Chapter 13- Coding Digestive System Conditions
calculi
Small rocks or stones that may block the flow of bile from the gallbladder are called __________________.
teeth
Small, calcified protrusions with roots in the jaw.
common bile duct
The juncture of the cystic duct of the gallbladder and the hepatic duct from the liver.
rectum
The last segment of the large intestine, connecting the sigmoid colon to the anus.
ileum
The last segment of the small intestine.
gums
The base of the teeth are protected and secured by the __________________.
Class III
The class of edentulism that establishes the existence of other factors significantly affecting the outcomes of treatment and the need for surgical revision of the supporting structures.
Class II
The class of edentulism that identifies a patient with deterioration of the gums and other supporting structures along with systemic disease interactions.
Class IV
The class of edentulism that reports severe compromised condition of the supporting structures requiring surgical reconstruction.
diverticulosis
The condition in which small pouches develop and protrude outward through the intestine is known as __________________.
sigmoid colon
The dual-curved segment of the colon that connects the descending colon to the rectum; also referred to as the sigmoid flexure.
duodenum
The first segment of the small intestine, connecting the stomach to the jejunum.
bile
The gallbladder is the storage tank for __________________, a yellow-green liquid created by the liver.
accessory organs
The gallbladder, pancreas, and liver are all digestive __________________ __________________.
oral cavity
The opening in the face that begins the alimentary canal and is used for the input of nutrition; also known as the mouth
liver
The organ, located in the upper right area of the abdominal cavity, that is responsible for regulating blood sugar levels; secreting bile for the gallbladder; metabolizing fats, proteins, and carbohydrates; manufacturing some blood proteins; and removing toxins from the blood.
ascending colon
The portion of the large intestine that connects the cecum to the hepatic flexure.
transverse colon
The portion of the large intestine that connects the hepatic flexure to the splenic flexure.
anus
The portion of the large intestine that leads outside the body.
fundus
The section of an organ farthest from its opening.
descending colon
The segment of the large intestine that connects the splenic flexure to the sigmoid colon.
jejunum
The segment of the small intestine that connects the duodenum to the ileum.
esophagus
The tubular organ that connects the pharynx to the stomach for the passage of nourishment.
salivary glands
Three sets of bilateral exocrine glands that secrete saliva: parotid glands, submaxillary glands, and sublingual glands.
in the immune response within the mucosa
Ulcerative colitis is often a chronic illness and believed to be a malfunction ______________________________________________________.
hepatitis
Vomiting, nausea, and jaundice are signs and symptoms of __________________.
Whether the patient suffers from alcohol abuse and/or dependence
What are details the coder must look for when coding for a gastrojejunal ulcer?
Submandibular Sublingual Parotid
What are the three major salivary glands?
What is the cause of this loss? What class classification is documented? Is the loss complete or partial?
What are the three specified details that must be abstracted from the documentation when coding for acquired loss of teeth?
Edentulism Gingivitis Dental caries
What are three common diagnoses related to the teeth and surrounding tissue?
Metabolizes proteins, fats, and carbohydrates. Regulates blood sugar levels. Cleans the blood of toxins.
What are three functions of the liver?
Are hemorrhage and perforation both documented? Has either hemorrhage or perforation been documented individually? Is the ulcer hemorrhaging?
What are three questions that must be asked in order to abstract the proper information when reviewing documentation for diagnosis of a gastrojejunal ulcer?
perforation hemorrhage
What are two known complications from an ulcer in the upper digestive system?
gangrene obstruction
What can result when a hernia becomes necrotic and prevents the normal flow of material?
cirrhosis of the liver
What condition results after a person suffers with chronic hepatitis disease and fibrotic tissue forms on hepatic cells, causing scarring?
a sore in the tissue
What is an ulcer?
To secrete enzymes, alkalis, and other substances that are needed for the digestive process.
What is the function of the digestive accessory organs?
coats the internal wall of the stomach to prevent the gastric juices from digesting it.
What is the purpose of the mucous membrane of the stomach?
dental caries
What medical term is used for dental cavities?
the underlying cause
What must a coder determine in order to code for pancreatitis?
perforation excessive bleeding
What should be documented if the coder selects the code for gastrojejunal ulcer with hemorrhage?
acute recurrent
When a condition is severe, it clears up, and everything is fine for awhile but then it comes back again, it is known as a(n) __________________ condition.
hiatal hernia
When a portion of the stomach pokes through an opening of the diaphragm.
additional
When coding for a patient who has a gastrojejunal ulcer and also suffers from alcohol abuse, the coder will select a(n) __________________ code.
location
When coding ulcers in the digestive system, descriptors identify the __________________ of the ulcer.
umbilical hernia
When the muscle around the navel does not close completely, permitting an internal organ to protrude.
pancreas
Which gland secretes insulin and other hormones?
inguinal hernia
Which hernia is more common in men?
femoral
Which hernia is more common in women?
obstruction
A blockage or closing.
sphincter
A circular muscle that contracts to prevent passage of liquids or solids.
hernia
A condition in which one anatomical structure pushes through a perforation in the wall of the anatomical site that normally contains that structure.
incisional hernia
A defect that ay occur at the site of a previous abdominal surgical opening.
mesentery
A fold of a membrane that carries blood to the small intestine and connects it to the posterior wall of the abdominal cavity.
pancreas
A gland that secretes insulin and other hormones from the islet cells into the bloodstream and manufactures digestive enzymes that are secreted into the duodenum.
inguinal hernia
A hernia that appears in the groin area.
femoral hernia
A hernia that appears in the upper thigh area.
vermiform appendix
A long, narrow mass of tissue attached to the cecum; also called the appendix
gallbladder
A pear-shaped organ that stores bile until it is required to aid the digestive process.
cecum
A pouch like organ that connects the ileum with the large intestine; the point of connection for the vermiform appendix.
stomach
A saclike organ within the alimentary canal designed to contain nourishment during the initial phase of the digestive process.
edentulism
Absence of teeth.
perforation
An atypical hole in the wall of an organ or anatomical site.
pancreatic islets
Cells within the pancreas that secrete insulin and other hormones into the bloodstream.
alcohol abuse
Cirrhosis, pancreatitis and GERD are all diagnoses known to be connected to __________________ __________________.
celiacs disease
Common signs and symptoms of __________________ __________________ include abdominal distention, stomach cramps, and recurrent attacks of diarrhea.
Class I
Describes the stage of edentulism believed to have the best prognosis to have successful treatment using conventional prosthodontics techniques.
hemorrhage
Excessive or severe bleeding.
cholelithiasis
Gallstones.
GERD
Gastroesophageal reflux disease is also known as __________________.
Ascending colon Transverse colon Descending colon Sigmoid colon Rectum
List the segments of the large intestine in order starting from the cecum.
cirrhosis of the liver
Liver cancer, easy bruising or bleeding, and/or lower extremity edema are possible results in patients suffering from ____________________________________.
ulcerative colitis
Nausea and vomiting, bloody diarrhea, and/or abdominal pain are some signs and symptoms of __________________ __________________.
gangrene
Necrotic tissue resulting from a loss of blood supply.
accessory organs
Organs that assist the digestive process and are adjacent to the alimentary canal: the gallbladder, liver, and pancreas.
