ED Scribe - FINAL EXAM QUESTIONS AND ANSWERS ALREADY PASSED

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ED Scribe - FINAL EXAM QUESTIONS AND ANSWERS ALREADY PASSED Medical Decision Making (MDM) ✔✔The physician's thought process Pain vs. Tenderness ✔✔Patient's feeling vs. physician's assessmen... t What does distress mean? ✔✔The doctor's judgment of discomfort Baseline ✔✔An individual's normal state of being What does Auscultation mean? ✔✔Listening with a stethoscope Palpation ✔✔The act of pressing on an area by the doctor Inpatient ✔✔Admitted to the hospital overnight Outpatient ✔✔Seen and sent home the same day What is the ED flow (overview)? ✔✔1. Check in and Chief Complaint 2. Physician assessment 3. Objective orders and results 4. Medical Decision Making 5. Disposition What is the ED flow before orders are made? ✔✔1. Arrival 2. Triage 3. Vital Signs / Bed Placement 4. Nurse Assessment 5. HPI, ROS, Hx, PE What is the ED flow after orders are made? ✔✔1. Differential Dx 2. Physician orders > labs, imaging, procedures, medications 3. Results and ED course 4. Final Dx 5. Disposition What is the general documentation template? ✔✔HPI > ROS > PHx > PE > ED course > Disposition Thyroid problem means.. ✔✔Usually Hypothyroidism, sometimes hyperthyroidism "I only take pills for my diabetes" means.. ✔✔Non-Insulin Dependent Diabetes Mellitus - NIDDM "I take shots (insulin) for my diabetes" means.. ✔✔Insulin Dependent Diabetes Mellitus - IDDM Heart disease means.. ✔✔Usually Coronary Artery Disease - CAD Heart attack means.. ✔✔Myocardial Infarction - MI and CAD Irregular heartbeat means.. ✔✔Atrial Fibrillation (A-Fib) Murmur means.. ✔✔Heart murmur Episodes of abnormally fast/racing heartbeat means.. ✔✔Supraventricular Tachycardia - SVT Emphysema/Chronic Bronchitis means.. ✔✔Chronic Obstructive Pulmonary Disease - COPD Blood clot in lung means.. ✔✔Pulmonary Embolism - PE Reflux means.. ✔✔Gastroesophageal Reflux Disease - GERD Ulcer means.. ✔✔Gastric Ulcer or Peptic Ulcer Disease Hepatitis means.. ✔✔Hepatitis A, Hepatitis B, or Hepatitis C Crohn's/UC means.. ✔✔Crohn's Disease or Ulcerative Colit [Show More]

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