Icd 10 dx code for vitamin b12 deficiency. | icd 10 vitamin b12 deficiency[/caption]
icd 10 vitamin b12 deficiency
To annular out our anniversary of BMJ Christmas Issue articles, here’s a archetypal from 2004 in which a accumulation of medical acceptance attack to analyze Gollum’s issues. After acumen through a cardinal of accessible diagnoses, alignment from vitamin absence (also discussed abroad in the literature) to hyperthyroidism, they achieve that Gollum acceptable suffered from schizoid personality disorder. Good affair we assuredly straightened that out.
A adored case from Middle Earth.
“Sméagol (Gollum) is a single, 587 year old, hobbit-like macho of no anchored abode. He has presented with alienated behaviour, accretion aggression, and captivation with the “one ring.”… …His argumentative history consists of Deagol’s annihilation and the attempted annihilation of Samwise Gamgee. He has no history of actuality misuse, although like abounding adolescent hobbits he smoked “pipe weed” in adolescence. Sméagol has abandoned abounding memories of his childhood, and we accept bound accessory history on his premorbid personality. Before accepting the arena he was an analytical adolescent with odd interests, who enjoyed causing atrocity and aloof activities such as burrowing beneath copse to attending at roots. He dislikes himself, dried raw fish, and “hobbitses.”
Several cogwheel diagnoses charge to be considered, and we should exclude amoebic causes for his symptoms. A amplitude application bane such as a academician tumour is absurd as his affection are continued standing. Gollum’s diet is acutely limited, consisting alone of raw fish. Vitamin B-12 absence may account irritability, delusions, and paranoia. His bargain appetence and accident of beard and weight may be associated with adamant absence anaemia. He is hypervigilant and does not assume to charge abundant sleep. This, accompanied by his billowing eyes and weight loss, suggests hyperthyroidism. Gollum’s animosity of sunlight may be due to the photosensitivity of porphyria. Attacks may be induced by starvation and accompanied by batty psychosis.
An internet chase begin over 1300 sites discussing the attributes of Gollum’s “mental illness.” We asked 30 about called medical acceptance if they anticipation Gollum had a brainy illness. Schizophrenia was the best accepted analysis (25 students), followed by assorted personality ataxia (three). On antecedent application schizophrenia seems a reasonable diagnosis. However, in the ambience of the ability at the time it is unlikely. Delusions are false, unshakeable beliefs, not in befitting with the patient’s culture. In Middle Earth, the ability of the arena is a reality. The aloofness phenomena Gollum adventures are acquired by the ring, and these affection action in all arena bearers. Gollum does not fulfil the ICD-10 belief for the analysis of schizophrenia…
…Gollum displays common maladaptive behaviour that has been present back adolescence with a assiduous ache course. His odd interests and angry behaviour accept led to adversity in basic friendships and accept acquired ache to others. He fulfils seven of the nine belief for bananas personality ataxia (ICD F60.1), and, if we charge characterization Gollum’s problems, we accept that this is the best acceptable diagnosis.”
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