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Guide to Clinical Documentation 3rd Edition by Debra Sullivan
Edition 3ISBN: 978-0803666627Guide to Clinical Documentation 3rd Edition by Debra Sullivan
Edition 3ISBN: 978-0803666627 Exercise 4
A 45-year-old woman presents with a chief complaint of right hand pain.
-A patient presents with a chief complaint of back pain. Listed here are several statements from the HPI for a chief complaint of back pain. Number them in the order that they should appear in the Subjective paragraph.
______ Pertinent negative associated symptom:The patient denies any trauma.
______ Aggravating factor: The pain is worse after standing or walking for more than 20 minutes.
______ Onset: The pain started 3 days ago after moving some heavy furniture.
______ Pertinent positive associated symptom: The patient has had a tingling sensation in the right buttock area.
______ Severity: The pain is described as a dull ache and is rated as a 4/10.
-A patient presents with a chief complaint of back pain. Listed here are several statements from the HPI for a chief complaint of back pain. Number them in the order that they should appear in the Subjective paragraph.
______ Pertinent negative associated symptom:The patient denies any trauma.
______ Aggravating factor: The pain is worse after standing or walking for more than 20 minutes.
______ Onset: The pain started 3 days ago after moving some heavy furniture.
______ Pertinent positive associated symptom: The patient has had a tingling sensation in the right buttock area.
______ Severity: The pain is described as a dull ache and is rated as a 4/10.
Explanation
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Guide to Clinical Documentation 3rd Edition by Debra Sullivan
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