The guidelines state that if the type of diabetes is not documented, the default is type 2.
The guidelines also instruct to use additional codes to identify long-term control with insulin (Z79. 4) or oral hypoglycemic drugs (Z79. 84).
The type of diabetes mellitus should always be clearly documented in the medical record for each date of service. However, if the type of diabetes mellitus is not documented in the medical record, the default ICD-10 diagnosis code is E11, type 2 diabetes mellitus.
Secondary diabetes can be defined as a diabetic condition that develops after the destruction of the beta-cells in the pancreatic islets and/or the induction of insulin resistance by an acquired disease (e.g. endocrinopathies) or others.
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Since Adela had been cleared by a certified person to be okay her sickness is Illness anxiety disorder
<h3>What does Adela suffer from?</h3>
Generally from the question, we see as Adela had been cleared by a certified person to be okay and free of any illness
Adela's sickness is psychological therefore Adele is suffering from illness anxiety disorder
<h3>Illness anxiety disorder </h3>
This is a mental illness known as hypochondria. Observations made show that people with this disorder, are always afraid of life-threatening illness although they have no symptoms.
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Answer:
The correct answer is the duodenum.
Explanation:
Pancreatic juice is an alkaline fluid which contains important enzymes for the digestion of proteins, carbohydrates and fats.
Pancreatic juice is secreted by the pancreas when food enters the stomach which is released into the "duodenum" of the small intestine. The pancreatic juice enters duodenum through a pancreatic duct which joins with the bile duct coming from the liver and form "ampulla of Vater" in the duodenum.
Pancreatic juice helps in digestion of carbohydrates, proteins and fats as it contains pro-enzymes and enzymes like trypsinogen, chymotrypsinogen, lipase and many more. It also makes the acidic stomach solution alkaline due to the presence of HCO₃.
Thus, the duodenum is the correct answer.
