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Major laceration of right innominate or subclavian artery, initial encounter
ICD10CM code
Name of the Condition
- Major Laceration of Right Innominate or Subclavian Artery, Initial Encounter
Summary
- This condition refers to a severe cut or tear in one of the major arteries on the right side of the body, specifically the innominate or subclavian artery. This is usually the result of trauma and requires immediate medical attention to prevent life-threatening outcomes.
Causes
- Typically caused by traumatic injuries, such as those from motor vehicle accidents, penetrating injuries (e.g., stab or gunshot wounds), or blunt force trauma.
Risk Factors
- Engaging in high-risk activities or occupations (e.g., construction, motor sports).
- History of trauma or violence.
- Motor vehicle accidents.
Symptoms
- Severe bleeding.
- Rapid heart rate and a weak pulse.
- Pallor and cold, clammy skin.
- Dizziness or loss of consciousness.
- Swelling or bruising in the neck area.
Diagnosis
- Physical examination for signs of external bleeding.
- Imaging studies like CT angiography to visualize the artery and assess the extent of the injury.
- Doppler ultrasound to check blood flow.
Treatment Options
- Emergency surgical intervention to repair the laceration and restore blood flow.
- Blood transfusions to replace lost blood.
- Medications for pain management and to prevent infection.
Prognosis and Follow-Up
- Prognosis depends on the severity of the injury and the promptness of treatment.
- Regular follow-up is crucial to monitor recovery and ensure proper healing of the artery.
- Ongoing monitoring for complications like blood clots or re-bleeding.
Complications
- Life-threatening blood loss.
- Shock due to significant internal bleeding.
- Risk of infection.
- Potential for vascular complications like thrombosis.
Lifestyle & Prevention
- Use protective gear and take precautions to reduce risk of traumatic injuries.
- Engage in safe driving practices and follow safety measures at high-risk jobs.
When to Seek Professional Help
- Immediate medical attention is required for severe bleeding or signs of shock.
- Any chest pain or difficulty breathing after a traumatic incident should prompt urgent medical evaluation.
Additional Resources
- American Heart Association (heart.org)
- Trauma Survivors Network (traumasurvivorsnetwork.org)
Tips for Medical Coders
- Ensure accurate location and severity of the injury is noted.
- Verify it is the initial encounter for the laceration.
- Check documentation for associated traumatic events for comprehensive coding.
- Avoid using non-specific codes that do not capture the injury's full complexity.