IMPACT-1222 - Sequence # 3231 | Rheumatic Heart Disease & Sequence # 3235 | Seizure Disorder-1222 - Sequence # 3231 | Rheumatic Heart Disease & Sequence # 3235

1222 - Sequence # 3231 | Rheumatic Heart Disease & Sequence # 3235 | Seizure Disorder

Video Transcription

Video Summary

In the video, the case scenario of a 10-year-old female with symptoms of fevers, respiratory issues, nausea, and decreased appetite is discussed. The patient presents with lethargy, a heart murmur, and abnormal cardiac findings on ECG and echocardiogram. She is diagnosed with fever of unknown origins, LV dysfunction, and heart failure. Mitral valve replacement surgery is recommended due to worsening heart failure from rheumatic heart disease. During the surgery, the patient experiences controlled seizures, diagnosed as anesthesia-induced epileptic seizures. The coding question asks if rheumatic heart disease and seizure disorder should be coded, and the answer is no to both. Rheumatic heart disease does not meet the criteria, and anesthesia-induced seizures are not considered a seizure disorder. This summary is based on the IMPACT Registry Monthly Case Scenario for December 2022.

Keywords

fever

heart failure

rheumatic heart disease

seizures

coding question