How detailed is this one.

[daniel]

In wheelchair, off meds.

S/P- CVA
S/P- left AKA
B/P- 160/80- P-56 R-16

Exam, ENT neg
Chest clear
S1, S2
Abdomen- soft,+BS
Extremities neg. for edema
EKG results indicated SR 55 m
Pl. – elevated B/P second to procrit
Re-start meds. And f/u in 4wks.


Follow-up questions:
• How detailed is the history?
• How extensive is the examination?
• How complex is the decision-making?


Thank You
Daniel
cPC

 

[Erica1217]

PF hx
EPF exam
Low MDM