Vignette 20

    Admission Notes:

    17-year-old girl presents with abdominal pain, pain in left shoulder and left chest, breathing difficulty and nausea. Began to vomit and get faint at home. Her mother looked at stomach and saw extensive bruising. Reports that daughter admitted she had been punching herself in the stomach.

    Behavior: Frightened and crying. Seems very anxious. Keeps saying “I’m sorry”. 

     


     

    1. 1. Question

      If this is a case for inclusion in the surveillance system, which ICD code should be used?

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    2. 2. Question

      Is this an example of:

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    3. 3. Question

      Would you include this case in the surveillance system?

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