A patient presents to her regular physician with terrible heartburn that she has never experienced before. The performing physician diagnoses this as GERD but has never treated the patient for this before. Which of the following choices best describes this number of diagnosis?
A. New problem
B. Established problem, stable or improving
C. New problem with diagnostic workup
D. Established problem, worsening
Question 2
Which of the following choices best describes a New problem?
A. an undiagnosed new presenting problem that requires specific laboratory, pathology, or other diagnostic tests to identify the differential diagnosis
B. a patient's presenting problem that is new or unfamiliar to the performing physician
C. any patient's presenting problem that has already been diagnosed by the performing physician
D. documentation that reflects the physician's unfamiliarity with the patient's presenting problem
Signs and symptoms of a patient with heart failure.
Nurse palpating the patient's brachial artery
Patient teaching: hair and scalp assessment
All messages must be documented and placed in the patient's chart.
An open chamber MRI may be more comfortable for the patient, but images may not be as distinct.