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Chapter 1: Evaluation and Management Case 1: Discharge Summary, Chest Pain Case 2: Progress Note, Renal Case 3: Progress Note, Hypotension Case 4: Discharge Summary, Cardiac Catheterization Case 5: Nephrology Consultation, Hypertension Case 6: Nephrology Consultation, Hypotension Case 7: Discharge Summary, Acute and Chronic Renal Failure Case 8: Discharge Summary, Hypotension Case 9: Progress Note, Hemoptysis Case 10: Neurosurgery Consultation, Neck Injury Case 11: Neurosurgery Consultation, Neck Pain Case 12: Neurosurgery Consultation, Leg Pain Case 13: Consultation, Intracerebral Hematoma Case 14: Rehabilitation Consultation, Back Pain and SOB Case 15: Urology Consultation, Oliguria Case 16: Thoracic Medicine/Critical Care Progress Note, Lung Cancer Case 17: Clinic Visit, Diarrhea Case 18: Cardiology Consultation, Chest Pain and SOB Case 19: Clinic Visit, Abdominal Pain
Chapter 2: Anesthesiology Case 1: Perforated Appendicitis Case 2: Right Inguinal Herniorrhaphy Case 3: Laparoscopic Cholecystectomy Case 4: Left Breast Biopsy Case 5: Amputation Case 6: Intracerebral Hematoma Case 7: Colostomy and Cholecystectomy Case 8: Modified Radical Mastectomy Case 9: Incision And Drainage Of Perirectal Abscess Case 10: Division and Insert of Flap Case 11: Intracerebral Hematoma
Chapter 3: Cardiology Case 1: Catheter Placement Case 2: Chart Note, Therapeutic Apheresis Case 3: Catheterization Case 4: Coronary Artery Bypass Graft Case 5: Intubation Case 6: Dressing Change and Oversewing of Tracheostomy Case 7: Thoracentesis Case 8: Endarterectomy Case 9: Angiogram Case 10: Intraaortic Balloon Pumping
Chapter 4: Integumentary Case 1: Excision, Cheek Lesion Case 2: Right Breast Wide Excision Case 3: Thenar Flap Coverage Case 4: Division and Insert of Flap Case 5: Laceration Repair Case 6: Massive Debridement Case 7: Minimal Debridement Case 8: Amputation Case 9: Nevus Excision
Chapter 5: Emergency Medicine Case 1: Forearm Abrasion and Swelling Case 2: Vomiting Case 3: Gastroesophageal Reflux Disease Case 4: Headache Case 5: Intracranial Injury Case 6: Sore Throat, Earache, and Sore Chest Case 7: Thigh Redness Case 8: Patellar Dislocation Case 9: Leg Laceration Case 10: Abdominal Pain and Diarrhea Case 11: Scrotal Bleeding Case 12: Dyspnea and Tachycardia
Chapter 6: Medicine Case 1: Echocardiogram Case 2: Stress Test Case 3: Cardiac Catheterization Case 4: Cardiac Catheterization Case 5: Right Heart Catheterization Case 6: Bilateral Laser Doppler Case 7: Saphenous Vein Mapping Case 8: Venous Ultrasound Case 9: Extremities Ultrasound Case 10: Renal Dialysis Progress Note
Chapter 7: Gastroenterology Case 1: Orogastric Tube Placement Case 2: Splenectomy and Colectomy Case 3: Gastrojejunostomy Placement Case 4: Cystotomy Case 5: Small Bowel Anastomosis Case 6: Pyloroplasty
Chapter 8: Nephrology Case 1: Progress Note, Dialysis Case 2: Progress Note, Peritoneal Dialysis Case 3: Progress Note, Cycler PD Case 4: Renal Tumor Excision Case 5: Renal Mass Case 6: Renal Tumor Case 7: Dialysis Catheter Replacement
Chapter 9: Neurology and Ophthalmology Case 1: Intracerebral Hematoma Case 2: Release Of Ulnar Nerve and Cubital Tunnel Case 3: Parietal Burr Holes Case 4: Diskectomy Case 5: Carpal Tunnel Case 6: Repair of Pseudomeningocele Case 7: Laminectomy with Foraminotomy Case 8: Laminotomy, Diskectomy, and Foraminotomy Case 9: Halo Crown and Vest Case 10: Intracapsular Cataract
Chapter 10: Obstetrics and Gynecology Case 1: Abdominal Hysterectomy Case 2: Dilation and Curettage Case 3: Cesarean Section Case 4: Labial Excision Case 5: Dilation and Curettage Case 6: Cervical Cerclage Preoperative Examination Case 7: Suction D&C Case 8: Cesarean with Tubal Ligation Case 9: Cesarean Section Case 10: OB Ultrasound Case 11: Laparoscopic Drainage of Cyst
Chapter 11: Orthopedics Case 1: Arthroplasty and Spur Excision Case 2: Meniscectomy, Knee Case 3: Plical Excision Case 4: Medial Meniscectomy, Knee Case 5: Steroid Injection Case 6: Open Reduction Internal Fixation Case 7: Fascial Sling Arthroplasty Case 8: Excision Bone Tumor Case 9: Carpal Tunnel Release Case 10: Debridement of Chondromalacia Case 11: Excision of Mass, Bursa Case 12: Excision Of Mass, Finger Case 13: Arthroplasty, Hip
Chapter 12: Otorhinolaryngology Case 1: Tympanostomy Case 2: Direct Laryngoscopy Case 3: Myringotomy with Tympanostomy Case 4: Adenoidectomy Case 5: Tonsillectomy and Adenoidectomy Case 6: Esophagoscopy with Dilation Case 7: Cervical Node Excision Case 8: Septoplasty Case 9: Mandibular Angle Fracture Case 10: Brachial Cleft Fistula Repair Case 11: Incus and Stapes Mobilization Case 12: Ethmoidectomy, Sphenoidotomy, and Septoplasty Case 13: Tarsorrhaphy
Chapter 13: Pathology Case 1: L3-L4 Disc Case 2: Uterus, Bilateral Tubes, and Ovaries Case 3: Placenta Case 4: Cervical Disc Case 5: Cervical Disc Case 6: Endometrial Curettage Case 7: Cerebral Hematoma Case 8: Necrotic Fascia Case 9: Myxoma Case 10: Soleus Muscle
Chapter 14: Pediatrics, Neonatology, and Adolescent Medicine Case 1: Well-Child Check Case 2: NICU Progress Note, Prematurity with Respiratory Difficulty Case 3: Progress Note, Ventilator Assist Case 4: NICU Progress Note, Ventilator Assist Case 5: Circumcision Case 6: Newborn Report
Chapter 15: Diagnostic Radiology Case 1: CT of Brain Case 2: X-Ray, Chest Case 3: Cranial CT Case 4: X-Ray, Chest Case 5: CT of Abdomen and Pelvis Case 6: Gallbladder Ultrasound Case 7: Ultrasound, Kidneys Case 8: Catheter Placement Case 9: Stress Test Case 10: Ventilation-Perfusion Lung Scan Case 11: Head Ultrasound Case 12: Abdominal X-Ray, UVC Catheter Placement Case 13: Neonatal Cystourethrogram
Chapter 16: Intervention Radiology and Radiation Oncology Case 1: CT-Guided Liver Biopsy Case 2: CT-Guided Lung Mass Biopsy Case 3: Lumbar Puncture Case 4: Ultrasound-Guided Paracentesis Case 5: Catheter Placement Case 6: Cardiac Angiogram Case 7: Aortogram Case 8: Tube Placement Case 9: Fistulogram Case 10: Extremity Angiogram Case 11: Abdominal Aortogram Case 12: Inpatient Consultation, Radiology Oncology Case 13: Treatment Planning Note, Radiation Oncology Case 14: Simulation Note, Radiation Oncology
Chapter 17: Urology Case 1: Native Kidney Biopsy Case 2: Cystoscopy Case 3: Catheterization Case 4: Cystoscopy and Retrograde Pyelogram Case 5: Kidney Biopsy Case 6: Native Kidney Biopsy Case 7: Ureteral Stent Change Case 8: Multiple Bladder Biopsies Case 9: Fulguration and Penile Lesion Biopsy Case 10: Hydrocele Repair
Chapter 18: General Surgery Case 1: Perforated Appendicitis Case 2: Right Inguinal Herniorrhaphy Case 3: Laparoscopic Cholecystectomy Case 4: Stab Wound Case 5: Left Breast Biopsy Case 6: Amputation Case 7: Umbilical Herniorrhaphy Case 8: Colostomy and Cholecystectomy Case 9: Modified Radical Mastectomy Case 10: Incision and Drainage of Perirectal Abscess Case 11: Peritoneal Dialysis Catheter Placement
Appendix A: Coding Answers to Patient Cases |
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