Description of hpi Study guides, Class notes & Summaries

A patient is seen in the office for amenorrhea, for which you obtain a urine pregnancy test in the office that returns negative. You would document this finding in which of the following sections of the encounter? A. HPI B. CC C. Subjective Data D. Objective Data - D: Objective data A patient you are seeing for the first time in your office, brings their previous medical records for the review. you would document a summer of the previous medical records in which of the following sections ...

CMN548 unit 1 Question Elements of the psychiatric interview-2 - correct answer patient history (subjective info) and mental status exam (objective info) Sadock -Complete psychiatric assessment - correct answer 1) *Identifying data*: pt *2) Source and reliability:* Where information is coming from (patient/chart/family) how reliable information is- use own judgment *3) Chief Complaint*: Pts own statement of why they are here> *4)HPI History of present illness:* chronologica...

Tina Sandler – PART 3 – OBGYN CC – high blood pressure Diagnosis –preeclampsia 4asc/1hpi HTN, heartburn, headaches(stress?), hand/feet swelling, fetus alive Tests- UA, CBC, CMP, Creatinine 24hr Problem Statement: ( Demographic description – chief complaint – Hx and PE key findings – risk factors ) Tina Sandler is a 29-year-old female G5P2111 here at 33 weeks (third trimester) for evaluation of High blood pressure (146/90), having missed visits after being seen at 24 weeks...

NU 650 through Midterm EXAM With Complete Questions and Answers 2 Latest versions 202425 A patient is seen in the office for amenorrhea, for which you obtain a urine pregnancy test in the office that returns negative. You would document this finding in which of the following sections of the encounter? A. HPI B. CC C. Subjective Data D. Objective Data D: Objective data A patient you are seeing for the first time in your office, brings their previous medical records for the r...

Different components of the SOAP note and what belongs in each section - correct answer Subjective includes - Chief Complaint (CC) - History of Present Illness (HPI) - Review of Systems (ROS) In between subjective and objective is the Past history (PMHx, PSHx, SHx, FHx) Objective include - Vital Signs (HR, RR, BP, T, O2Sat) - Physical Examination (PE) - Orders and results Assessment includes - Diagnosis - Description of progress since last visit Plan includes - Treatment and follow-...

Congestive Heart Failure - Answer- A chronic condition in which the heart doesn't pump blood as well as it should. Hypertension - Answer- A condition in which the force of the blood against the artery walls is too high. HEDIS - Answer- Healthcare Effectiveness Data and Information Set HIPAA - Answer- Health Insurance Portability and Accountability Act MPFS - Answer- Medicare National Physician Fee Schedule Multiple procedure rule - Answer- The highest value code is paid at 100%. ...

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 disease presented as a chronological story Factors in a HPI - 1. Location on body 2. Quality 3. Severity 4. Duration and Timing 5. Modifying Factors 6.Associated Symptoms 7. Context 8. Chief Compla...

NU 650 Practice Exam Questions and Answers – Latest Updated 2024/2025 | Graded. A patient is seen in the office for amenorrhea, for which you obtain a urine pregnancy test in the office that returns negative. You would document this finding in which of the following sections of the ecounter? A. HPI B. CC C. Subjective Data D. Objective Data Answer- D. Objective Data A patient you are seeing for the first time in your office, brings their previous medical records for the review. you wou...

HPI - correct answer history of present illness ROS - correct answer Review of Systems PE - correct answer Physical Examination A/P - correct answer acssessment and planning CC - correct answer Chief Complaint Chief Complaint - correct answer statement or reason for the patient encounter History of present illness - correct answer detailed description of development of the patients present disease presented as a chronological story Factors in a HPI - correct answer 1. Locati...

Congestive Heart Failure - ANSWER-A chronic condition in which the heart doesn't pump blood as well as it should. Hypertension - ANSWER-A condition in which the force of the blood against the artery walls is too high. HEDIS - ANSWER-Healthcare Effectiveness Data and Information Set HIPAA - ANSWER-Health Insurance Portability and Accountability Act MPFS - ANSWER-Medicare National Physician Fee Schedule Multiple procedure rule - ANSWER-The highest value code is paid at 100%. The se...