The Medical Scribe Certificate Examination 100% Correct

The Medical Scribe Certificate Examination 100% Correct HPI history of present illness ROS Review of Systems PE Physical Examination A/P acssessment and planning CC Chief Complaint Chief Complaint statement or reason for the patient encounter History of present illness detailed description of development of the patients present disease presented as a chronological story Factors in a HPI 1. Location on body 2. Quality 3. Severity 4. Duration and Timing 5. Modifying Factors 6.Associated Symptoms 7. Context 8. Chief Complaint Context the situation around the chief complaint Duration how long the main complaint has been going on Timing "constant, coming and going" Location where on the body is the complaint Quality what the chief complaint feels like "dull sharp" Severity 1-10 Scale Modifying Factors anything that makes the chief complaint better or worse Associated Symptoms any symptoms described by the patient that are directly related to the chief complaint "no" record as patient denies Bowel Sounds intestinal sounds heard from auscultating over the abdomen Diffuse