coder25
Guru
Good morning all!
I am having problems finding an extra bullet to get 4 HPI elements and was wondering if any of you can find an extra one for this new patient evaluation.
HPI: The patient is a 44-year-old female who is seen today for a new left breast mass. This was discovered on routine screening mammography, which prompted an ultrasound that confirmed a 5.8 x 7.8 x 4 mm mass in the left breast, BI-RADs 4. The radiologist did commonet on the density of her breast, which made comparison difficult; however, this lesion wsa not appreciated on a mammogram one year prior. She denies any breast pain, nipple discharge, or palpable masses on self-breast exam. She has no family history of breast malignancy. She has regular menstrual cycles, beginning at age 15. She has used BCP in thep ast, but none recently.
This is what I get:
Loc--left breast mass.
Context--radiologic findings.
Assoc--no breast pain, nipple discharge..etc.
Is there one more that I am missing??
Thanks for your help!
I am having problems finding an extra bullet to get 4 HPI elements and was wondering if any of you can find an extra one for this new patient evaluation.
HPI: The patient is a 44-year-old female who is seen today for a new left breast mass. This was discovered on routine screening mammography, which prompted an ultrasound that confirmed a 5.8 x 7.8 x 4 mm mass in the left breast, BI-RADs 4. The radiologist did commonet on the density of her breast, which made comparison difficult; however, this lesion wsa not appreciated on a mammogram one year prior. She denies any breast pain, nipple discharge, or palpable masses on self-breast exam. She has no family history of breast malignancy. She has regular menstrual cycles, beginning at age 15. She has used BCP in thep ast, but none recently.
This is what I get:
Loc--left breast mass.
Context--radiologic findings.
Assoc--no breast pain, nipple discharge..etc.
Is there one more that I am missing??
Thanks for your help!
