DOCSLIB.ORG

Vertical Perspective Medical Assistance Program

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text

Load more

Kansas Vertical Perspective Medical Assistance Program December 2006 Provider Bulletin Number 688 General Providers Emergent and Nonemergent Diagnosis Code List Attached is a list of diagnosis codes and whether the Kansas Medical Assistance Program (KMAP) considers the code to be emergent or nonemergent. Providers are responsible for validating whether a particular diagnosis code is covered by KMAP under the beneficiary’s benefit plan and that all program requirements are met. This list does not imply or guarantee payment for listed diagnosis codes. Information about the Kansas Medical Assistance Program as well as provider manuals and other publications are on the KMAP Web site at https://www.kmap-state-ks.us. If you have any questions, please contact the KMAP Customer Service Center at 1-800-933-6593 (in-state providers) or (785) 274-5990 between 7:30 a.m. and 5:30 p.m., Monday through Friday. EDS is the fiscal agent and administrator of the Kansas Medical Assistance Program for the Kansas Health Policy Authority. Page 1 of 347 Emergency Indicators as noted by KMAP: N – Never considered emergent S – Sometimes considered emergent (through supporting medical documentation) Y – Always considered emergent Diagnosis Emergency Diagnosis Code Description Code Indicator 0010 Cholera due to Vibrio Cholerae S 0011 Cholera due to Vibrio Cholerae El Tor S 0019 Unspecified Cholera S 019 Late Effects of Tuberculosis N 0020 Typhoid Fever S 0021 Paratyphoid Fever A S 0022 Paratyphoid Fever B S 0023 Paratyphoid Fever C S 024 Glanders Y 025 Melioidosis Y 0029 Unspecified Paratyphoid Fever S 0030 Salmonella Gastroenteritis S 0031 Salmonella Septicemia S 035 Erysipelas N 037 Tetanus Y 0038 Other Specified Salmonella Infections S 0039 Unspecified Salmonella Infection S 0040 Shigella Dysenteriae S 0041 Shigella Flexneri S 0042 Shigella Boydii S 042 Human Immunodeficiency Virus [HIV] N 0043 Shigella Sonnei S 043 Human Immunodeficiency Virus (HIV) Disease N 044 Human Immunodeficiency Virus (HIV) Disease N 0048 Other Specified Shigella Infections S 048 Other Enterovirus Diseases of Central Nervous System N 0049 Unspecified Shigellosis S 0050 Staphylococcal Food Poisoning S 0051 Botulism S 0052 Food Poisoning due to Clostridium Perfringens (C. Welchii) S 0053 Food Poisoning due to Other Clostridia S 0054 Food Poisoning due to Vibrio Parahaemolyticus S 0059 Unspecified Food Poisoning S 0060 Acute Amebic Dysentery Without Mention of Abscess S 0061 Chronic Intestinal Amebiasis Without Mention of Abscess S 061 Dengue Y 0062 Amebic Nondysenteric Colitis S 0063 Amebic Liver Abscess Y 0064 Amebic Lung Abscess Y 064 Viral Encephalitis Transmitted by Other and Unspecified Arthropods Y 0065 Amebic Brain Abscess Y EDS is the fiscal agent and administrator of the Kansas Medical Assistance Program for the Kansas Health Policy Authority. Page 2 of 347 Diagnosis Emergency Diagnosis Code Description Code Indicator 0066 Amebic Skin Ulceration N 067 Arthropod-Borne Hemorrhagic Fever Y 0068 Amebic Infection of Other Sites N 068 Other Arthropod-Borne Viral Diseases N 0069 Unspecified Amebiasis N 0070 Balantidiasis Y 0071 Giardiasis N 071 Rabies Y 0072 Coccidiosis N 0073 Intestinal Trichomoniasis N 0074 Cryptosporidiosis N 0075 Cyclosporiasis N 075 Infectious Mononucleosis N 0078 Other Specified Protozoal Intestinal Diseases N 0079 Unspecified Protozoal Intestinal Disease N 080 Louse-Borne (Epidemic) Typhus N 0081 Intestinal Infection due to Arizona Group of Paracolon Bacilli N 0082 Intestinal Infection due to Aerobacter Aerogenes N 0083 Intestinal Infections due to Proteus (Mirabilis) (Morganii) N 0085 Intestinal Infection due to Unspecified Bacterial Enteritis N 0088 Intestinal Infection due to Other Organism, Nec N 089 Other Arthropod-Borne Diseases N 0090 Infectious Colitis, Enteritis, and Gastroenteritis N 0091 Colitis, Enteritis, and Gastroenteritis of Presumed Infectious Origin N 0092 Infectious Diarrhea N 0093 Diarrhea of Presumed Infectious Origin N 096 Late Syphilis, Latent N 101 Vincent's Angina N 113 Actinomycosis Y 118 Opportunistic Mycoses N 124 Trichinosis N 129 Unspecified Intestinal Parasitism N 135 Sarcoidosis N 138 Late Effects of Acute Poliomyelitis N 179 Malignant Neoplasm of Uterus, Part Unspecified N 181 Malignant Neoplasm of Placenta N 185 Malignant Neoplasm of Prostate N 193 Malignant Neoplasm of Thyroid Gland N 0200 Bubonic Plague Y 0201 Cellulocutaneous Plague Y 0202 Septicemic Plague Y 0203 Primary Pneumonic Plague Y 0204 Secondary Pneumonic Plague Y 0205 Pneumonic Plague, Unspecified Y 0208 Other Specified Types of Plague Y 0209 Unspecified Plague Y EDS is the fiscal agent and administrator of the Kansas Medical Assistance Program for the Kansas Health Policy Authority. Page 3 of 347 Diagnosis Emergency Diagnosis Code Description Code Indicator 209 Myelofibrosis N 0210 Ulceroglandular Tularemia Y 0211 Enteric Tularemia Y 0212 Pulmonary Tularemia Y 0213 Oculoglandular Tularemia Y 217 Benign Neoplasm of Breast N 0218 Other Specified Tularemia Y 0219 Unspecified Tularemia Y 0220 Cutaneous Anthrax Y 220 Benign Neoplasm of Ovary N 0221 Pulmonary Anthrax Y 0222 Gastrointestinal Anthrax Y 0223 Anthrax Septicemia Y 226 Benign Neoplasm of Thyroid Glands N 0228 Other Specified Manifestations of Anthrax Y 0229 Unspecified Anthrax Y 0230 Brucella Melitensis Y 0231 Brucella Abortus Y 0232 Brucella Suis Y 0233 Brucella Canis Y 0238 Other Brucellosis Y 0239 Burcellosis, Unspecified Y 243 Congenital Hypothyroidism N 0260 Spirillary Fever Y 260 Kwashiorkor N 0261 Streptobacillary Fever Y 261 Nutritional Marasmus N 262 Other Severe Protein-Calorie Malnutrition N 267 Ascorbic Acid Deficiency N 0269 Unspecified Rat-Bite Fever Y 0270 Listeriosis N 0271 Erysipelothrix Infection N 0272 Pasteurellosis N 0278 Other Specified Zoonotic Bacterial Diseases N 0279 Unspecified Zoonotic Bacterial Disease N 0300 Lepromatous Leprosy (Type L) N 0301 Tuberculoid Leprosy (Type T) N 0302 Indeterminate Leprosy (Group I) N 0303 Borderline Leprosy (Group B) N 0308 Other Specified Leprosy N 0309 Unspecified Leprosy N 0310 Pulmonary Diseases due to Other Mycobacteria S 0311 Cutaneous Diseases due to Other Mycobacteria N 311 Depressive Disorder, Not Elsewhere Classified Y 0312 Disseminated Diseases due to Other Mycobacteria N 316 Psychic Factors Associated With Diseases Classified Elsewhere N EDS is the fiscal agent and administrator of the Kansas Medical Assistance Program for the Kansas Health Policy Authority. Page 4 of 347 Diagnosis Emergency Diagnosis Code Description Code Indicator 317 Mild Mental Retardation N 0318 Other Specified Diseases due to Other Mycobacteria N 0319 Unspecified Diseases due to Mycobacteria N 319 Unspecified Mental Retardation N 00320 Unspecified Localized Salmonella Infection S 0320 Faucial Diphtheria Y 00321 Salmonella Meningitis S 0321 Nasopharyngeal Diphtheria Y 00322 Salmonella Pneumonia S 0322 Anterior Nasal Diphtheria Y 00323 Salmonella Arthritis S 0323 Laryngeal Diphtheria Y 00324 Salmonella Osteomyelitis S 325 Phlebitis and Thrombophlebitis of Intracranial Venous Sinuses Y 326 Late Effects of Intracranial Abscess or Pyogenic Infection N 0328 Other Specified Diphtheria Y 00329 Other Localized Salmonella Infections S 0329 Unspecified Diphtheria Y 0330 Whooping Cough due to Bordetella Pertussis (P. Pertussis) Y 0331 Whooping Cough due to Bordetella Parapertussis (B. Parapertussis) Y 0338 Whooping Cough due to Other Specified Organism Y 0339 Whooping Cough, Unspecified Organism Y 0340 Streptococcal Sore Throat Y 340 Multiple Sclerosis S 0341 Scarlet Fever Y 347 Cataplexy and Narcolepsy N 0360 Meningococcal Meningitis Y 0361 Meningococcal Encephalitis Y 0362 Meningococcemia Y 0363 Waterhouse-Friderichsen Syndrome, Meningococcal Y 0368 Other Specified Meningococcal Infections Y 0369 Unspecified Meningococcal Infection Y 0380 Streptococcal Septicemia Y 0381 Staphylococcal Septicemia Y 0382 Pneumococcal Septicemia Y 0383 Septicemia due to Anaerobes Y 0388 Other Specified Septicemia Y 0389 Unspecified Septicemia Y 0390 Cutaneous Actinomycotic Infection Y 390 Rheumatic Fever Without Mention of Heart Involvement N 0391 Pulmonary Actinomycotic Infection Y 0392 Abdominal Actinomycotic Infection Y 0393 Cervicofacial Actinomycotic Infection Y 393 Chronic Rheumatic Pericarditis Y 0394 Madura Foot N 0398 Actinomycotic Infection of Other Specified Sites Y EDS is the fiscal agent and administrator of the Kansas Medical Assistance Program for the Kansas Health Policy Authority. Page 5 of 347 Diagnosis Emergency Diagnosis Code Description Code Indicator 0399 Actinomycotic Infection of Unspecified Site Y 0400 Gas Gangrene Y 400 Malignant Hypertension Y 0401 Rhinoscleroma N 0402 Whipple's Disease N 0403 Necrobacillosis N 0408 Other Specified Bacterial Diseases N 0412 Pneumococcus Infection in in Conditions Classified Elsewhere And of Unspecified Site N 412 Old Myocardial Infarction Y Friedlander's Bacillus Infection in Conditions Classified Elsewhere and of Unspecified 0413 Site N Escherichia Coli (E. Coli) Infection in Conditions Classified Elsewhere and of Unspecified 0414 Site N Hemophilus Influenzae (H. Influenzae) Infection in Conditions Classified Elsewhere and 0415 of Unspecified Site N Proteus (Mirabilis) (Morganii) Infection in Conditions Classified Elsewhere and of 0416 Unspecified Site N 0417 Pseudomonas Infection in Conditions Classified Elsewhere and of Unspecified Site N Bacterial Infection, Unspecified, in Conditions Classified Elsewhere and of Unspecified 0419 Site N 430 Subarachnoid Hemorrhage Y 431 Intracerebral Hemorrhage Y 436 Acute, but Ill-Defined,
Recommended publications
  • Ocular Injury; Hazard to Society: a Case Series

    Ocular Injury; Hazard to Society: a Case Series

    Quest Journals Journal of Medical and Dental Science Research Volume 7~ Issue 8 (2020) pp: 34-44 ISSN(Online) : 2394-076X ISSN (Print):2394-0751 www.questjournals.org Research Paper Ocular Injury; Hazard to Society: A Case Series Dr Rashmi kujur1, Dr Pallavi. M.P2, Dr Harshita Dubey3, Dr Varsha4 1Dept. of ophthalmology, Madhav dispensary JAH, GRMC, Gwalior, Madhyapradesh. 2Senior girls hostel, GRMC, Gwalior, Madhyapradesh. 3Senior girls hostel, GRMC, Gwalior, Madhyapradesh. 4Senior girls hostel, GRMC, Gwalior,Madhyapradesh. Corresponding Author: Dr.Pallavi.M.P ABSTRACT Purpose: To describe various types of ocular trauma due to different modes of injuryoccured on the same day Design: Prospective interventional study (case series) Materials & Methods: A series of cases of ocular trauma in different age group on the same day. Results: Five patients of ocular trauma were studied & managed. All five patients were males. Out of 5 cases, 3 cases had open globe injury and 2 cases had closed globe injury. Three out of five patients required surgical intervention while 2 patients were managed with medical therapy. Conclusion: This study describes the types and characteristics of ocular trauma presenting in eye department. The frequency of ocular trauma is common in males. Eye injuries resulting from ocular trauma pose a frequent threat to vision the world over. While afocussed history and prompt ocular examination are essential to immediate management, patient educationregarding safety precautions and risk reduction help to prevent future recurrences. KEYWORDS: Ocular morbidity, Ocular Injury, globe rupture, iridodialysis, fire cracker injury, hyphema, Road Traffic accident (RTA), loss of vision. Received 05 December, 2020; Accepted 20 December, 2020 © The author(s) 2020.
  • Ocular Photography - External (L34393)

    Ocular Photography - External (L34393)

    Local Coverage Determination (LCD): Ocular Photography - External (L34393) Links in PDF documents are not guaranteed to work. To follow a web link, please use the MCD Website. Contractor Information Contractor Name Contract Type Contract Number Jurisdiction State(s) CGS Administrators, LLC MAC - Part A 15101 - MAC A J - 15 Kentucky CGS Administrators, LLC MAC - Part B 15102 - MAC B J - 15 Kentucky CGS Administrators, LLC MAC - Part A 15201 - MAC A J - 15 Ohio CGS Administrators, LLC MAC - Part B 15202 - MAC B J - 15 Ohio Back to Top LCD Information Document Information LCD ID Original Effective Date L34393 For services performed on or after 10/01/2015 Original ICD-9 LCD ID Revision Effective Date L31880 For services performed on or after 10/01/2018 Revision Ending Date LCD Title N/A Ocular Photography - External Retirement Date Proposed LCD in Comment Period N/A N/A Notice Period Start Date Source Proposed LCD N/A N/A Notice Period End Date AMA CPT / ADA CDT / AHA NUBC Copyright Statement N/A CPT only copyright 2002-2018 American Medical Association. All Rights Reserved. CPT is a registered trademark of the American Medical Association. Applicable FARS/DFARS Apply to Government Use. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein. The Code on Dental Procedures and Nomenclature (Code) is published in Current Dental Terminology (CDT).
  • ICD-10 Diagnoses on Router

    ICD-10 Diagnoses on Router

    L ARTHRITIS R L HAND R L ANKLE R L FRACTURES R OSTEOARTHRITIS: PRIMARY, 2°, POST TRAUMA, POST _____ CONTUSION ACHILLES TEN DYSFUNCTION/TENDINITIS/RUPTURE FLXR TEN CLAVICLE: STERNAL END, SHAFT, ACROMIAL END CRYSTALLINE ARTHRITIS: GOUT: IDIOPATHIC, LEAD, CRUSH INJURY AMPUTATION TRAUMATIC LEVEL SCAPULA: ACROMION, BODY, CORACOID, GLENOID DRUG, RENAL, OTHER DUPUYTREN’S CONTUSION PROXIMAL HUMERUS: SURGICAL NECK 2 PART 3 PART 4 PART CRYSTALLINE ARTHRITIS: PSEUDOGOUT: HYDROXY LACERATION: DESCRIBE STRUCTURE CRUSH INJURY PROXIMAL HUMERUS: GREATER TUBEROSITY, LESSER TUBEROSITY DEP DIS, CHONDROCALCINOSIS LIGAMENT DISORDERS EFFUSION HUMERAL SHAFT INFLAMMATORY: RA: SEROPOSITIVE, SERONEGATIVE, JUVENILE OSTEOARTHRITIS PRIMARY/SECONDARY TYPE _____ LOOSE BODY HUMERUS DISTAL: SUPRACONDYLAR INTERCONDYLAR REACTIVE: SECONDARY TO: INFECTION ELSEWHERE, EXTENSION OR NONE INTESTINAL BYPASS, POST DYSENTERIC, POST IMMUNIZATION PAIN OCD TALUS HUMERUS DISTAL: TRANSCONDYLAR NEUROPATHIC CHARCOT SPRAIN HAND: JOINT? OSTEOARTHRITIS PRIMARY/SECONDARY TYPE _____ HUMERUS DISTAL: EPICONDYLE LATERAL OR MEDIAL AVULSION INFECT: PYOGENIC: STAPH, STREP, PNEUMO, OTHER BACT TENDON RUPTURES: EXTENSOR OR FLEXOR PAIN HUMERUS DISTAL: CONDYLE MEDIAL OR LATERAL INFECTIOUS: NONPYOGENIC: LYME, GONOCOCCAL, TB TENOSYNOVITIS SPRAIN, ANKLE, CALCANEOFIBULAR ELBOW: RADIUS: HEAD NECK OSTEONECROSIS: IDIOPATHIC, DRUG INDUCED, SPRAIN, ANKLE, DELTOID POST TRAUMATIC, OTHER CAUSE SPRAIN, ANKLE, TIB-FIB LIGAMENT (HIGH ANKLE) ELBOW: OLECRANON WITH OR WITHOUT INTRA ARTICULAR EXTENSION SUBLUXATION OF ANKLE,
  • Upper Extremity

    Upper Extremity

    Upper Extremity Shoulder Elbow Wrist/Hand Diagnosis Left Right Diagnosis Left Right Diagnosis Left Right Adhesive capsulitis M75.02 M75.01 Anterior dislocation of radial head S53.015 [7] S53.014 [7] Boutonniere deformity of fingers M20.022 M20.021 Anterior dislocation of humerus S43.015 [7] S43.014 [7] Anterior dislocation of ulnohumeral joint S53.115 [7] S53.114 [7] Carpal Tunnel Syndrome, upper limb G56.02 G56.01 Anterior dislocation of SC joint S43.215 [7] S43.214 [7] Anterior subluxation of radial head S53.012 [7] S53.011 [7] DeQuervain tenosynovitis M65.42 M65.41 Anterior subluxation of humerus S43.012 [7] S43.011 [7] Anterior subluxation of ulnohumeral joint S53.112 [7] S53.111 [7] Dislocation of MCP joint IF S63.261 [7] S63.260 [7] Anterior subluxation of SC joint S43.212 [7] S43.211 [7] Contracture of muscle in forearm M62.432 M62.431 Dislocation of MCP joint of LF S63.267 [7] S63.266 [7] Bicipital tendinitis M75.22 M75.21 Contusion of elbow S50.02X [7] S50.01X [7] Dislocation of MCP joint of MF S63.263 [7] S63.262 [7] Bursitis M75.52 M75.51 Elbow, (recurrent) dislocation M24.422 M24.421 Dislocation of MCP joint of RF S63.265 [7] S63.264 [7] Calcific Tendinitis M75.32 M75.31 Lateral epicondylitis M77.12 M77.11 Dupuytrens M72.0 Contracture of muscle in shoulder M62.412 M62.411 Lesion of ulnar nerve, upper limb G56.22 G56.21 Mallet finger M20.012 M20.011 Contracture of muscle in upper arm M62.422 M62.421 Long head of bicep tendon strain S46.112 [7] S46.111 [7] Osteochondritis dissecans of wrist M93.232 M93.231 Primary, unilateral
  • Traumatic Retinal Detachment Br J Ophthalmol: First Published As 10.1136/Bjo.75.1.18 on 1 January 1991

    Traumatic Retinal Detachment Br J Ophthalmol: First Published As 10.1136/Bjo.75.1.18 on 1 January 1991

    18 BritishJournalofOphthalmology, 1991,75, 18-21 Traumatic retinal detachment Br J Ophthalmol: first published as 10.1136/bjo.75.1.18 on 1 January 1991. Downloaded from P B Johnston Abstract trauma is a well recognised cause of rhegmato- Seventy-seven patients developed retinal genous retinal detachment, which was reported breaks following an episode of ocular con- by Eagling' to affect 4-6% of such injuries. The tusion, and 65 (84.4%) of these developed characteristics of postcontusion retinal detach- rhegmatogenous retinal detachment. Surgical ments were described by Cox et all and the treatment successfully restored or maintained mechanism ofbreak formation was elucidated by retinal apposition in 74 (96-1%) of the eyes. Delori et all who studied the effect of high speed Thirty-six (46-8%) eyes recovered visual acuity projectiles on enucleated pig eyes. Experimental of6/9orbetter. Ofthe retinal breaks recognised evidence indicates that retinal breaks form at the dialysis at the ora serrata was observed in 49 time of ocular impact. However, clinical reports eyes, of which 28 were situated at the lower show considerable delay in the diagnosis of temporal quadrant. Seventeen eyes had post-traumatic retinal detachment. For example, irregular breaks arising within necrotic retina Cox et all reported that only 30% of post- at the site of scleral impact. Twenty-four traumatic retinal detachments were diagnosed (31.2%) patients had retinal break or retinal within one month of injury, and Ross4 found detachment diagnosed within 24 hours ofinjury 40% in a similar period. and 49 (63-6%) within six weeks. Immediate The following study is of a series of patients retinal detachment was a feature of necrotic who developed retinal breaks or retinal detach- retinal breaks, while inferior oral dialyses led ment after ocular contusion.
  • 1 SUPPLEMENTAL MATERIAL Use of Non-Indicated Cardiac

    1 SUPPLEMENTAL MATERIAL Use of Non-Indicated Cardiac

    SUPPLEMENTAL MATERIAL Use of Non-Indicated Cardiac Testing in Low-Risk Patients: Choosing Wisely METHODS SUPPLEMENT Data Source and Study Population Using the Medicare 40% denominator file, we identified all fee-for-service Medicare beneficiaries enrolled in Medicare Parts A, B, and D (inpatient, outpatient and prescription coverage), 2006-2011, and created six annual enrollment cohorts. We excluded beneficiaries with a gap of one or more months in fee-for-service Medicare Parts A, B, or D enrollment during a calendar year. We limited our analysis to beneficiaries aged 66-80. Beneficiary characteristics, including age, sex, race/ethnicity (black, Hispanic, other), and Medicaid enrollment, were obtained from the Medicare denominator file. Residential ZIP Codes were used to assign each beneficiary to one of 306 Dartmouth Atlas of Health Care hospital referral regions (HRRs). Information on regional physician workforce in 2006 was obtained from the Dartmouth Atlas of Health Care. Defining Low- and High-Risk Cohorts To identify annual cohorts of low-risk patients, each beneficiary was annually assigned a cardiovascular disease risk status (low or high) based on records in Medicare Carrier, Outpatient, MedPAR, Hospice and Prescription Drug Event files. For each annual enrollment cohort, beneficiaries with no evidence of significant cardiovascular disease or cardiovascular disease risk were deemed low-risk and those with such conditions were deemed high-risk. Using Hierarchical Condition Category International Classification of Disease, Ninth Revision, code lists, the following diagnoses (appearing in two physician claims or one hospital claim) were considered evidence of high cardiovascular disease risk: HIV/AIDS, diabetes, drug or alcohol abuse/dependence, shock, cardiac disease (e.g.
  • Chronic Conjunctivitis

    Chronic Conjunctivitis

    9/8/2017 Allergan Pharmaceuticals Speaker’s Bureau Bio-Tissue BioDLogics, LLC Katena/IOP Seed Biotech COA Monterey Symposium 2017 Johnson and Johnson Vision Care, Inc. Shire Pharmaceuticals Nicholas Colatrella, OD, FAAO, Dipl AAO, ABO, ABCMO Jeffrey R. Varanelli, OD, FAAO, Dipl ABO, ABCMO Text NICHOLASCOLA090 to 22333 to join Live Text Poll Nicholas Colatrella, OD, FAAO, Dipl AAO, Jeffrey Varanelli, OD, FAAO, Dipl ABO, ABO, ABCMO ABCMO Text NICHOLASCOLA090 to 22333 once to join Then text A, B, C, D, E or write in your answer Live Immediate Accurate Chronic conjunctivitis is one of the most frustrating reasons that patients present to the office (1) Time course Often times patients will seek multiple providers searching for a solution The chronicity of their symptoms is extremely frustrating to the (2) Morphology patient and treating physician alike Some conditions can seriously affect vision and create ocular morbidity (3) Localization of disease process Many of these diseases do not respond to commonly used topical antibiotics, topical steroids, artificial tears, and other treatments for external ocular disease (4) Type of discharge or exudate Our hope during this one-hour lecture is to present a process to help aid in the diagnosis of chronic conjunctivitis help you determine the most likely etiology 1 9/8/2017 Three weeks is the dividing point as it is the upper limit for cases of viral infection and most bacterial infections to resolve without treatment. Acute Conjunctivitis Conjunctivitis that has been present for less than 3 weeks
  • A Case of Thoracic Aortic Injury Caused by Multiple Rib Fractures

    A Case of Thoracic Aortic Injury Caused by Multiple Rib Fractures

    3 Case Report Page 1 of 3 A case of thoracic aortic injury caused by multiple rib fractures Weigang Zhao#, Weiwei He#, Yi Yang, Yonghong Zhao Department of Thoracic Surgery, Shanghai Jiao Tong University Affiliated Sixth People’s Hospital, Shanghai, China #These authors contributed equally to this work. Correspondence to: Yonghong Zhao. Department of Thoracic Surgery, Shanghai Jiao Tong University Affiliated Sixth People’s Hospital, 600 Yishanlu Road, Shanghai 200233, China. Email: [email protected]. Abstract: Thoracic aortic injury is fatal but rare in blunt chest trauma, which usually requires urgent surgical treatment. It is mostly caused by posterior rib fractures. Chest wall stabilization (CWS) has been widely performed in patients with multiple rib fractures all over the world in the past two decades with satisfactory outcomes. However, the surgical treatment of posterior rib fracture within 2–3 cm from transverse process is still a difficult problem for thoracic surgeons. Under this circumstance, rib-transverse process internal fixation method was developed and widely performed for above patients at present. In this article, we presented a case of thoracic aortic injury caused by multiple rib fractures. A 54-year-old female was admitted to our hospital with dyspnea and severe chest pain caused by a falling object. Thoracic aortic injury with multiple rib fractures were diagnosed basing on image date and emergency CWS was performed for this patient. Rib-transverse process internal fixation was not performed in this case since the patients combined with transverse process fracture. We firstly performed transverse process resection combined with CWS for this patient. The results of our study showed this method is safe and feasible for patients with multiple rib fractures combined with transverse process fracture.
  • MICHIGAN BIRTH DEFECTS REGISTRY Cytogenetics Laboratory Reporting Instructions 2002

    MICHIGAN BIRTH DEFECTS REGISTRY Cytogenetics Laboratory Reporting Instructions 2002

    MICHIGAN BIRTH DEFECTS REGISTRY Cytogenetics Laboratory Reporting Instructions 2002 Michigan Department of Community Health Community Public Health Agency and Center for Health Statistics 3423 N. Martin Luther King Jr. Blvd. P. O. Box 30691 Lansing, Michigan 48909 Michigan Department of Community Health James K. Haveman, Jr., Director B-274a (March, 2002) Authority: P.A. 236 of 1988 BIRTH DEFECTS REGISTRY MICHIGAN DEPARTMENT OF COMMUNITY HEALTH BIRTH DEFECTS REGISTRY STAFF The Michigan Birth Defects Registry staff prepared this manual to provide the information needed to submit reports. The manual contains copies of the legislation mandating the Registry, the Rules for reporting birth defects, information about reportable and non reportable birth defects, and methods of reporting. Changes in the manual will be sent to each hospital contact to assist in complete and accurate reporting. We are interested in your comments about the manual and any suggestions about information you would like to receive. The Michigan Birth Defects Registry is located in the Office of the State Registrar and Division of Health Statistics. Registry staff can be reached at the following address: Michigan Birth Defects Registry 3423 N. Martin Luther King Jr. Blvd. P.O. Box 30691 Lansing MI 48909 Telephone number (517) 335-8678 FAX (517) 335-9513 FOR ASSISTANCE WITH SPECIFIC QUESTIONS PLEASE CONTACT Glenn E. Copeland (517) 335-8677 Cytogenetics Laboratory Reporting Instructions I. INTRODUCTION This manual provides detailed instructions on the proper reporting of diagnosed birth defects by cytogenetics laboratories. A report is required from cytogenetics laboratories whenever a reportable condition is diagnosed for patients under the age of two years.
  • Diagnosis and Treatment of Neurotrophic Keratopathy

    Diagnosis and Treatment of Neurotrophic Keratopathy

    An Evidence-based Approach to the Diagnosis and Treatment of Neurotrophic Keratopathy ACTIVITY DIRECTOR A CME MONOGRAPH Esen K. Akpek, MD This monograph was published by Johns Hopkins School of Medicine in partnership Wilmer Eye Institute with Catalyst Medical Education, LLC. It is Johns Hopkins School of Medicine not affiliated with JAMA medical research Baltimore, Maryland publishing. Visit catalystmeded.com/NK for online testing to earn your CME credit. FACULTY Natalie Afshari, MD Mina Massaro-Giordano, MD Shiley Eye Institute University of Pennsylvania School of Medicine University of California, San Diego Philadelphia, Pennsylvania La Jolla, California Nakul Shekhawat, MD, MPH Sumayya Ahmad, MD Wilmer Eye Institute Mount Sinai School of Medicine Johns Hopkins School of Medicine New York, New York Baltimore, Maryland Pedram Hamrah, MD, FRCS, FARVO Christopher E. Starr, MD Tufts University School of Medicine Weill Cornell Medical College Boston, Massachusetts New York, New York ACTIVITY DIRECTOR FACULTY Esen K. Akpek, MD Natalie Afshari, MD Mina Massaro-Giordano, MD Professor of Ophthalmology Professor of Ophthalmology Professor of Clinical Ophthalmology Director, Ocular Surface Diseases Chief of Cornea and Refractive Surgery University of Pennsylvania School and Dry Eye Clinic Vice Chair of Education of Medicine Wilmer Eye Institute Fellowship Program Director of Cornea Philadelphia, Pennsylvania Johns Hopkins School of Medicine and Refractive Surgery Baltimore, Maryland Shiley Eye Institute Nakul Shekhawat, MD, MPH University of California,
  • Outcomes of Vitrectomy for Retinal Detachment in a Patient with Ehlers

    Outcomes of Vitrectomy for Retinal Detachment in a Patient with Ehlers

    Lumi et al. J Med Case Reports (2021) 15:249 https://doi.org/10.1186/s13256-021-02855-w CASE REPORT Open Access Outcomes of vitrectomy for retinal detachment in a patient with Ehlers–Danlos syndrome type IV: a case report Xhevat Lumi1*, Gaber Bergant2, Anila Lumi1 and Mina Mahnic1 Abstract Background: The Ehlers–Danlos syndrome (EDS) is a group of connective tissue disorders characterized by fragile blood vessels and an increased tendency for bleeding and scarring. Here, we report the outcome of a pars plana vitrectomy for the treatment of rhegmatogenous retinal detachment in a patient with EDS type IV (vascular type). Case presentation: A 40-year-old Slovenian man with high myopia, unilateral bullous retinal detachment, and vitre- ous hemorrhage was referred for surgery. The patient had a history of colon perforation, muscle and arterial rupture in both lower limbs, and recurrent shoulder joint luxations. Genetic testing revealed a pathogenic mutation in the COL3A1 gene. The patient underwent a 25-gauge three-port pars plana vitrectomy. The tendency for bleeding during surgery was prevented by endodiathermy applied to the edges of the retinal breaks. Endolaser photocoagulation was performed under air. The surgical procedure was completed with the injection of gas tamponade, followed by the patient remaining for a few days in a face-down position. Mild postoperative vitreous hemorrhage was resorbed in frst week after the surgery. Postoperative extensive pigment dispersion on the posterior lens face persisted for several weeks. After the gas tamponade had resorbed, the retina was fat and remained attached during the follow-up period.
  • Endovascular Stent in Traumatic Thoracic Aortic Dissection

    Endovascular Stent in Traumatic Thoracic Aortic Dissection

    Case Report http://dx.doi.org/10.4070/kcj.2012.42.5.341 Print ISSN 1738-5520 • On-line ISSN 1738-5555 Korean Circulation Journal Endovascular Stent in Traumatic Thoracic Aortic Dissection Mi Ok Jang, MD, Ju Han Kim, MD, Sang Ki Oh, MD, Min Goo Lee, MD, Keun Ho Park, MD, Doo Sun Sim, MD, Young Joon Hong, MD, Youngkeun Ahn, MD, and Myung Ho Jeong, MD The Heart Center of Chonnam National University Hospital, Chonnam National University Medical School, Gwangju, Korea Traumatic thoracic aortic injury is typically fatal. However, recent improvements in pre-hospital care and diagnostic modalities have re- sulted in an increased number of patients with traumatic aortic injury arriving alive at the hospital. Also, the morbidity and mortality as- sociated with endovascular repair are significantly lower than with conventional open surgery in traumatic thoracic aorta injury. We expe- rienced two cases of successful management of traumatic thoracic aortic dissection with endovascular stents caused by traffic accidents. (Korean Circ J 2012;42:341-344) KEY WORDS: Aorta, thoracic; Dissection; Aortography; Multidetector computed tomography. Introduction Cases Patients with blunt traumatic thoracic aorta injuries are increas- Case 1 ingly admitted to hospital due to the increasing number of traffic A 28-year-old male suffered from a traffic accident while in a car. accidents per day. Traumatic thoracic aortic injury is typically fatal. His mental status was confused but brain CT revealed non-specific The thoracic aorta wall ruptures after blunt thorax trauma and if not findings. He had no known history of hypertension, diabetes, hep- treated, has very poor outcome with an initial survival rate ranging atitis, and pulmonary tuberculosis.