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This 28-year-old female patient is admitted with complaints of body itching and difficulty in swallowing for the past 18 months, with increasing severity of the symptoms for the past few weeks, along with nausea and vomiting. She is dehydrated and the dysphagia has worsened, making eating difficult. She was started on Diflucan and Protonix 3 weeks ago, but the symptoms did not subside. The patient has had moderate persistent asthma since childhood, well controlled on medication without an exacerbation in the past several years. The laboratory findings include an increased eosinophil count. EGD shows whitish exudates in the esophagus, with no abnormalities of the stomach or duodenum. Brushing samples are negative for H. pylori and Candida. The diagnosis of acute eosinophilic esophagitis is established. The patient is started on intravenous fluids, IV Nexium, and oral fluticasone propionate 40 mg daily. As the symptoms improve, she is discharged. What is the coding and sequencing for this case? K20.90, J45.909 K20.0, J45.909, R13.10, E86.0 K20.0, J45.41, E86.0 K20.0, J45.40, E86.0
SCIENCE
HEALTH SCIENCE
NURSING

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