Alexia is a 47-year-old black female who was brought to the ED by ambulance after experiencing chest pains at work. She arrived within 40 minutes of onset of the chest pain. Alexia had the presence of mind to take an aspirin before the paramedics arrived at her work. When she arrived at the ED, she was pale, diaphoretic, had dyspnea, and jugular vein distention. Her EKG showed an elevated ST
segment. She was immediately taken to the cardiac cath lab for coronary angiography. The findings of the angiogram will dictate her treatment. Now, she has been diagnosed with a STEMI. She has a history of mild COPD for which she is being treated with Singulair.
Dx. STEMI, mild COPD
First-listed diagnosis: ________
Secondary diagnoses: ________
Fill in the blank with correct word.
First-listed diagnosis: ________
Answer: ST elevated myocardial infarction, unspecified site – I21.3
Secondary diagnoses: ________
Answer: Mild COPD – J44.9
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