Other bacteria can also cause it. [icdlist.com]
Practice Good Hygiene Keeping the skin clean and improving circulation (blood flow) to the skin are important for preventing infections. [draxe.com]
Can cellulitis be prevented? To prevent cellulitis, avoid skin breaks by wearing appropriate protective equipment when participating in risky work or sports. Keep any skin breaks clean and watch for redness, pain or other signs of infection. [mediclinicinfohub.co.za]
Prevention To prevent cellulitis, avoid skin breaks by wearing appropriate protective equipment when participating in risky work or sports. Keep any skin breaks clean and watch for redness, pain or other signs of infection. [health24.com]