Collecting and Documenting Patient History Pt II
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Which one of the following isn’t an example of “Social History”?
Symptoms that the patient isn’t experiencing (i.e., “negative ROS”) can be just as important as those which he/she is experiencing.
The history (HPI) that patients provide us is considered ___________ information.
Lesion symptoms are always important to document since, among other reasons, their presence plays a role in determining whether or not insurance will provide coverage for removal.
A patient has a lesion which your supervising physician is concerned might represent a melanoma. However, the patient doesn’t want to proceed with biopsy right now because he “has a golf game this afternoon and will call us back to schedule”. Which of the following represents the most appropriate action in this scenario?
A patient is returning for lesion monitoring. What important step should be performed before your supervising physician enters the room for the visit?
A patient is returning for follow-up today, and after looking over his chart, you see that he was prescribed Efudex at his last visit. What is the most appropriate action to take?
Before you call back a new patient, the front desk informs you that she was “very rude” and actually cursed at one of them because “her visit was supposed to start 5 minutes ago”. When you call her back to the room and ask her what brings her in, she pulls out a list of “twenty items that she’d like to discuss with the dermatologist today”. After politely informing her that it may be difficult to address so many concerns during a single visit, the patient says “we’ll see about that”.
How should this situation be handled when your supervising physician asks you what the patient is coming in for?