Chief Complaints:
patient Complaint – workers comp accident on 12/13/2016, patient was hit and pushed on his Lt. side of abdomen with the front of forklift with a pallet. CT scan shows hernia.
patient Complaint – workers comp accident on 12/13/2016, patient was hit and pushed on his Lt. side of abdomen with the front of forklift with a pallet. CT scan shows hernia.
HPI:
Carlos Enamorado, a 41 year old male, presents today for worker’s comp follow up. Not feeling good. Too much pain , Lt subcostal area. Went to work today for 5 hours. 1 month post accident.
PMH, PSH & RX history.
Allergies – NKDA.
Billed code is 99214.
Kindly help me in finding HPI elements and ROS in the above scenario.