Question 1
Which of the following is NOT a subjective medical history question?
◦ What is your date of birth?
◦ What prescription medications are you currently taking?
◦ What were you doing when the problem was first experienced?
◦ What over-the-counter medications are you currently taking?
Question 2
OFFICE VISIT
S: This established patient comes in stating that her legs are swollen and tender to touch. She has had a little bit of shortness of breath and just has not been feeling normal. PAST MEDICAL HlSTORY: Congestive heart failure, hypertension, and gastritis. MEDICATlON: Warfarin, potassium, Lasix, Clonapam, metoprolol, Dilantin, and orneprazole. ALLERGIES: PENICILLIN.
O: VITAL SIGNS: As noted. O
2 saturations 88%. GENERAL: Alert and oriented. HEENT: Unremarkable. LUNGS: There are a few crackles in the lungs. HEART: Regular rate and rhythm. EXTREMITIES: There is 2+ edema. LABORATORY/DIAGNOSTIC: Normal CBC. Comprehensive panel shows a BUN that is slightly elevated, otherwise unremarkable. Her BNP is high at 442.
A: Congestive heart failure, peripheral edema
P: We will have her double up her Lasix taking 2 a day and potassium 2 per day for the next 5 days and then go back to her regular medications. If she is still having swelling problems, she is to let us know.
ICD-9-CM diagnosis code(s): _____________________
ICD-10-CM diagnosis code(s): _____________________
CPT code(s) with modifier, if applicable: _____________________
Wolf Spider in Maricopa City, Arizona, roughly 25mm (1 inch) while legs were retracted
Patient with osteoarthritis
Patient's forearm supported in bed
Position of patient to assess jugular vein distention
Choose the telephone unit that offers the features needed in your office.
Tickets for the school play were $3 for students and $5 for all others. The box office sold 750 ...