CHART NOTE CC: This Established Patient Presents to the Office Today with Today

question 8

Short Answer

CHART NOTE
CC: This established patient presents to the office today with complaints of rectal bleeding and itching of 2 weeks' duration.
OBJECTIVE: This is a 50-year-old male in apparent good health. His BP is 119/78. Rectal examination showed a grade 1 hemorrhoid in the 2 o'clock position approximately 2 cm across. The area around the hemorrhoid was slightly inflamed and a small amount of blood was noted.
ASSESSMENT: Hemorrhoid.
PLAN: Discussed conservative treatment options with the patient and explained surgical option. He wants to try the more conservative approach of stool softeners, warm and sitz baths. I discussed with him the importance of improved bowel habits. He is to return for a recheck in 2 months. The medical decision making was of straightforward complexity.
CPT Code: ____________________

---

Definitions:

Pollution

The contamination of the natural environment by harmful substances, leading to adverse health effects and environmental damage.

Market Failure

A situation where the allocation of goods and services by a free market is not efficient, often leading to a net societal welfare loss.

Capitalism

An economic system where trade, industries, and the means of production are largely or entirely privately owned and operated for profit.

Public Goods

Goods that are non-excludable and non-rivalrous, meaning they are accessible to all members of society and one person's use does not reduce availability to others.