Question

Mr. Smith presents to the emergency department at a local hospital for chest pain and is seen by the ED physician on duty. The physician obtained an extended History of Present Illness (HPI), an extended Review of Systems (ROS), and a pertinent Past, Family, and Social History (PFSH). What is the level of history?

Answer 1

Mr. Smith's case involved a comprehensive level of history, as indicated by the extended HPI, ROS, and pertinent PFSH, commonly required in complex or serious medical situations.

Step-by-step explanation:

Mr. Smith's encounter in the emergency department involved an extended History of Present Illness (HPI), an extended Review of Systems (ROS), and a pertinent Past, Family, and Social History (PFSH). The combination of these detailed history components typically amounts to a comprehensive level of history in a medical evaluation. This level of history is often required for more complex cases where multiple body systems may be involved, or when the patient's condition is potentially serious and requires a thorough assessment alongside diagnostic testing and evaluation. Examples include situations where a patient is presenting with symptoms such as chest pain, as Mr. Smith did, or other cases discussed such as patients with signs of pneumonia, potential strokes, chronic diseases, and infections.