Hpi – in para Study guides, Class notes & Summaries
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New Patient - ANSWER-No previous records, longer visit, detailed chart 
 
New Patient - ANSWER-No previous records, longer visit, detailed 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 
 
Clinic Flow - ANSWER-1. Check-in...
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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...
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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...
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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 
 ...
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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->...
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Scribe America - Introductory Training Packet- Exam with complete solutions
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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...
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Scribe America OP Final Exam practice review questions with correct answers
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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 
 ...
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NR 509 WEEK 5 SOAP Note ABDOMINAL TEMPLATE
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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...
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NURS 6501S-20, DNRS-6501S-20, NURS 6501N-20, DNRS-6501-20-Advanced Pathophysiology Quiz - Module 5 Knowledge.docx
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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...
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NSG 6020 Week 5 Exam Quiz.
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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...
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