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.

---

Definitions:

Spanking

A form of corporal punishment involving the striking of the buttocks with an open hand, controversial in its effects on child behavior.

Socioemotional Functioning

Refers to the individual's ability to experience, regulate, and express emotions, as well as form secure interpersonal relationships.

Sleep

A naturally recurring state of mind and body characterized by altered consciousness, relatively inhibited sensory activity, and inhibition of nearly all voluntary muscles.

Premature

Describes a condition or event occurring earlier than expected, such as a baby born before completing the full term of pregnancy.