Chief Complaint - ear pain & cold
Physical exam of HEENT, chest, abdominal, skin & neuro.
Diagnosis made of OM and URI and Amoxicillin prescribed.
No history was documented so I'm focusing just on the exam and decision making.
Would the physical exam be considered comprehensive?
Also, would the level of decision making be of moderate or low complexity?
Thanks in advance for your help!
Physical exam of HEENT, chest, abdominal, skin & neuro.
Diagnosis made of OM and URI and Amoxicillin prescribed.
No history was documented so I'm focusing just on the exam and decision making.
Would the physical exam be considered comprehensive?
Also, would the level of decision making be of moderate or low complexity?
Thanks in advance for your help!