Wiki HPI help

[afreestone]

What elements of HPI would you get from this senario?:

Patient presents for recheck of diabetes. Patient has been diabetic since she was 12. Patient monitors her blood pressure daily.

Thanks!

 

[Sueedwards]

ok....

Diabetes - context
Recheck - duration
Patient monitors her B/P - modifying factor
Since she was 12 - timing.

 

[FTessaBartels]

2 at best

Recheck of diabetes is your CHIEF COMPLAINT
Diabetic since age 12 is DURATION
Monitors B/P dailiy is ASSOCIATED SIGN


Now if the physician had said Patient has Type II diabetes you'd also have QUALITY.
If the physician noted the range of B/P or blood sugars per patient's home records you'd have (e.g. BP has never been higher than 120/70).

Hope that helps.

F Tessa Bartels, CPC, CEMC