ICD-10-CM and ICD-10-PCS Chapter 19 Diseases of the Genitourinary System – Flashcards
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(T/F) The urethra is a narrow tube connecting the kidney to the bladder
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False
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(T/F) The mammary glands are located in the breast
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True
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(T/F) The prostate gland is part of the male urinary system
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False
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(T/F) Nephrosis refers to a disease or disorder of the kidney.
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True
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(T/F) If renal failure is confirmed as being acute, codes from the N20 category are used.
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False
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The_______holds urine until it is expelled from the body.
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bladder
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______is progressive disease in which renal function deteriorates.
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Chronic Kidney Disease (CKD)
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______is synonymous with nephropathy.
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Nephrosis
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_______marks the end of a woman's menstrual cycle.
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Menopause
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The_______filters blood to remove waste, and the________ actually from urine.
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kidney, nephrons
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Atrophy of kidney
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N26.1
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Galactorrhea not associated with childbirth
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N64.3
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Bilateral small kidneys
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N27.1
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Paralysis of the bladder
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N31.2
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Chronic renal failure
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N18.9
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Postmenopausal bleeding
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N95.0
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Dysplasia of the cervix, uteri
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N87.9
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Acute renal failure with acute cortical necrosis
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N17.1
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Hyperplasia of prostate with urinary obstruction
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N40.1
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Prolapsed urethral mucosa
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N36.8
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Renal tubular necrosis
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N17.0
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Benign prostatic hypertrophy
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N40.0
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UTI
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N39.0
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Weakening of pubocervical tissue
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N81.82
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Ureterolithiasis
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N20.1
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Renal cortical necrosis NOS
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N17.1
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Chronic interstitial cystitis
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N30.10
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Peyronie's disease
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N48.6
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Acute salpingo-oophoritis
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N70.03
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Overactive bladder
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N32.81
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Fibrosclerosis of breast
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N60.39
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Atrophy of the spermatic cord
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N50.8
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Azoospermia
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N46.01
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Abscess of the spididymis
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N45.4
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Glomerulitis
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N05.9
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CASE 1: Chronic nephritic syndrome with focal and segmental sclerosis
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N03.1
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CASE 2: The patient is a 31-year old white female admitted from my office because of increasing abdominal pain. The patient is gravida II, para II. The pain has been present for the last 6 months, occurring more severely the day before the onset of menses. The pain radiated down her back, vagina, and her lower abdomen. HOSPITAL COURSE: Pelvis exam revealed generalized tenderness. A laparoscopy revealed endometriosis of pelvic peritoneum. The patient was counseled as to available treatment options, which include hormonal therapy, surgical resection, or electrocautery. After pain management, she was discharded in 1 day. She wishes to discuss the treatment options with her husband.
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N80.3
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CASE 3: This 84-year old man was seen today at the request of the charge nurse. The patient is experiencing urinary retention. No other complaints were noted by patient. Beacause of the enlarged prostate I ordered a PSA to rule out prostate cancer because the patient has not had a previous PSA completed. The following tests were also ordered: urinalysis and urine culture.
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N40.1, R33.8
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CASE 4: Eric presented to the ED with severe flank pain, hematuria, and a palpable flank mass. He said the pain was 10 on the pain scale. He had a dull pain for most of the day, but pain escalated over the last hour. Dr. Smith ordered a renal scan and ultrasound. Eric was diagnosed with hydronephrosis. He was sent home on pain medication and antibiotic therapy.
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N13.39
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CASE 5: Mrs. Vinton present with complaint of painful urination. She states she has pain and burning when urinating. She also notes that she feels urgency and has recently started with low back pin over the last 24 hours. A urinalysis was positive for pyuria, the culture showing 150,000 organisms/mL/ She was diagnosed with cystitis. She was started on antibiotics.
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N39.90
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CASE 6: This 25-year old female patient present today with dysuria, flank pain, and low back pain. Symptoms have been present for 3 days. Urinalysis was completed and showed 110,000 bacteria per milliliter and C&S showed E. coli present. Prescription was written for antibiotics to treat the urinary tract infection. Patient was return to my office in 10 days for follow-up urinalysis.
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N39.0, B96.20
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CASE 7: This 51-year-old make patient present to the ED with extreme pain stating that "This is the worst pain I have ever had in my life." The pain is in lower back area. Urinalysis shows hematuria. Ultrasounds shoes renal calculi of the kidney and ureter. I have called in Dr. Smith for a urinary consultation.
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N20.2
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CASE 8: This 73-year-old male patient is being discharged today following a -day length of stay for his stage 4 renal disease. During this admission he received dialysis and we discussed that the disease is progressing. His medications were adjusted and he will continue dialysis as an outpatient.
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N18.4
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CASE 9: This 46-year-old female is being admitted today for IV antibiotic therapy because she has been treated for acute pyelonephritis for the last 10 days with no improvement in her symptoms. She is experiencing chills, fever, and flank pain and nausea. I have scheduled an ultrasound to determine if the kidney is enlarged. I will return to see her later today following the results of the ultrasound.
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N10
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CASE 10: This male patient underwent a hydrocelectomy following trauma to his scrotum that resulted in a hydrocele on his left testis. The surgery was uneventful and he is instructed to return to my office in 1 week.
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N43.3
