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Question: The patient is a 25-year-old male Army veteran of the Iraq war, He was in a vehicle that was damaged by an improvised explosive device that did not hit the vehicle directly. However, the four soldiers inside the vehicle had minor injuries. This patient recalls hitting his head on the side door of the vehicle when it crashed but otherwise was uninjured with no loss of consciousness. Since the soldier has been discharged and lives at home, his family describe him as exhibiting irritability and impulsive behavior that are uncharacteristic of him. Today's visit at the Veterans Administration Outpatient Center is to review test results to explain his behavior change, which the patient also notices but cannot explain. Given the circumstances, the physician concludes the patient has "Late effect symptoms (irritability, impulsiveness) of diffuse traumatic brain injury." The patient was referred to a specialized treatment center that focuses on patients with traumatic brain injury. what is first listed diagnosis and secondary diagnoses based on ICD-10-CM?
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