骨骼肌肉及結締組織 疾病分類規則

Transcription

1 類 玲

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6 見 amb Ambulatory ACL Anterior cruciate ligament LCL Lateral cruciate ligament PCL Posterior cruciate ligament AK Above knee BK Below knee DJD Degenerative joint disease HIVD Herniated intervertebral disc 722. MS Multiple sclerosis 340 OA Osteoarthritis 715. RA Rheumatoid arthritis 類 ORIF Open reduction with internal fixation 復 79.3x THR Total hip replacement TKR Total knee replacement 81.54

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10 -1 Diffuse disease of connective tissue 710.X 若,, 神 若, 來

11 -2 Diffuse disease of connective tissue 狼 (Systemic lupus erythematosus, SLE)(710.0) :Disseminated lupus erythematosus 狼 Discoid( 狀 ) lupus erythematosus, 不 710.x Ex:Systematic lupus erythematosus with nephrotic syndrome =>

12 -3 Diffuse disease of connective tissue (Systemic sclerosis) 行 (progressive systemic sclerosis), (Systemic sclerosis) (Acrosclerosis ) 行 (progressive systemic sclerosis ) Ex: Systemic sclerosis with Raynaud s phenomenon ( 雷諾 ) =>

13 -4 Diffuse disease of connective tissue (Sicca syndrome) 710.2, (keratoconjunctivitis) 咽 (Laryngopharyngitis) Sjogren s syndrome Keratoconjunctivitis sicca

14 -5 Diffuse disease of connective tissue (Dermatomyositis) 行, 力 (Polymyositis) 行, 力 Ex: Polymyositis with lung involvement =>

15 (Arthropathy) 類 0-9 說 類 Ex:Pyogenic arthritis in right knee =>711.06

16 (Arthritis)-1 兩 Ex:Charcot s arthritis due to diabetes, type II =>

17 (Arthritis)-2 (Pyogenic arthritis) (Infectious arthtitis) 711.0x 若 若 711.4x 例 淋 Gonococcal arthritis x

18 (Arthritis) , Gouty 尿 度, 尿 沈 Ex:Acute and chronic gouty arthritis =>274.0

19 (Arthritis)-4 類 (Rheumatoid arthritis ; RA) 714.0, 滑,, 若, 類 Junvenile rheumatoid arthritis Ex:Chronic nodular rheumatoid arthritis with polyneuropathy =>

20 Q:Adult Still s disease asscociated with rheumatoid arthritis? (Juvenile rheumatoid arthritis) and714.0, A: Still's disease(714.3x) 年 (Juvenile) 例 年 例

21 (Arthritis)-5 (Osteoarthritis,OA) (degenerative arthritis), 老年 x 715.2x 不 715.3x, 715.8x Ex:Osteoarthritis of hip and knee => 兩 (Note: includes bilateral involvement of the same site) Ex: Osteoarthritis, bilateral hip=>

22 (Arthritis)-6 (Traumatic arthritis) 716.1x 說 Ex: Traumatic arthritis, left ankle, due to old traumatic dislocation OP: arthrodesis, left ankle =>

23 -1 來 類 717.x, 718.9x, 復 若 復, 718.3x,

24 -2 類 718.0x 718.1x 類 717

25 見 (Joint replacement ) 81.5x 81.8x 異 revision of hip replacement revision of knee replacement Ex: TKR 泥 => 了 泥 =>736.6(deformity=> )+81.55

26 (Ankylosing spondylitis ) 720. x : 類 (Rheumatoid arthritis of spine, rheumatoid spondylitis), 利 - 菱見 (Marie-strumpell disease) (Spondylosis) 721.X Ex: lumbar spondylosis with myelopathy =>721.42

27 (degeneration) (Herniation, displacement) 不 Ex:Intervetral disc herniation with myelopathy, L4-5 =>722.73

28 見 Diskectomy 切 (excision or destruction of intervertebral disc) intervertebral chemonucleolysis Other destruction intervertebral disc Laminectomy Laminectomy with excision of HIVD Laminectomy 若, 省略不 81.0x spinal fusion ;, bone graft internal fixation bone graft 若, 77.x

29 lumbago Lower back pain, : 更 說, lumbago,, backahe, unspecified,, psychogenic back pain ( 神 )=>307.89,, 不

30 730.xx, 類, acute x chronic 730.1x 730.2x , 不, 733.4xAseptic necrosis of bone ( ) 不 類, Ex: Diabetes with osteomyelitis of tibia => osteomyelitis=>due to diabetes mellitus =>250.8X

31 理 理 733.1x, 罹 (..), 力 療 理, 理, 理 Ex: 年 卵, 療 理 (pathological fracture of neck of femur) => V10.43

32 不良 (malunion) (nonunion) 不 療 不良 (malunion)733.81, (nonunion) (late effect)) Ex: 6 femur neck fracture 療, Nonunion of femur neck fracture =>

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34 練 -1 Primary osteoarthritis of hip Replacement, total of hip Osteomyelitis of left distal femur due to diabeties Sequestrectomy ( 切 )of femur Cerical spondylosis, C5-6 Anterior cervical spinal fusion

35 練 -2 Multiple compression fracture of vertebrae due to senile osteoporosis fracture => vertebrae =>pathologic This 52-years-old female patient, due to low back pain, was asmitted to our hospital. After admission MRI was arranged and showed HIVD of L4-5. Laminectomy with excision of intervertebral disc L4-5 was performed. When her condition was stable, she was discharged (displacement) (imaging)

36 練 -3 A patient was a victim of right hip OA(Osteoarthritis), admitted and received right hip total hip replacement (THR). When condition was stable then dischaged A patient was a victim( ) of right femoral shaft fr s/p ORIF 3months ago. This time he was complained the right thigh pain and X ray revealed nonunion of fr right femoral shaft. ORIF was performed. When condition was stable then dischaged (reduction)

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