HPI
The acronym for details to be included in the HPI
LOCATES
How to document region of abdominal pain
Under the Abd tab
How to find chart review
Ask the physician
Abbreviation for patient
Pt
First sentence of the HPI
Initial evaluation performed by Dr. X at TIME
System where you document diaphoresis
Constitutional
How to document an ultrasound performed
Timestamp
IVF (in ER context)
IV fluids
Chief complaint often heard for vertigo
Dizziness
How to document patient in mild distress
Comment on acute distress
How to tell if a lab is notable
Ask physician
NPO
3 things usually asked for social history
System where you would document positive straight leg raise
Musculoskeletal
How to know what EKG results to document
Ask the provider
DKA
Diabetic ketoacidosis