[Solved]: Inpatient admission: The patient had a three-month…

Inpatient admission: The patient had a three-month history of progressive cyanosis of the fingers and toes. Due to sudden and dramatic progression of symptoms, she was admitted. A right upper-extremity arteriogram with high osmolar contrast revealed complete absence of arterial flow to all proximal phalanges. The findings were thought to be consistent with vasculitis. An open vascular biopsy of the artery of the right hand was performed to confirm this diagnosis. The report indicated changes consistent with chronic inflammation and necrotizing vasculitis. On vascular surgery consultation, it was felt that her gangrene would demarcate without surgical intervention. There was gradual improvement in pain, and she was switched to oral medications. Discharge diagnoses: (1) Necrotizing vasculopathy, (2) digital gangrene. 1 Principal Diagnosis 1 Secondary Diagnosis 2 PCS Procedures: 03BCOZX 03BDOZX 03BFOZX B31HOZZ B31H1ZZ B31J1ZZ