SCRIBE PACKAGE DEAL GRADED A+

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 diseas...

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 ...

What happens if you do not complete the course in 15 days and/or fail the final exam twice? - On the 15th day after passing the initial quiz, my course progress will be reset back to 0%. I will then be able to re-progress through the course. When does my certificate for passing Scribe101 expire? ...

Plantar - Sole side of foot Plantar flexion - Foot movement when toes flex down (pointing your toes) Supine - Body lying face up (chest up and back down) Afebrile - without fever diaphoresis - excessive sweating dysuria - painful urination emesis - vomiting epistaxis - bleeding from the nose...

Abduction - Movement of a body part away from the midline Adduction - Movement of a body part toward the midline Anatomical Position - The erect position of the body with arms at the side and palms of the hands facing forward. Anterior (Ventral) - Nearer to the front Bilateral - Paired structur...

A patient is seen in the emergency department complaining of dysuria and tells you that she is 23 weeks pregnant. Your doctor diagnoses her with a UTI. Which of the following would be the best diagnosis? - acute urinary tract infection in pregnancy, 2nd trimester A patient cut his left foot on a ...

When is the best time to ask the provider to clarify things for the note? - When out of hearing range of patients and visitors. Which of the below is permitted per dress code in the clinical setting: - Scrubs The medical record is not used for: - Accreditation The following patient information i...

* What medical term describes the surgical removal of the gallbladder? - cholecystectomy What does "PHI" stand for? Expand the abbreviation. - Protected Health Information T/F. Sharing information about a case with family is allowed, as long as you are scribing with the physician assigned to th...

Phase 1 - n y & vitals 3.Past medical History 4.Chief complaint 5.HIP (history of present illness) 6.ROS (review of systems) Rapid strep - Sore throat rapid flu - flu like symptoms Urine test - Urine complaints, abdominal complaints (if female) Visual acuity - eye complaints Past medical h...

HTN CC - asymptomatic HLD CC - asymptomatic DM CC - polyuria, polydipsia CAD CC - CP or pressure Asthma CC - SOB, wheezing How do you diagnose HTN? - Check BP How do you diagnose HLD? - Check bloodwork How do you diagnose DM? - Fasting blood glucose, HA1C How do you diagnose HLD? - Check blo...

Hip osteoarthritis - Degenerative process of articular cartridge Rheumatoid arthritis - Autoimmune form of arthritis that results in joint deformity Paronychia - Infection of fingertips around fingernail Ganglion cyst - Fluid filled cyst that forms on top of a joint or tendon Boxers fracture - F...

LOC - Level of consciousness MM - Mucous membrane CRT - capillary refil time CRI - Constant rate infusion IVC - Intravenous catheter COO - Change of orders TVI - total volume infused UOP - Urine output U - Urine BM - Bowel movement D+ - Diarrhea V+ - Vomiting Pk - PinkLP - Light Pink Ic...