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SCRIBE AMERICA FINAL ED EXAM CORE MEDICAL DOCUMENTATION AND EMERGENCY DEPARTMENT FLOW REVIEW 2026

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SCRIBE AMERICA FINAL ED EXAM CORE MEDICAL DOCUMENTATION AND EMERGENCY DEPARTMENT FLOW REVIEW 2026

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SCRIBE AMERICA FINAL ED EXAM CORE
MEDICAL DOCUMENTATION AND EMERGENCY
DEPARTMENT FLOW REVIEW 2026

◉ health maintenance visit.
Answer: check up; CC management of chronic problem; assess
progress of ongoing/chronic problem; preventative care


◉ SOAP.
Answer: subjective, objective, assessment, plan


◉ subjective section.
Answer: includes history of present illness, review of systems


◉ history of present illness.
Answer: story and context of chief complaint


◉ objective evaluation.
Answer: physical examination, orders and results


◉ assessment section.

, Answer: diagnoses


◉ plan section.
Answer: treatment and follow up


◉ "high blood pressure".
Answer: hypertension - HTN


◉ "high cholesterol".
Answer: hyperlipidemia - HLD


◉ "thyroid problem".
Answer: hypothyroidism or hyper


◉ "I only take pills for my diabetes".
Answer: Non-Insulin dependent diabetes mellitus (NIDDM)


◉ "I take shots for my diabetes".
Answer: Insulin dependent diabetes mellitus (IDDM)


◉ "heart attack".
Answer: myocardial infarction - MI and CAD

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