"generalized" as quality in HPI

drashby

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In the following HPI statement, "the patient is complaining of generalized weakness and fatigue" Can generalized be counted as quality?

Thanks for your in-put
 

btadlock1

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In the following HPI statement, "the patient is complaining of generalized weakness and fatigue" Can generalized be counted as quality?

Thanks for your in-put
I would count 'generalized' as location (since it's saying that the weakness is occuring in the whole body, as opposed to a specific area), and fatigue as an associated sign/symptom. Hope that helps! ;)
 

drashby

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Good thought, btadlock1. That was my initial thinking as well.

WPS, my carrier, states we can not use generalized as a location. However, I felt is was the quality of the fatigue and weakness. I always thing of quality as an adjective describeing the cheif complaint. "Generalized", to me, seemed to be describing the fatigue and weakness.

Thoughts? Arguments?
 

Evelyn Kim

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generalized seems to me to be describing the location, all over the body. I would not consider it quality since it does not describe HOW the patient feels but where they feel it.
 

sateeshtv

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I would prefer taking "generalised" as quality. Generalised wekness refers to weakness throughout the body. It doesn't refers to a particular body part.So we can't consider for location
 
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