Olivia is 23 weeks pregnant. Her pregnancy was uneventful until last week when she found a suspicious looking mole on her left shoulder. Her obstetrician sent Olivia to a dermatologist for removal of the mole. The pathology report showed malignant melanoma. Olivia will be undergoing a wide excision procedure to make sure that all of the melanoma has been removed. Further treatment will depend on
how the procedure goes and if the excision produces clean margins. Olivia is seeing her OB doctor for clearance for the procedure. They are hoping to do the procedure using a local anesthesia. If the excision proves to be too extensive for a local, she will have an anesthesiology consult and they will proceed from there.
Dx: 23 weeks pregnant; malignant melanoma
First-listed diagnosis: ________
Secondary diagnoses: ________
Fill in the blank with correct word.
First-listed diagnosis: ________
Answer: Pregnancy complicated by malignant melanoma, second trimester – O9A.112
Secondary diagnoses: ________
Answer: Malignant melanoma of skin of left shoulder – C43.62;
23 weeks pregnant – Z3A.23
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