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[Answered]: An established 24 year-old patient sees Dr

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An established 24 year-old patient sees Dr. Smith for a confirmation of pregnancy. She performed a home pregnancy test which showed positive. She complains of breast tenderness and nausea. The doctor’s office tested and confirmed the patient is pregnant. The doctor discusses with the patient health risk factors and she is to return to the office for her initial OB visit. Based on AMA’s 2021 E/M guidelines, what is the most accurate definition of the problem? Self-limited or minor problem: A problem that runs a definite and prescribed course, is transient in nature, and not likely to permanently alter health status Stable, chronic illness: A problem with an expected duration of at least one year or until the death of the patient. “Stable” is defined by the specific treatment goals for an individual patient. A patient who is not at his or her treatment goal is not stable, even if the condition has not changed and there is no short-term threat to life or function. Acute, uncomplicated illness or injury: A recent or new short-term problem with low risk of morbidity for which treatment is considered. There is little to no risk of mortality with treatment, and full recovery without functional impairment is expected. A problem that is normally self-limited or minor but is not resolving consistent with a definite and prescribed course. Acute illness with systemic symptoms: An illness that causes systemic symptoms and has a high risk of morbidity without treatment. For systemic general symptoms, such as fever, body aches, or fatigue in a minor illness that may be treated to alleviate symptoms, shorten the course of illness, or to prevent complications, see the definitions for self-limited or minor problem or acute, uncomplicated illness or injury. Systemic symptoms may not be general but may be a single system. Ex. pyelonephritis, pneumonitis or colitis.

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