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http://www.meddean.luc.edu/lumen/meded/mech/cases/case9/Caseqa_f.htm
CHIEF COMPLAINT: Cough and fever for four days. HISTORY: Mr. Alcot is a 68 year old man who developed a harsh, productive cough four days prior to being seen by a physician. The sputum is thick and yellow with streaks of blood. He developed a fever, shaking, chills and malaise along with the cough. ... Which type of pneumonia does our patient ...
https://coreem.net/core/chief-complaint-chest-pain/
Chief Complaint – Chest Pain If you get through a 12-hour emergency shift without tackling a “Chest Pain” patient, go straight to the bodega and buy yourself a lotto ticket. A miracle has happened.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3284113/
Feb 02, 2012 · Aims. Biomarkers have proven their ability in the evaluation of cardiopulmonary diseases. We investigated the utility of concentrations of the biomarker procalcitonin (PCT) alone and with clinical variables for the diagnosis of pneumonia in patients presenting to emergency departments (EDs) with a chief complaint of shortness of breath.Cited by: 144
https://accessmedicine.mhmedical.com/content.aspx?sectionid=61697703
"Cough, Fever, and Respiratory Infections." Symptom to Diagnosis: An Evidence-Based Guide, 3e Stern SC, ... CHIEF COMPLAINT + + ... imminently life-threatening forms of pneumonia. The approach to such patients focuses on 2 pivotal questions. First, does the patient have symptoms, signs, or risk factors for pneumonia that warrant a chest ...
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3665072/
Sir, We herein report the first case of streptococcus pneumonia inducing pneumonia in a patients whose chief complaint was gate disturbance caused by rhabdomyolysis.. An 85-year-old male was unable to move his leg due to pain. He had a history of hypertension, hyperlipidemia, diabetes mellitus, depression, and renal cancer.
https://www.aao.org/young-ophthalmologists/yo-info/article/em-documentation-requirements-part-3-chief-complai
Jul 22, 2014 · The chief complaint does not have to be documented in the patient’s own words unless it provides helpful information, such as in the complaint of dry eyes: Eye discomfort OU X 2 wks. Feels like “crushed potato chips.” Artificial tears and ointments no lasting relief. History of the Present Illness
https://namas13.wildapricot.org/resources/Pictures/NAMAS%20Weekly%20Tip%20081916%20Chief%20Complaint.pdf
Chief Complaint: Mass in right breast Patient presents for lab findings Chief Complaint: Uncontrolled diabetes Follow up Chief Complaint: Follow-up non healing ulcer Here to establish care Chief Complaint: Multiple chronic co-morbidities The true chief complaint in these instances in more clearly as why the MRI or the labs were performed, and ...
http://training.careerstep.com/pdf/016244.pdf
CHIEF COMPLAINT: Pneumonia, increased shortness of breath, wheezing, cough, generalized myalgias, and fevers. HISTORY OF PRESENT ILLNESS: The patient is a 52-year-old male who was in the clinic both ___ 21.11.2020 as well as ___ 21.11.2020 for pneumonia, increased shortness of breath, wheezing, coughing, generalized myalgias, and fevers.
https://www.aapc.com/discuss/threads/multiple-chief-complaints.54671/
Jun 08, 2011 · Documentation counted toward elements of HPI must relate to the chief complaint (except associated signs and symptoms). If the patient presents with multiple complaints, the coder may choose which one to consider the “chief” complaint and other problems may be counted as associated signs and symptoms, elements of ROS, or past medical history.
https://www.aapc.com/blog/23875-8-tips-for-compliant-history-component-documentation/
The chief complaint is the patient’s presenting problem. “Follow-up” is not a chief complaint. If the patient doesn’t have a problem (for instance, she just needs an annual exam), there is no chief complaint. You must bill a preventive E/M service. Every encounter must have a minimum of one HPI or the status of at least one chronic illness.
http://www.mtsamplereports.com/cough-congestion-soap-note-sample-report/
DATE OF SERVICE: MM/DD/YYYY REASON FOR VISIT: Cough and chest congestion, also body aches and chills. SUBJECTIVE: The patient is a (XX)-year-old male who presents this afternoon with the above chief complaint. He tells me that he has had a cough for the past several weeks as well as some body aches, headache, and some sinus congestion.
https://nursing.com/lesson/nursing-care-plan-for-aspiration/
Intubation: Be prepared to intubate, not because the patient will for sure be intubated, but because not being prepared is costly (like someones life kind of cost). Suction: Lastly have suction ready. You should always have suction ready no matter the patient’s chief complaint, but especially for a patient …
https://quizlet.com/23547699/history-chief-complaint-flash-cards/
History: Chief Complaint. STUDY. PLAY. How is the Chief Complaint written. In patient's own words place in " "Data given by the patient is: Subjective Data. The course of events of the illness should be listed in what type of order. Chronological Order. Use what acronym to get a description of symptoms.
https://quizlet.com/41557355/chief-complaint-flash-cards/
PhysAssist Day 3 Chief Complaint Learn with flashcards, games, and more — for free. Search. Create. Log in Sign up. Log in Sign up. ... (used to rule out pneumonia, PTX, CHF, cardiomegaly, rib Fx)-D Dimer (blood test used to rule out PE and DVT) ... document if the patient has been to the ER recently for the same complaint. Back Pain PEx
https://www.coursehero.com/file/45309837/A-Case-Study-on-a-Patient-with-Pneumoniadocx/
A Case Study on a Patient with Pneumonia Chief complaint: Cough and fever for four days History: Mr. Alcot is a 68-year old man who developed a harsh, productive cough four days prior to being seen by a physician. The sputum is thick and yellow with streaks of blood.
https://onlinelibrary.wiley.com/doi/pdf/10.1093/eurjhf/hfr177
The chief complaint of shortness of breath in patients presenting with suspected pneumonia requires a rapid accurate assessment so that early antibiotic therapy can be initiated and appropriate additional management implemented.1,2 The diagnosis of pneumo-nia can be difficult in patients with pre-existing parenchymal lungCited by: 144
https://accessmedicine.mhmedical.com/content.aspx?sectionid=228238879
When evaluating a patient who has acute respiratory symptoms it is imperative to determine who is likely to have pneumonia and therefore needs a radiograph to evaluate their symptoms. Prevalence of symptoms in patients with pneumonia. Cough, 96%. Fever, 81% but 53% in the elderly. Elderly patients with pneumonia often do not have a fever ...
https://www.mdcalc.com/psi-port-score-pneumonia-severity-index-cap
If the patient is >50 years of age, assign to risk class II - V and proceed to step 2. If the patient is ; 50 years of age, but has a history of neoplastic disease, congestive heart failure, cerebrovascular disease, renal disease or liver disease, assign to risk class II - V and proceed to step 2.
http://www.lumen.luc.edu/Lumen/meded/elective/pulmonary/copd/120699/case2.htm
Chief Complaint: "I'm short of breath; I can't stop coughing." History: Mr. O'Connor is a 62 y/o auto mechanic who presents with progressive shortness of breath for the past several days. His problem began four days ago when "I got a cold". His "cold" consisted of a sore throat, rhinorrhea and myalgia.
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