01.01.12
Posted in Uncategorized, Extremities, Head/Neck, Chest, External at 1:00 am by admin
Q:Pedestrain struck by vehicle who expires 10 minutes after arrival in ED. No CTs taken.
Medical Examiner report: fracture dislocation at C1/C2. Cause of death blunt cervico spinal trauma.
Trauma sheets have Trauma Surgeon documentation:
1. Crepitus R femur mid shaft,
2. Obvious open fracture L femur midshaft
3. Distinct crepitus ribs R side 1-6
4. Multiple lacerations/abrasions over back and flank
5. Crepitus and abnormal alignment cervical spine appears to be dislocation with fracture
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12.01.11
Posted in Extremities at 1:00 am by admin
Q:A child is admitted to the ED after playing on the trampoline where another child landed on him. Xrays are done and a navicular fracture is identified. Please code this injury
A:This fracture requires more information as to whether or not this is a tarsal or a carpal bone; In an actual clinical situation, the physical examination and xray would b labeled as wrist or foot; If this is a tarsal navicular fx then the appropriate code would be 857451.2; if this is a carpal navicular then code 752461.2
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