Maurice is 56 years old and it was apparent that he was very anxious when he arrived at urgent care. He was hesitant to tell the receptionist why he was seeking treatment, but then finally told her that he had an erection just "would not go away." Physical exam by the PA showed that he did, indeed have an erect penis. Maurice relayed that he had tried Viagra for the first time tonight and was

initially very pleased with the results. However, after achieving orgasm, the erection did not resolve. The patient has a past medical history that is very uncomplicated. He denies any hypertension and DM. He takes no prescription medication and only uses the occasional over-the-counter medication, usually aspirin for a headache, which is seldom. There is no urologist on call at the urgent care center, so the patient was transferred to the local ED for further treatment.

Dx: Priapism due to Viagra

First-listed diagnosis: ________
Secondary diagnoses: ________
Fill in the blank with correct word.

First-listed diagnosis: ________
Answer: Priapism – N48.33

Secondary diagnoses: ________
Answer: Adverse effect of peripheral vasodilator – T46.7X5A