Pertinent ros - Study guides, Class notes & Summaries

City MD Scribe Latest 2024 Already Graded A Phase 1 n y & vitals 3.Past medical History 4.Chief complaint 5.HIP (history of present illness) 6.ROS (review of systems) Rapid strep Sore throat rapid flu flu like symptoms Urine test Urine complaints, abdominal complaints (if female) Visual acuity eye complaints Past medical history (in order) 1. current medication 2.Medical conditions 3.Allergies 4.Surgical history 5. family history 6. social history HPI (in order) Onset severity nature Perti...

Question 1 The patient is here to follow up on her atrial fibrillation. Her primary care physician is not in the office. She will be seen by the partner physician that is also in the same group practice. No new problems. A problem focused history is performed. An expanded problem focused physical exam is documented with the following, Blood pressure is 110/64. Pulse is regular at 72. Temp is 98.6F Chest is clear. Cardiac normal sinus rhythm. Medical making decision is straightforward. Diagn...

Phase 1 - n y & vitals 3.Past medical History 4.Chief complaint 5.HIP (history of present illness) 6.ROS (review of systems) Rapid strep - Sore throat rapid flu - flu like symptoms Urine test - Urine complaints, abdominal complaints (if female) Visual acuity - eye complaints Past medical history (in order) - 1. current medication 2.Medical conditions 3.Allergies 4.Surgical history 5. family history 6. social history HPI (in order) - Onset severity nature Pertinent findingsROS ...

What is subjective data? Correct Answer-Data that only the subject or "patient" can feel and will tell you. Usually in a statement. What is objective data? Correct Answer-observations or measurements of a patient's health status What are specific difference when collecting data from Peds Correct Answer-Get down on the floor and play with child can help build trust What is ROS (review of system) Correct Answer-invetory of specific body systems designed to document any current or past ...

stereotype Correct Answer-fixed image of any group that denies the potential of originality or individuality within the group; Phase 1: categorization; phase 2: beliefs are used when interacting with this person or group RESPECT model Correct Answer-Rapport Empathy Support Partnership Explanations Cultural Competence Trust ROS Correct Answer-review of systems; an inventory of specific body systems designed to document current or past symptoms; not physical exam problem list Correc...

CC: 48 y/o F Chief complaint is a short 1-2 statement or word phrase from patient and should be listed in “quotes” “My stomach has been hurting really bad over the past 2 seeks” HPI: pertinent s/s; +/- ROS/prior episodes/recent travel/ill contacts Mrs. Alonso is a 48-year-old female patient who presented to the clinic with a progressive, intermittent right upper quadrant pain for the past 2 weeks and which has increased in severity in the past 2 days. The pain radiates to the right...

Subjective data (define) Correct Answer-AKA symptoms; what the patient tells you Objective data (define) Correct Answer-AKA signs; what you observe (ex. patient is pleasant and cooperative) Chief complaint (define) Correct Answer-The one or more symptoms or concerns causing the patient to seek care HPI (define) Correct Answer-Amplifies the chief complaint; describes how each symptom developed, its manifestations, and any treatments ^OLDCARTS, OPQRST -Pulls in relevant portions fro...

Episodic SOAP Note: Tom Walker DOS: 10/14/18 ID: Tom Walker (M) DOB: 1/3/75 (45) CC: Atopic Dermatitis (eczema) Right Knee Injury Subjective HPI: Mr. Tom Walker is a 45-year old is a Caucasian male who appears well groomed and a reliable historian. He presents today with itching has been so bad that it is keeping him awake at night, and his skin has little cracks that bleed. He has been using OCT hydrocortisone cream for flares. His eczema flare in the bend of his arms is (9/10). He loves t...

S.O.A.P Note Katherine Harris Completed by: Marissa Huettman Subjective: CC: Cough, SOB HPI: Katherine is a 16 yo female who presents with cough x 3 weeks and SOB that has developed and worsened over the last 3 days. She notes SOB with minimal exertion such as walking short distances. Pt states cold like symptoms 3 weeks ago as well but have since resolved. Pt notes feeling “wheezes” and chest tightness. Pt denies fevers, chills or sputum with cough. Pt notes rest makes SOB better. Pt...

NUR 634- EXAM #1 REVIEW QUESTIONS AND ANSWERS, GRADED A+/ VERIFIED/ Subjective data (define) - -AKA symptoms; what the patient tells you Objective data (define) - -AKA signs; what you observe (ex. patient is pleasant and cooperative) Chief complaint (define) - -The one or more symptoms or concerns causing the patient to seek care HPI (define) - -Amplifies the chief complaint; describes how each symptom developed, its manifestations, and any treatments ^OLDCARTS, OPQRST -Pulls in relev...