Scribe Final Exam | 328 Questions And Answers Already Graded A+

SOAP - Subjective-HPI, ROS, Past Med, Fam, and Social Hx (Patient's point of view) Objective-Physical exam, Medical Decision Making (labs, x-rays, etc.) Assessment-Diagnosis (determined by combining subjective/objective info) Plan-Disposition (Admission, Discharge, Transfer instructions) 7 Parts of the HPI - 1. Context 2. Time/Duration; time = course of symptoms (improving, worsening, constant, intermittent, etc.); duration = total time symptoms have been present 3. Location 4. Quality 5. Severity 6. Modifying Factors 7. Pertinent positive and negatives Level 5 Chart - HPI: 4-7 ROS: 10+ PFSH: 2+ PEx: 8+ systems Supination - Turning the hand so that the palm faces upward. Volar - Pertaining to the palm of the hand or the sole of the foot. Inferior - Situated below or further away from the head. Midline - Line that divides the body into right and left halves.Abduction - Moving away from the midline.