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 PRADER, BRACKER, & ASSOCIATESA Complete Health Care Facility

159 Healthcare Way • SOMEWHERE, FL 32811 • 407-555-6789

 

PATIENT: PETERS, CHARLENE

ACCOUNT/EHR #: PETECH001

DATE: 08/11/18

 

Attending Physician: Renee O. Bracker, MD

 

S: Pt is a 68-year-old female who suffered a cerebral infarction 3 weeks ago. Her son is concerned about the patient's dysarthria, which doesn't seem to be getting any better. The patient understands but is having difficult pronouncing her words. Dr. Bracker also notes a low degree of audibility.

 

O: Ht. 5′4″, Wt. 146 lb., R 18, T 99.6, BP 138/95. Physical examination: unremarkable.

 

A: Dysarthria, following a cerebral infarction.

 

P: 1. Pt to return PRN

   2. Referral to speech therapist

 

ROB/pw D: 08/11/18 09:50:16 T: 08/13/18 12:55:01

 

 

Be sure to list the codes, one code per box, in the correct order, from top to bottom. Capitalization, punctuation, and spacing can impact whether or not your answer is correct. Follow coding best practices.

 

What is/are the correct diagnosis code(s)?

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, ultrices ac magna. Fusce dui lectus, congue vel laoreet ac, dictum

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