[Verified Answer]: Utilizing the discharge summary, assign…

Utilizing the discharge summary, assign the correct ICD-10-CM and the rationale: Discharge Summary Admission Date 04/12/2019 Discharge Date 04/15/2019 Discharge Diagnosis Acute renal failure Congestive heart failure Chronic obstructive pulmonary disease (COPD) Leg cellulitis, resolved Seizure disorder Morbid obesity Discharge Medications Resume home medications Procedures None Consults None Present Illness This is a 77- year old female transferred to the acute care ward from a subacute unit for treatment of renal insufficiency. She was originally admitted with BUN of 32, creatinine 1.4. While on the subacute unit she was diuresed for congestive heart failure and developed acute renal failure. Her BUN rose to 78, creatinine to 2.3. She was transferred to the trauma care unit (TCU) for IV fluids and monitoring for her redevelopment of congestive heart failure. She was developing some rales with IV fluids on the subacute unit. As her BUN and creatinine fell she seemed to tolerate it fairly well. Her BUN was 60 and creatinine was 1.3 on the day of discharge. She was released by the cardiologist that day when he felt she was in no significant congestive heart failure and her BUN and creatinine were improving. She will follow up with her cardiologist in the near future for follow-up of electrolytes and reevaluation of her congestive heart failure. Past Medical History Obesity Renal failure Bilateral lower extremity cellulitis Hypertension Anemia COPD Seizure disorder Current Medications Lotrisone, b.i.d. topical to breast and groin Prinivil, 40 mg po q day Dilantin Benadryl 25 mg q 4 hours prn Catapres 0.1 mg pm Tylox 1-2 tabs po qid prn Norvasc 5 mg po q day Allergies No known drug allergies Review of Systems The patient reports that she does have arthritis in her back and multiple joints. She denies of gout. She denies sporadic fevers, chills, cough, and abdominal pain. GI or GU complaints Social History The patient is a smoker, she has smoked two packs of cigarettes per day for the previous 20 years