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chapter 12 Med transcription
Chief complaint CC
description of what symptom or sign brought the patient to the doctor or hospital
Present illness PI
the patient relates the details of how they are feeling
Past history PH
begins with pt childhood and includes all diseases and conditons
rashes, itches, discoloration, dryness, and scaling
changes in its texture or distribution, loss or excess
head, eyes, ears, nose, and throat
loss, discharge, pain
mouth and throat
teeth, difficulty swallowing, thyroid, movement of neck