[Solved]: Infectious Diseases: Discharge Summary Admission…

Infectious Diseases: Discharge Summary Admission Date: 7/18/20XX Discharge Date: 7/20/20XX Admitting Diagnosis: Fever of unknown origin Discharge Diagnosis 1: Primary herpetic gingivostomatitis 2. Kawasaki’s disease 3. Pharyngitis; Strep ruled out History: The patient is a two-year-old male who presented to the emergency department this evening from his primary medical physicians’s office with four days of fever, rash, cracked lips, and drooling. Mom states he has had a decreased activity level, decreased p.o. intake, and increased irritability. He has received Tylenol and Motrin at home. Mom denies vomiting or diarrhea. He has had a sick contact at day care. He also has dysphagia and rhinorrhea. Past Medical History: Significant for a VSD that has not been repaired. He is followed by a cardiologist and the abnormality is currently stable. Physical Exam: This young male is quite irritable. He has bulbar conjunctival injection without discharge. His tympanic membranes are dull bilaterally. His tonsils are enlarged. He also has an exudate in his oropharynx. Heart shows regular rate and rhythm with an IV–VI systolic murmur at the left lower sternal border. He has a diffuse maculopapular rash on his lower extremities, trunk, back, and diaper area. He also has perineal desquamation. Hospital Course: Patient presented to the emergency with a four- to five-day history of fever, rash, cracked lips, drooling, and sore throat. Due to lymphadenopathy, ­perineal desquamation, bilateral bulbar conjunctivitis, and rash found on physical exam, he was treated for Kawasaki’s disease with IVIG 2 g/kg and aspirin 80 mg per day. He was also tested for herpes due to the perioral, paranasal, and oral lesions. His test came back positive for herpes I virus and he was treated with Kefzol. Cardiologist performed an echocardiogram to evaluate his VSD. His lesions slowly improved and are largely healed at this time. He remained afebrile for the past four nights. His medications were changed to oral form. He is no longer taking antibiotics, and he will be continued on oral acyclovir. Follow-up with cardiologist is in four weeks. What are the correct ICD-10-CM codes for this inpatient stay? ICD-10-CM code, first-sequenced: ICD-10-CM code 2, second-sequenced: ICD-10-CM code 3, third-sequenced: ICD-10-CM code 4, fourth-sequenced: