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Exam (elaborations)

Scribe America Course 5 - Assessment and plan, with perfect answers 2024

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QD correct answers Subq correct answers prn correct answersas needed Prognosis correct answersa forecast of the likely course of a disease or ailment Assessment correct answersALWAYS HAVE: Diagnosis (or Ddx)/Summary of visit may also have: summary of HPI, summary of PE, summary of labs/results, prognosis Basic assessment correct answersage, sex HPI if relevant Dx Brief summary assessment correct answersage, sex HPI if relevant PE if relevant lab results if relevant Dx DDx Comprehensive summary assessment correct answersage, sex *summary of PMHx HPI summary*, including CC, onset, and imp elements *summary of PE lab results Dx DDx *prognosis Plan correct answersa list outlining how the doctor will treat and/or monitor the patient -done in bullet points ;) -usually has: -recommended treatment for each Dx -prescriptions ordered for today -studies or tests ordered today -follow up with other healthcare pros -follow up at this office


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