Right axis deviation (RAD) was diagnosed based on electrocardiogram (ECG, EKG) findings demonstrating a QRS axis greater than +90 degrees.  The patient presents with [Insert presenting symptoms e.g., shortness of breath, palpitations, chest pain, or asymptomatic].  Differential diagnoses considered include normal variant right axis deviation, right ventricular hypertrophy, acute right heart strain, pulmonary embolism, lateral wall myocardial infarction, left posterior fascicular block, and other conditions causing rightward shift of the QRS axis.  Patient history includes [Insert relevant medical history, including cardiac, pulmonary, and other systemic conditions].  Current medications are [List current medications].  Physical exam reveals [Document relevant physical exam findings, e.g., vital signs, heart sounds, lung sounds].  Further evaluation to determine the etiology of the RAD may include [List planned diagnostic tests, e.g., echocardiogram, cardiac MRI, pulmonary function tests, blood work].  Initial management includes [Describe initial treatment plan, e.g., observation, medication adjustment, referral to cardiology].  The patient was counseled on the significance of the findings and the importance of follow-up care.  ICD-10 code I49.81 (other specified cardiac dysrhythmias) may be applicable if the right axis deviation is associated with a documented arrhythmia.  If the RAD is due to a specific underlying condition, the code for that condition should be used as the primary diagnosis. This documentation is intended for healthcare professionals and should not be interpreted as medical advice.  It is essential to consider the patient's individual clinical picture when making diagnostic and therapeutic decisions.