Hpi – in para Study guides, Class notes & Summaries

Accurate chronology is not important in an HPI False Which is the first item in the formula for writing an HPI Chief Complaint and Onset Match the body systems in the ROS and symptoms in each system Neurological--> Headache, syncope Cardiovascular-->chest pain, palpitations Respiratory-->SOB, cough Gastrointestinal--> Abdominal pain, N/V/D Endocrine-->Polyuria, polydipsia How would you document the past history for a patient who is currently pregnant at...

Scribe America Final Exam Questions with correct Answers 2023 medical decision making the physician's thought process distress the doctor's judgement of discomfort baseline an individual's normal state of being Unit Secretary places physician's orders, answers calls, pages for other specialists, organizes pt. paperwork mid level provider LNP or PA; works under supervision of physician to diagnose and treat patients ED Nurse records medical histories,...

New Patient - ANSWER-No previous records, longer visit, detailed chart established patient - ANSWER-Previous records available from last 3 years, shorter visit, concise chart Diagnostic visit - ANSWER-New problem, chief complaint: new symptom, goal is to determine the cause of the problem and appropriate treatment health management - ANSWER-check up, CC: routine physical or management of chronic problems, goal is preventative care and/or assessing progress of ongoing medical problems ...

last day of the month get paid on what day for hours worked 10th-24th? 16th get paid on what day for hours worked 25th-9th? 00:05 01:33 Sunday the work week starts on what day of the week? subjective feeling (from patient) objective fact (from provider) pain patient's feeling, subjective tenderness physician's observation, objective benign normal, nothing of conern acute of new onset, less than 3 months chronic lo...

normal heart rate - ANSWER-60-100 bpm normal heart rate for infants/babies - ANSWER-120-160 bpm tachy - ANSWER-too fast tachy for adults - ANSWER->100 tacky for infants/babies - ANSWER->160 brady - ANSWER-too slow Brady for adults - ANSWER-<60 Brady for infants/babies - ANSWER-<120 respiratory rate - ANSWER-12-20 bpm respiratory rate for infants/babies - ANSWER-30-50 bpm tachypneic for adults - ANSWER->20 tachypneic for infants/babies - ANSWER->...

Abrasion - ANSWER-Scrape of the skin due to something abrasive. Acute - ANSWER-New, usually of rapid onset and of concern, opposite of chronic. Anterior - ANSWER-Located towards the front of the body. Benign - ANSWER-Normal, of no danger to health. Bradycardia - ANSWER-Slow heart-rate (less than 60bpm) Cardiomegaly - ANSWER-Enlarged Heart Cholecystitis - ANSWER-Inflammation of the cholecyst (gallbladder) Chronic - ANSWER-Long-standing, constant. Opposite of acute. COPD (C...

New Patient No previous records, longer visit, detailed chart established patient Previous records available from last 3 years, shorter visit, concise chart 00:24 01:33 Diagnostic visit New problem, chief complaint: new symptom, goal is to determine the cause of the problem and appropriate treatment health management check up, CC: routine physical or management of chronic problems, goal is preventative care and/or assessing progress of ongoing medical problems ...

NR 509 WEEK 5 SOAP Note ABDOMINALTemplate Initials: EP Age: 78 Gender: Female Height Weight BP HR RR Temp SPO2 Pain Allergies 157.4 120 lbs 110/ .0 C 99% 6/10 Medication: KNDA Foo d: No food allergies Environment: Latex “itchy skin rash” History of Present Illness (HPI) Chief Complaint (CC) “I have some pain in my belly. . . and I'm having difficulty going to the bathroom.” CC is a BRIEF statement identifying why the patient is here - in the patient’s own words - for instance "headac...

1. Question:A 68-year-old obese male presents to the clinic with a 3-day history of fever with chills, and Lt. great toe pain that has gotten progressively worse. Patient states this is the first time that this has happened, and nothing has made it better and walking on his right foot makes it worse. He has tried acetaminophen, but it did not help. He took several ibuprofen tablets last night which did give him a bit of relief. HPI: hypertension treated with Lisinopril/HCTZ . SH: Denies smokin...

NSG 6020 Week 5 Exam Quiz. NSG 6020 Week 5 Exam Quiz. Chief Complaint: “I have had oily, runny stools for 3 months”. HPI: The patient is a 57 year old female who presents to the clinic today for oily stools for the last 3 months. The patient reports nothing makes it better or worse, and that somedays her stools are more solid, usually 2-3 days of the week, and other days they are quite liquid, and the toilet bowl is always full of a yellow oily substance, and when she wipes, there i...