chapter 6

Question 1

Family history (FH)

Answer 1

a detailed record of medical events among members of the patients family including the ages living status and disease of siblings children parents and grandparents

Question 2

history of present illness (HPI)

Answer 2

a description of the course of the present illness including how and when the problem began up to the present time

Question 3

Past, family and social history (PFSH)

Answer 3

A commonly used abbreviation for past medical, family and social history

Question 4

past medical history

Answer 4

the patients history of medical problems including chronic conditions surgeries and hospitalizations

Question 5

patient flow

Answer 5

The program of patient from the times they enter the office for a visit they exit the system by leveling the office after a visit

Question 6

Progress notes

Answer 6

Notes documenting the care delivered to a patients and the medical fact and clinical thinking relevant to diagnosis and treatment

Question 7

review of systems (ROS)

Answer 7

an inventory of body systems in which the patients report signs and or symptoms he or she is currently having or has in the past

Question 8

social history

Answer 8

Information about the patients tobacco use alcohol and drug use sexual history relationship status and other significant social facts that may contribute to the care of the patient