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What are the medical codes for New Patient Dr. John Jones SEX: Female AGE: 20 DOS: 1/1/20XX CC: Pain in left knee Impression: Possible Medial meniscal tear of left knee Plan: MRI of left knee and follow up again after the scan, then refer to Orthopedist if necessary Patient is a 20-year-old-girl who says that she was doing some leg presses yesterday when she felt a sudden pop in the knee. After this, she has been unable to walk and unable to extend the knee completely. Her ability to walk returned after a while, but her knee still hurts if she extends fully. She is able to flex it with some pain. All of her pain is felt on the front and medial side of the knee. There is no history of any swelling or bruising around the knee. There is no history of any previous symptoms of that knee. There is no history of any obvious giving away or locking when she walks. Past Medical History: No chronic illnesses Past Surgical History: No previous operations Allergies: None Medications: Birth control pills and phentermine Social History: The patient does not smoke, drink alcohol, or use illegal drugs. Family History: COPD
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HEALTH SCIENCE
NURSING

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