drhoads
Guru
I have a CC & HPI that states:
CC: patient presents for recall colo.
HPI: No nausea, vomiting, or constipation. Moves her bowel 3 to 10 times daily but not diarrhea for the last year or so. No black or bloody stools. Appetite is good with weight stable. No abdominal pain, heartburn, or swallowing issues.
I am able to give credit for: Location, duration, and associated signs and sx. Am i missing any other elements?
CC: patient presents for recall colo.
HPI: No nausea, vomiting, or constipation. Moves her bowel 3 to 10 times daily but not diarrhea for the last year or so. No black or bloody stools. Appetite is good with weight stable. No abdominal pain, heartburn, or swallowing issues.
I am able to give credit for: Location, duration, and associated signs and sx. Am i missing any other elements?