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Old 07-14-2012
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Question Patient Age and Vitals to support DDx!

Hi all,

Is age of the patient a history finding or physical exam finding. I am asking this question in reference to the section of patient note that requires the examinee to write the dx history finding and phy exam findings for that particular dx.

Another question if one of the vitals is T=100F this definitely is a fever. So can I write it as my physical exam finding in the section of ddx particularly that part that requires the examinee to tailor the ddx with physical exam findings.
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Old 07-15-2012
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Default yes

Yea if the pt comes in with a sore throat and Vital signs show he has a fever you can use that under the Physical exam part as a proof that he has Strep or whatever you are thinking. Age however I am unsure of that one. I have thought about it too but have not come across anything that I need to use age as a proof of it so I just ignore it.
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The above post was thanked by:
drsurge (07-15-2012)


CS-DDx, Patient-Note

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