Patient is an 84-year-old woman who has a history of
Patient is an 84-year-old woman who has a history of type 2 diabetes mellitus, which is managed with an insulin antidiabetic medication. She was admitted for treatment of a stroke. The major manifestations were ptosis of the right eyelid, moderate expressive aphasia, right to left disorientation, and a slow, shuffling gait. On a CT of the head, a low-density area was seen at the posterior limb of the left internal capsule and the left posterior parietal subcortical white matter consistent with a cerebrovascular infarction of the left posterior artery, thromboembolic source. No hemorrhage was viewed. Gradually, the manifestations improved and then resolved. The patient also had a diabetic left mid-foot ulcer that required bedside debridement (using a Versajet) by the physician. She was discharged home and to be followed up by home health nursing. Principal Diagnosis: __________________________________________________________________ Secondary Diagnoses: (6)_____________________________________________________________ Principal Procedure: _______________________________________________________________ Secondary Procedures: N/A____________________________________________________________
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