The Following Is an Excerpt from a Patient's Discharge Summary

question 46

Multiple Choice

The following is an excerpt from a patient's discharge summary. Which of the following is NOT true about this excerpt? HPI
Miss Susan Nesbit is a 12-year-old female who first visited her primary care provider for dysuria. A UA was ordered, but the patient could not urinate in the office. She took the UA cup home but did not return with the sample. The next day, Susan's dysuria worsened, and she developed a fever of 102.3^o F, as well as vomiting and hematuria, so she returned to the clinic. A urinalysis performed in the office revealed significant pyuria, hematuria, and albuminuria. Since Susan was not able to keep any fluids down, her primary care provider sent her to the emergency department for evaluation for admission.

• A) Her PCP sent her to the ED for evaluation and admission.
• B) It contains the history of the present illness.
• C) The patient is 12 y/o.
• D) The patient returned to the clinic when her dysuria worsened and she became febrile.
• E) The patient went to the ED before seeing her PCP.

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Definitions:

Fear Response

The fear response is a physiological reaction that occurs in response to a perceived threat, involving the activation of the fight-or-flight response by the amygdala.

Increased Sexual Activity

A situation where individuals engage in sexual behaviors more frequently than is typical for them.

Fear Response

The automatic, rapid and often unconscious reaction to a perceived threat, involving physiological changes such as increased heart rate.

Amygdala

A section of the brain that is involved in emotions, emotional behavior, and motivation.