Scribe America Lecture 5: Assessment and Plan with perfect answers 2024

Subq correct answersMedication injected under the skin prn correct answersas needed Prognosis correct answersa forecast of the likely course of a disease or ailment What is the assessement correct answersA combination of the diagnoses and a summary of the visit. The assessment will always include the diagnosis. True or False the assessment always includes Diagnosis correct answersTrue What are three items that might the assessment also include? correct answersBrief Summary of HPI (Chief complain and onset only), Brief summary of physical exam (pertinent finding only) Summary of lab/imaging results and Prognosis or justification for further testing. True or False: When reviewing a previous visit the physician is more likely to review the HPI than the assessment because the HPI is more comprehensive? correct answersFalse What are the three different assessment structures? correct answersSimple statement, Brief Summary, Comprehensive Summary. What is included in a simple statement correct answersAge and sex of the Pt, Past/Previous medical history, and diagnoses What is included in the brief summary? correct answersAge and sex of pt, past/previous medical history, P.E. findings, Results, Diagnoses, and Differential if no definitive diagnosis is found. What is included in the comprehensive summary? correct answersEverything True or False: The assessment is typically written in complete sentences correct answersTrue Does the assessment always begin with the age an sex of the Pt. correct answersTrue What is the structure of a "simple statement" assessment? correct answersAge, Sex, PMHx, Diagnoses,