Question: What is the possible diagnosis of the patient?  Past health history: constipation for the last 7 days accompanied by difficulty of breathing (DOB) and Abdominal pain. Present Health history:   chief complaint of Abdominal pain. Prior to admission, facial edema and bipedal edema was notice during physical assessment. Laboratory:  Temperature     36°c, Pulse Rate -127, Respiratory Rate- 22,Blood Pressure  -120/90,URIC ACID  :10.20 mg/dL,CREATININE  :1.33 mg/dL

Essentials Health Info Management Principles/Practices
4th Edition
ISBN:9780357191651
Author:Bowie
Publisher:Bowie
Chapter6: Patient Record Documentation Guidelines: Inpatient, Outpatient, And Physician Office
Section6.3: Hospital Inpatient Record— Clinical Data
Problem 2E
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Question: What is the possible diagnosis of the patient?

 Past health history: constipation for the last 7 days accompanied by difficulty of breathing (DOB) and Abdominal pain.

Present Health history: 

 chief complaint of Abdominal pain. Prior to admission, facial edema and bipedal edema was notice during physical assessment.

Laboratory: 

Temperature     36°c, Pulse Rate -127, Respiratory Rate- 22,Blood Pressure  -120/90,URIC ACID  :10.20 mg/dL,CREATININE  :1.33 mg/dL

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