Hpi – in para Study guides, Class notes & Summaries

Pain vs. Tenderness Pt feeling vs. Physician assessment Distress Doctor's judgement of discomfort; subjective Auscultation Listening with a stethescope Palpation The pressing on an area Job of the charge nurse Manage the ED flow Triage consists of: chief complaint, vital signs, level of acuity Level of acuity 5 - 1 (low to high; head ache to heart attack) Vital signs RR (respiratory rate), BP, T (temp), SatO2, HR (heart rate in bpm) ...

SOAP NOTE: UROGENITAL. “I have unusual discharge from my vagina, dysuria, aggravating pain in the lower belly and an increase in the frequency of passing urine. HPI: A female, 28 years old comes to the office and reports unusual discharge from the vagina, pain and irritation when passing urine, aggravating pain in the lower belly and an increase in the frequency of passing urine. She sates that the onset of pain and irritation when passing urine was 2 days ago. She adds that the discharg...

Comprehensive Vs. Focused History Comprehensive: performed on all nonemergent, new patient who will be receiving ongoing primary care Focused: - performed in an emergency situation - performed when the patient is already under ongoing care and presents with a specific problem-oriented compaint ex: pt is specifically coming in for a rash or UTI sx Importance of open ended questions Elicit personal descriptions of symptoms and concerns - Use guided questioning - Encourage with con...

CPC Practice Exam Questions Surgical removal - ANS The suffix -ectomy means Magnetic Resonance Imaging - ANS MRI stands for The removal of the fallopian tubes and ovaries - ANS The term "Salpingo-Oophorectomy" refers to Freezing - ANS Cryopreservation is a means of preserving something through Paracentesis - ANS Which of the following describes the removal of fluid from a body cavity Gastrotomy - ANS If a surgeon cuts into a patient's stomach he has perfo...

AAA - ANSWER-Abdominal Aortic Aneurysm A Fib - ANSWER-Atrial Fibrillation Abd - ANSWER-Abdomen, Abdominal Abx - ANSWER-Antibiotics AMA - ANSWER-Against Medical Advice AMS - ANSWER-Altered Mental Status ASA - ANSWER-Acetylsalicylic Acid (Aspirin) BID - ANSWER-Twice Daily Bilat LE - ANSWER-Bilateral Lower Extremities BM - ANSWER-Bowel Movement BP - ANSWER-Blood Pressure CA - ANSWER-Cancer, Carcinoma CABG - ANSWER-Coronary Artery Bypass Graft, "open heart surger...

Patient Information: M., 40 years old, F, Caucasian Subjective Data CC: sore throat HPI: Patient states she has a sore throat this morning, throat has hurt since yesterday, and hurts worse when she swallows. She has not eaten or drank anything because it hurts too much. Reports feels like something sharp is in her throat when she swallows. Not currently taking anything for the pain. Reports pain of 4/5 when swallowing. Current Medications: Daily multivitamin, B complex supplement. Aller...

ScribeAmerica Final Exam with 100% Correct Answers 2023 What is the standard template for charting? - Correct answer-HPI, ROS, Past History, PE, ED Course, Disposition What are some general PMHx? - Correct answer-Hypertension (HTN), Hyperlipidemia, Cancer, Diabetes Mellitus (IDDM, NIDDM) What are some cardiac PMHx? - Correct answer-Myocardial Infarction, Coronary Artery Disease, Congestive Heart Failure, Atrial Fibrillation What are some pulmonary PMHx? - Correct answer-Pulmonary Embolis...

pain vs tenderness - ANSWER-patient's feeling vs physician's assessment acute vs chronic - ANSWER-new onset vs long standing Meaningful Use (MU) - ANSWER-a set of government mandated criteria that must be obtained for every patient Medical decision making - ANSWER-the physician's thought process Mid-level providers: - ANSWER-Nurse Practitioner (LNP) or Physician's Assistant (PA) that works under the supervision of a physician to diagnose and treat patients Nurse or Medical Ass...

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...

Patient Information: M., 40 years old, F, Caucasian Subjective Data CC: sore throat HPI: Patient states she has a sore throat this morning, throat has hurt since yesterday, and hurts worse when she swallows. She has not eaten or drank anything because it hurts too much. Reports feels like something sharp is in her throat when she swallows. Not currently taking anything for the pain. Reports pain of 4/5 when swallowing. Current Medications: Daily multivitamin, B complex supplement. Aller...