Chapter 1 qs contd:

Questions on Sepsis, Severe Sepsis and Septic Shock:

1. Patient presents with fever, chills, elevated WBC, shortness of breath, cough and mental status
changes. Upon admission the patient is documented with possible sepsis and chest X-ray
confirmed pneumonia. Patient was treated with IV antibiotics with improvement and was able
to be discharged on day four of admission. The final diagnosis is Sepsis due to pneumonia.
2. Patient presents with fever, chills, elevated WBC, shortness of breath, cough and mental status
changes. Upon admission the patient is documented with confirmed pneumonia. Patient was
treated with IV antibiotics with improvement and the patient developed sepsis. Antibiotics were
changed and the patient improved and was discharged. The final diagnosis is pneumonia with
sepsis.
3. Patient is admitted with multiple symptoms that were suggestive of sepsis. After workup and
treatment the patient was discharged with a diagnosis of sepsis due to E.coli urinary tract
infection.
4. This 90 yr old patient was admitted to the hospital with sepsis and tachypnea as well as
tachycardia. The patient developed acute hypoxic respiratory failure and acute renal failure.
Assign appropriate ICD codes.
5. The patient was 39year old female who was admitted with high fever and malaise. Blood culture
and urine culture was positive for E.coli. Patient was diagnosed with septicemia and UTI due to
E.coli. Assign the ICD codes.
6. Sepsis due to Enterococcus.
7. Urinary tract infection due to E.coli.
8. Pneumonia due to Methicillin resistant Staphylococcus Aureus.
9. Severe gram negative sepsis with acute respiratory failure.
10. Acute pneumococcal septicemia due to pneumococcal pneumonia, with acute kidney failure.
11. Septicemia due to systemic progression of Pseudomonas aeruginosa urinary tract infection
12. Sarah presented with reduced amount of urine, selling of legs and feet, fatigue and nausea. She
is diagnosed with Enterococcus severe sepsis with acute renal dysfunction after evaluation.
13. Acute E.coli Cystitis
14. Patient has UTI due to Strep Group B resistant to Vancomycin.
15. Patient had septic shock due to OBY wound infection with kidney failure.
16. Sepsis due to Bacillus Anthracis.
17. Sepsis and acute respiratory failure with hypoxia due to Bronchitis.
18. A patient is diagnosed with acute hypoxic respiratory failure due to severe sepsis.
19. A patient had immunization procedure two days before. Today he is admitted for sepsis due to
immunization procedure?
20. A patient is admitted due to septic shock with acute respiratory failure. He had a procedure on
his left arm last week and the septic shock is a result of the procedure?