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I see 4 hpi's and 1 ros on this new pt?

  1. Default I see 4 hpi's and 1 ros on this new pt?
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    Pt comes in today with chief complaint of hyperhidrosis in the left residual limb. Pt has chronic infections and underwent left above the knee amputation. Subsequent to that she has been engaging in athletics and wearing prostheis. However, she has notice that when doing anything for a length of time she has hyperhidrosis in the stump. This causes a loss of suction with the prosthesis and large amt of wetness in her socket. this has been troublesome in that it does not allow her to perform all of her activities of daily living. Has no stump pain no breakdown or other issues . current meds include synthroid and ibuprofin.

  2. Default
    I see the 4 HPI and 2 ROS.

    HPI: Location, quality, modifying and context.
    ROS: Musculoskelatal, and skin.

  3. #3
    Location
    Ellenville, New York
    Posts
    1,176
    Default Agree with anggand
    Only see one ROS - skin.

    Lance Smith, MPA, COC, CPMA, CEMC, RHIT, CCS-P, CHC, CHPC

    Director, Health Information Management
    HealthAlliance of the Hudson Valley
    Kingston, NY


    2016 Secretary
    Ellenville, NY Local Chapter

  4. #4
    Default
    Quote Originally Posted by collenevw View Post
    I see the 4 HPI and 2 ROS.

    HPI: Location, quality, modifying and context.
    ROS: Musculoskelatal, and skin.
    I too see 2 ROS musc and skin
    Roxanne Thames CPC, CPC-I, CEMC
    rthamescpci@gmail.com


    "Remember the greatest gift is not found in the store but in the heart of true friends"

  5. #5
    Default
    [QUOTE=anggand@aol.com;183703]Pt comes in today with chief complaint of hyperhidrosis in the left residual limb. Pt has chronic infections and underwent left above the knee amputation. Subsequent to that she has been engaging in athletics and wearing prostheis. However, she has notice that when doing anything for a length of time she has hyperhidrosis in the stump. This causes a loss of suction with the prosthesis and large amt of wetness in her socket. this has been troublesome in that it does not allow her to perform all of her activities of daily living. Has no stump pain no breakdown or other issues . current meds include synthroid and ibuprofin.[/QUOTE

    has no stump pain= musc and no breakdown= skin for review of systems.
    Roxanne Thames CPC, CPC-I, CEMC
    rthamescpci@gmail.com


    "Remember the greatest gift is not found in the store but in the heart of true friends"

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