Question

QUESTION 2 For the medical chart entries below, please indicate in which specific section on the History and Physical (H&P) the entry belongs (e.g., OH, HPI, VS, etc.) Also, rewrite each entry in the shortest way possible using acronyms or abbreviations, and leaving out unnecessary words. However, do not use acronyms or abbreviations for anything on the JCAHO's "Do Not Use" list. Note: you are not responsible for knowing acronyms and abbreviations beyond chapter 2 Label your answers (1a, 1b, [new line], 2a, 2b, etc) hich portion f H&P? try rite using acronyms or abbreviations eaving out unnece words he patient's mother is 71 years old, and is healthy 1a nosis: fractured wrist sed to exercise every da Shortness of breath (reason for visit) Patient has experienced shortness of breath for 3 e patient has no known drug allergies Blood ure 120/80, pulse 70 beats per minute 7a 7b er urinalysis right away to rule out urinary tract infection Patient consumes alcoholic beverages after meals ce a da Patient instructed to return to the clinic in 3 weeks 10a Patient works as a bartender Patient is well-developed and well-nourished, in no 12a 10b 11b 12b ute distress ional headaches (not related to reason for 13a 13b oday's visit)

Answer 1

1. Sign:- objective evidence of disease that can be detected by individual other than patient.

Symptom:- subjective evidence of disease that can be experienced by individual affected with disease.

Painful joints - symptom

Weak and dizzy - sign

Dilated pupils - sign

Elevated blood pressure - sign

Jaundice - sign

Heartburn - symptom

Migraine headache - symptom

Spleenomegaly - sign

Anxiety - symptom

High blood sugar - sign