A patient is admitted with facial droop, right-sided hemiparesis, and nystagmus. Testing reveals occlusion of the left carotid artery with cerebral infarct. The patient has uncontrolled hypertension and atrial fibrillation, which is treated with Coumadin. Before discharge, the patient's nystagmus and facial droop have resolved. The patient is discharged to rehab for continued therapy for right-sided hemiparesis.

Question

Quizplus · Accepted Answer

- I63.232: occlusion and stenosis of left carotid artery with cerebral infarction
- G81.91: hemiplegia and hemiparesis following cerebral infarction affecting left non-dominant side (since the patient has right-sided hemiparesis)
- H55.00: nystagmus (unspecified)
- R29.810: facial asymmetry due to non-dominant side cerebral infarction (since the patient had resolved facial droop on the non-dominant side)
- I10: uncontrolled hypertension
- I48.91: atrial fibrillation
- Z79.01: long-term (current) use of anticoagulants (Coumadin)

A Patient Is Admitted with Facial Droop, Right-Sided Hemiparesis, and Nystagmus