Author Question: What is the difference between past history and the review of systems? What will be an ideal ... (Read 61 times)

WhattoUnderstand · **on:** Jun 27, 2018

What is the difference between past history and the review of systems?

What will be an ideal response?

Question 2

Which of the following BEST supports established complete past, family, social history?

A. Patient returns to me because his stomach pain and heartburn have significantly worsened and his wife recently moved out of his house with their dog.
B. George is a 65-year-old man who has recently moved to the area, complaining of severe abdominal pain. His mother has a long history of surgeries related to Crohn's disease.
C. Georgia is 39-year-old woman who is well known to me. She has missed four weeks of work at her job, Acme Shipping, and 17 years ago; she had emergency appendectomy with no complication. Her mother has history of Crohn's disease, and uncle died of colon cancer.
D. Patient is a 22- year-old male man who is well known to me. He presents with severe abdominal pain and bloody diarrhea. He has been trying to quit smoking unsuccessfully because his father was recently diagnosed with lung cancer.

trampas · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

The review of systems is an inventory of the patient's organ systems prior to the E/M service visit; this inventory of the patient's organ systems must specifically address the patient's status of health prior to the E/M service visit, which would be considered the past.
However, the past history identifies any medical condition, illness, injury, or treatment, which may be significant to the chief complaint, which is very different from an inventory of the patient's organ systems prior to the E/M service visit

Answer to Question 2

C