ED Scribe - FINAL Exam | 505 Questions And Answers Already Graded A+

Medical Decision Making (MDM) - The physician's thought process Pain vs. Tenderness - Patient's feeling vs. physician's assessment What does distress mean? - The doctor's judgment of discomfort Baseline - An individual's normal state of being What does Auscultation mean? - Listening with a stethoscope Palpation - The act of pressing on an area by the doctor Inpatient - Admitted to the hospital overnight Outpatient - Seen and sent home the same day What is the ED flow (overview)? - 1. Check in and Chief Complaint 2. Physician assessment 3. Objective orders and results 4. Medical Decision Making 5. Disposition What is the ED flow before orders are made? - 1. Arrival 2. Triage 3. Vital Signs / Bed Placement 4. Nurse Assessment 5. HPI, ROS, Hx, PE What is the ED flow after orders are made? - 1. Differential Dx 2. Physician orders > labs, imaging, procedures, medications 3. Results and ED course 4. Final Dx 5. Disposition What is the general documentation template? - HPI > ROS > PHx > PE > ED course > DispositionThyroid problem means.. -Usually Hypothyroidism, sometimes hyperthyroidism