19. patient is experiencing burning pain under the ribs and center of the chest that
radiates into the upper back under both of the shoulder blades upon breathing.

It could be gastric problem as well.

Explanation:

The pain is radiating only on breathing reflects it makes space and hence the gas radiates.Had the pain been constant and radiating it could be related to heart and complications, but here the pain is felt mostly while breathing so must be checked for both acidity as well as gastric problems.simultaneously the person must be given an antacid and asked to walk briskly, intake of water should also relieve symptoms. There should be an instant relief within 2-3 minutes and if there is the gas stuck in abdomen must be released by brisk walking.so all this, when the nurse is around, however if the things dont improve,anti-gastric drugs and light easily digesting meals be prescribed.

Costochondritis is the disease in which the patient experiences burning pain under the ribs and centre of the chest that radiates into the upper back under both of the shoulder blades upon breathing.

Explanation:

It is the condition which is very painful for the patient. The pain gets transfer from the chest to the upper shoulders and also to the back. There are lot of symptoms which could be observed like pain during sneezing and coughing.

Also, some expert suggests this symptom is relevant to the symptoms of heart attack. In some cases, it is really a case of heart attack but in some cases, it is costochondritis. The person should take suggestion from medical expert awesome doctor and should follow his advice.

i25.9

chronic ischemic heart disease, unspecified

i25.9 is a billable/specific icd-10-cm code that can be used to indicate a diagnosis for reimbursement purposes.

explanation:

communicate with the patient and explain every step before proceeding to do so