(answered) 2023/2024 Scribe America Final Exam

associated dz for epigastric region correct answerGERD, Mi 5 vital signs correct answerHR BP RR temp O2 Sat what is the difference between HPI and ROS correct answerROS-- head to toe checklist of sx (includes chirf complaint, associated sx, and other complaints patient may have HPI--focuses on the details related to the chief complaint what does dispo mean correct answerthe patients destination after they leave the ED what subcategories are included within the past history section of the template? correct answerPMHx- past medical history (HTN, DM, HLD, CAD, MI) PSHx-past surgical history (appendectomy, cholecystectomy, CABG) FHx- family history (Hx of CAD 55 y/o) SHx-social history (EtOH, smoking, drug abuse, occupation) abbreviation for heart attack correct answerMI abbreviation for high bp correct answerHTN medical term for acid reflux correct answerGERD (gastroesophageal reflux disease) medical term for stroke correct answerCerebrovascular accident (CVA) gallbladder removal correct answercholecystectomy nkda correct answerno known drug allergies medical term for redness correct answererythema medial term for bruising correct answerecchymosis if the doctor says the exam was benign, what does that mean correct answernormal-- nothing of concern PE diagnosed by correct answerCTA chest (CT chest with IV contrast) PTX diagnosed by correct answerCXR PNA diagnosed by correct answerCXR COPD diagnosed by correct answerCXR with Hx of smoking Asthma diagnosed correct answerclinically Hemorrhagic CVA (imp things to document) correct answertPA ineligibility Ischemic CVA (imp things to doc) correct answertpa eligilibility last known normal meningitis (imp things to doc) correct answerHA Fever neck pain spinal cord injury (imp things to doc) correct answerbilateral extremity weakness TIA (imp things to doc) correct answerwhen did sx resolve? Seizure (imp things to doc) correct answerpostictal state, missed sz meds? bells palsy (imp things to doc) correct answerabsence of other FND HA/migraine (imp things to doc) correct answersimilar sx in the past? gradual onset AMS (imp things to doc) correct answerinfection? DM? Drugs? baseline? syncope (imp things to doc) correct answerbefore, during, after, current status vertigo (imp things to doc) correct answerN/V, Nystagmus ruq associated dz correct answercholecystitis cholelithiasis luq associated dz correct answerpanceatitis periumbilical associated dz correct answerSBO RLQ associated dz correct answerappendicitis llq associated dz correct answerdiverticulitis suprapubic associated dz correct answerovarian torsion ovarian cyst UTI flanks associated dz correct answerpyelonephritis renal calculi appendicitis diagnosed by correct answerCT A/P with PO contrast SBO diagnosed by correct answerCT A/P with PO contrast, AAS Cholecystitis is diagnosed by correct answerUS RUQ GI bleed diagnosed by correct answerGuaiac (heme) positive Diverticulitis diagnosed by correct answerCT A/P with PO Pancreatitis diagnosed by correct answerelevated lipase GERD diagnosed by correct answerEndoscopy (not in ED) UTI diagnosed by correct answerurinalysis (wbc, nitrile, or bacteria) Pyelo diagnosed by correct answerCT A/P UTI with CVA tenderness on exam Kidney stones diagnose by correct answerCT A/P (RBC in UA may be clue) Ectopic pregnancy correct answerUS Pelvis Ovarian torsion correct answerUS Pelvis Testicular torsion correct answerUS Scrotum what is CAD correct answerCoronary artery disease what other past histories would suggest that a patient has CAD correct answerMI Angina CABG Stent Angioplasty Does a PMHx of CVA mean patient has CAD correct answerNO does a PSHx of angioplasty mean the patient has CAD correct answerYES Explain diff between CAD and MI correct answerCAD-- broad term for heart disease MI is included in CAD (active heart attack) if someone has a PMHx of Afib or CHF, do they also have CAD correct answerno