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The truth is that the patient had multiple sclerosis and a chronic indwelling catheter for a neurogenic bladder, which resulted in the the urinary tract infection. An accurate and complete cause-of-death statement is:

Part I
A.  Gram-negative pseudomonas sepsis
Due to, or as a consequence of:
B.  Urinary bladder infection
Due to, or as a consequence of:
C.  Indwelling catheter for neurogenic bladder
Due to, or as a consequence of:
D.  Multiple sclerosis

This example is much more informative and of greater potential use than the preceding example. It tells the specific story and sequence of events that led to this patient's death.


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Fulton County Medical Examiner

430 Pryor Street SW
Atlanta, Georgia 30312
Phone: 404-613-4400
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