Scribe America: Outpatient Exam Latest
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"Follow-up" - Answer -Is the most commonly used reimbursable chief complaint, costing medical
practices large sums of money each year
6 RULES to AVOID HIPPA violation - Answer -If a patient is not assigned to your doctor, do not
touch the chart
There is always someone watching
Never share your username or password
No cell phones or pictures
Your job does not belong on social media
Ask yourself "Do I need to access this for my job"
A - Answer -Assessment: diagnoses
A short description of progress since last visit
Abd pain X1 week - Answer -HPI
Abd pain: (+) - Answer -ROS
Abdominal Pain
Cholelithiasis - Answer -Assessment
Acute - Answer -New onset
Anterior - Answer -Toward the front of the body
Anticoagulant - Answer -A drug that prevents blood clotting
Associated Sx - Answer -Do any other symptoms accompany the complaint?
Auscultation - Answer -Listening with a stethoscope
Baseline - Answer -An individual's normal state of being
Benign - Answer -Normal, nothing of concern
, Cachectic - Answer -emaciated, malnourished
Cancer PMHx: Cancer - Answer -Cancer or Carcinoma (CA): Brain, Breast, Lung, Coloc, Prostate,
Ovarian, Skin, Bone, Leukemia or Lymphoma
Cancer PMHx: Chemo - Answer -chemotherapy
Cancer PMHx: It's gone - Answer -In remission
Cancer PMHx: Radiation - Answer -radiation therapy
Cancer PMHx: Spread to my.... - Answer -With metastasis to the
like mass to the brain
Cancer PMHx: They cut it out - Answer -Status-post surgical resection
Cardiac PMHx: Episodes of abnormally/fast/racing heartbeat - Answer -Supraventricular
Tachycardia (SVT)
Cardiac PMHx: Heart Attack - Answer -Myocardial Infarction (MI) and CAD
Cardiac PMHx: Heart Disease - Answer -Usually Coronary Artery Disease (CAD)
Cardiac PMHx: Heart Failure - Answer -Congestive Heart Failure (CHF)
Cardiac PMHx: Irregular Heartbeat - Answer -Atrial Fibrillation (A-fib)
Cardiac PMHx: Murmur - Answer -Heart Murmur
Cardiac PSHx: Balloon - Answer -Angioplasty --> PMHx CAD
Cardiac PSHx: Defibrillator - Answer -Automatic Implanted Cardiac Defibrillator (AICD)
Cardiac PSHx: Heart Bypass - Answer -Coronary Artery Bypass Graft (CABG) --> PMHx CAD
Cardiac PSHx: Heart Cath - Answer -cardiac catheterization
Cardiac PSHx: Pacer - Answer -Pacemaker
Cardiac PSHx: Stents - Answer -Coronary Stents --> PMHx CAD
Cardiac PSHx: Surgery or Afib - Answer -Afib s/p cardiac ablation
Cardiac PSHx: Valve Surgery - Answer -Valve repair or replacement (Bovine vs. Mechanical)
Cardiovascular - Answer -Chest pain
Palpitations
Leg swelling
CBC shows anemia - Answer -Results
Update Questions with Excellent
Answers Graded Perfect Score
Guaranteed Pass
"Follow-up" - Answer -Is the most commonly used reimbursable chief complaint, costing medical
practices large sums of money each year
6 RULES to AVOID HIPPA violation - Answer -If a patient is not assigned to your doctor, do not
touch the chart
There is always someone watching
Never share your username or password
No cell phones or pictures
Your job does not belong on social media
Ask yourself "Do I need to access this for my job"
A - Answer -Assessment: diagnoses
A short description of progress since last visit
Abd pain X1 week - Answer -HPI
Abd pain: (+) - Answer -ROS
Abdominal Pain
Cholelithiasis - Answer -Assessment
Acute - Answer -New onset
Anterior - Answer -Toward the front of the body
Anticoagulant - Answer -A drug that prevents blood clotting
Associated Sx - Answer -Do any other symptoms accompany the complaint?
Auscultation - Answer -Listening with a stethoscope
Baseline - Answer -An individual's normal state of being
Benign - Answer -Normal, nothing of concern
, Cachectic - Answer -emaciated, malnourished
Cancer PMHx: Cancer - Answer -Cancer or Carcinoma (CA): Brain, Breast, Lung, Coloc, Prostate,
Ovarian, Skin, Bone, Leukemia or Lymphoma
Cancer PMHx: Chemo - Answer -chemotherapy
Cancer PMHx: It's gone - Answer -In remission
Cancer PMHx: Radiation - Answer -radiation therapy
Cancer PMHx: Spread to my.... - Answer -With metastasis to the
like mass to the brain
Cancer PMHx: They cut it out - Answer -Status-post surgical resection
Cardiac PMHx: Episodes of abnormally/fast/racing heartbeat - Answer -Supraventricular
Tachycardia (SVT)
Cardiac PMHx: Heart Attack - Answer -Myocardial Infarction (MI) and CAD
Cardiac PMHx: Heart Disease - Answer -Usually Coronary Artery Disease (CAD)
Cardiac PMHx: Heart Failure - Answer -Congestive Heart Failure (CHF)
Cardiac PMHx: Irregular Heartbeat - Answer -Atrial Fibrillation (A-fib)
Cardiac PMHx: Murmur - Answer -Heart Murmur
Cardiac PSHx: Balloon - Answer -Angioplasty --> PMHx CAD
Cardiac PSHx: Defibrillator - Answer -Automatic Implanted Cardiac Defibrillator (AICD)
Cardiac PSHx: Heart Bypass - Answer -Coronary Artery Bypass Graft (CABG) --> PMHx CAD
Cardiac PSHx: Heart Cath - Answer -cardiac catheterization
Cardiac PSHx: Pacer - Answer -Pacemaker
Cardiac PSHx: Stents - Answer -Coronary Stents --> PMHx CAD
Cardiac PSHx: Surgery or Afib - Answer -Afib s/p cardiac ablation
Cardiac PSHx: Valve Surgery - Answer -Valve repair or replacement (Bovine vs. Mechanical)
Cardiovascular - Answer -Chest pain
Palpitations
Leg swelling
CBC shows anemia - Answer -Results
