This is insurance billing, and I have a patient record that I have…

lisanewton1 This is insurance billing, and I have a patient record that I have…This is insurance billing, and I have a patient record that I have to locate the diagnosis. Here is the record: PROVIDER: HENRY C. CARDIAC, M.D. RAUL, JOSE X. OFFICE CONSULTATION 06/20/YYYY 10:00 AM – 10:40 AM Gooddoc for consultation. He noted umbilical mass roughly five days ago, two days after the onset of pain in this region. There is no known etiology. He had been physically active, but within the past two months he has not engaged in normal physical activity. He has erratic bowel habits with defecation 2-3-4 days and has a history of having some bright red blood in the stool and on the toilet tissue. He has had no melanotic stool or narrowing of the stool. He denies episodic diarrhea. He has had bronchitis and sinus difficulties, particularly in the fall. He is a nonsmoker. He has no GU symptoms of prostatism. Health history reveals chronic nonspecific dermatitis of eyes, ears, hands and groin, and in fact, felt that bleeding in perianal region was secondary to this. He was a full-term delivery. History reveals maternal uncle had hernia similar to this. Medications include use of halogenated steroid for skin condition. HE HAS ALLERGIES IN THE FALL TO POLLEN. HE HAS SENSITIVITY TO PERCODAN OR PERCOCET, CAUSING NAUSEA, although he has taken Tylenol #3 without difficulty. He takes penicillin without difficulty. The rest of the family and social history are noncontributory. Details can be found in patient’s history questionnaire. percussion and auscultation. No cutaneous icterus is present. Abdomen is soft and nontender, without masses or organomegaly. Penis is circumcised and normal. Testicles are scrotal and normal. No hernia is palpable in the groin. At the base of the umbilicus, there is suggestion of crepitus but no true hernia at this time. Rectal examination reveals normal tone. There is some induration of perianal tissues. The prostate is 3 x 4 cm and normal in architecture. Hemoccult testing of the formed stool is negative for blood. 2. Rectal bleeding. S Patient is an adult Mexican-American single male, referred by Dr. I.M. O Supraclavicular fossae are free from adenopathy. Chest is clear to A 1. Umbilical mass. Possible umbilical cyst, possible umbilical hernia. P 1. Schedule endoscopic evaluation of lower colon. 2. Schedule follow-up visit to evaluate progression of umbilical change. 3. Note dictated to Dr. Gooddoc.  The Procedure information is office consultation, 40 minutes.  When I read over the short paragraph, I believe the diagnosis is the umbilical mass, and the rectal bleeding. Am I’m correct or will it be one more? When I read the S section; it seems to me that he was giving the patient health background. He was telling what his condition is. Right? When I read the O, It seem like it was giving history also. When I read the A; it was  like more of a diagnosis! Right? But I did not take under consideration of the two word possible. I dont think you can diagnosis possible.  Please let me know if my answers are correct. Thank!BusinessBusiness – Other