[Solved]: Inpatient admission: The patient, a 20-year-old…

Inpatient admission: The patient, a 20-year-old female, presented to the emergency department complaining of bilateral arm and shoulder pain, “yellow eyes,” and dark urine. The emergency department evaluation revealed profound jaundice with markedly elevated liver function tests. The patient was admitted for further evaluation. A gallbladder ultrasound was negative for gallstones. Hematological studies indicated sickle cell disease, which could be contributing to the jaundice. Because the liver function gradually improved, it was felt that she could be further evaluated as an outpatient for probable acute viral hepatitis. (Review Selection of Principal Diagnosis guidelines) Discharge diagnosis: Probable sickle cell disease versus acute viral hepatitis. 1 PDx with POA: 1 Secondary Dx with POA: