Please review the case below and use the provided answer key…

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Pleаse review the cаse belоw аnd use the prоvided answer key tо give your chosen codes along with your rationale for choosing those codes.  Be as descriptive as possible in your narrative in describing why the codes you selected are correct for this case.  Upload your completed answer key into the quiz. Module 7 A Capstone Answer Key.docx  Inpatient OP Note Pre-Operative Diagnosis: Weight loss, change in bowel habits Post-Operative Diagnosis: Polyps; hemorrhoids Procedure Performed: Colonoscopy w/polypectomy with cold forceps Anesthesia: General Complications: None Description of Procedure: After the risks benefits and alternatives of the procedure were thoroughly explained, informed consent was obtained. Digital exam performed and revealed no abnormalities of the rectum. The Olympus adult colonoscope endoscope was introduced through the anus and advanced to the cecum, which was identified by both the appendix and ileocecal valve. The prep was inadequate and poor. The instrument was then slowly withdrawn as the colon was fully examined.  Colon Findings: Four sessile and diminutive polyps measuring 2-3 mm in size were found in the left colon and right colon. A polypectomy was performed with cold forceps. The resection was complete and the polyp tissue was completely retrieved. Lavage performed due to poor prep that was found throughout the entire examined colon. Lavage performed due to suboptimal prep that was found throughout the entire examined colon. Retroflexed views revealed internal small hemorrhoid. The scope was then completely withdrawn from the patient and the procedure terminated.  Impression:   Four sessile polyps measuring 2-3 mm in size were found in the left ascending colon and right descending colon; polypectomy was performed with cold forceps Lavage throughout the entire examined colon Retroflexed views revealed internal small hemorrhoid Inadequate bowel prep Poor bowel prep.  Recommendation:   Await pathology results Miralax as needed. Take Dulcolax stool softener (100 mg each) 2 pills at night for 4-5 days prior to taking actual prep for next colonoscopy. Avoid fiber/fiber supplements for those 4-5 days.  Electronically Signed By: Dr. X, MD  Copyright Information©2022 AHIMA.ORG

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