The documentation states that the patient returns to the clinic for worsening chest congestion and cough since the most recent visit, three days prior. The patient is no longer able to sleep more than 20 minutes at a time because of the cough, and the patient is much more fatigued than at the previous visit. The physician orders radiology, throat swab, and blood lab to assist in identifying the patient's condition. Which of the following choices is the best number of diagnosis(es)?
A. New problem with diagnostic workup
B. Established problem, worsening
C. New problem
D. Established problem, stable or improving
Question 2
Which of the following best defines a New problem with diagnostic workup?
A. A diagnosis that is considered to be very plausible by the physician because of the findings, data, and information gathered about the presenting problem and the patient
B. A previously undiagnosed presenting problem that is unfamiliar to the physician and requires specific laboratory, pathology, or other diagnostic tests to identify the differential diagnosis
C. An undiagnosed new presenting problem that requires specific laboratory, pathology, or other diagnostic tests to identify the differential diagnosis
D. Intended to either prove that a specific diagnosis is the definitive diagnosis through diagnostic testing, data, and findings, or dismiss it from any future consideration as the final diagnosis of the presenting problem
Patient Position for Posterior Percussion
Electroencephalography (EEG). To perform the EEG, electrodes attached to the patient’s head pick up
Immunization with a vaccine. A healthcare professional is injecting a vaccine into the patient’s arm
Patient Teaching
Example of problem focused patient
Helping maintain accurate patient records is a critical part of the medical assistant's work.