Items are on the problem list.
Answer & Explanation
For this case there are 22 required history questions:
(CC (2), HPI/Symptom+ Assoc. Symptoms (10), PMH/Surg/Hosp/Meds/Environment (4),
Allergies (1), FH (0), SH (0), Prevention/Risk Behaviors (0), ROS (5).
1. Take the patient's HISTORY.
Decide of this is a patient that can be treated as an outpatient; focused case - fewer
history questions needed versus a patient who might be hospitalized for treatment
(comprehensive case) where all components of a history.
> Document abnormal findings in your problem list.
2. Proceed to perform a PHYSICAL ASSESSMENT.
Assess vital signs and perform the examination appropriate for the type of case
identified by the above history. Ariela Hernandez Acute onset dyspnea and syncope
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