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{{Merge|reason for encounter|date=November 2008}} {{Merge|reason for encounter|date=November 2008}}
The '''Chief Complaint''' formaly known as CC in the medical field, or termed '''Presenting Complaint''' (PC) in the UK, is a concise statement describing the ], problem, ], ], ] recommended return, or other factor that is the reason for a medical The '''Chief Complaint''' formaly known as CC in the medical field, or termed '''Presenting Complaint''' (PC) in the UK, is a concise statement describing the ], problem, ], ], ] recommended return, or other factor that is the reason for a medical
encounter<ref>http://www.usc.edu/health/uscp/compliance/tm6.html#6</ref>. The patient's initial comments to a physician, ], or other ] help form the ]. encounter.<ref>http://www.usc.edu/health/uscp/compliance/tm6.html#6</ref> The patient's initial comments to a physician, ], or other ] help form the ].


In some instances, the nature of a patient's chief complaint may determine whether or not services are covered by ] or ].<ref></ref> In some instances, the nature of a patient's chief complaint may determine whether or not services are covered by ] or ].<ref></ref>
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==Prevalence== ==Prevalence==
The collection of chief complaint data may be useful in addressing ] issues.<ref>http://www.cdc.gov/PHIN/architecture/implementation_guides/Healthcare%20Related/PHIN_Healthcare_Encounter_Chief_Complaint_v231.pdf</ref> Certain complaints are more common in certain settings and among certain populations. ] has been reported as one of the ten most common reasons for seeing a physician.<ref>Nelson E, Kirk J, McHugo G, Douglass R, Ohler J, Wasson J, Zubkoff M. "Chief complaint fatigue: a longitudinal study from the patient's perspective." Fam Pract Res J. 1987 Summer;6(4):175-88. PMID 3455125.</ref> In ] settings, such as ]s, reports of ] are among the most common chief complaints.<ref></ref> The most common complaint in ERs has been reported to be ].<ref>Graff LG 4th, Robinson D. ''Emerg Med Clin North Am.'' 2001 Feb;19(1):123-36. PMID 11214394.</ref> Among ] residents seeking treatment at ERs, ] symptoms, altered mental status, ] symptoms, and ] are the most commonly reported.<ref>Ackermann RJ, Kemle KA, Vogel RL, Griffin RC Jr. "Emergency department use by nursing home residents." ''Ann Emerg Med.'' 1998 Jun;31(6):749-57. PMID 9624316.</ref> The collection of chief complaint data may be useful in addressing ] issues.<ref>http://www.cdc.gov/PHIN/architecture/implementation_guides/Healthcare%20Related/PHIN_Healthcare_Encounter_Chief_Complaint_v231.pdf</ref> Certain complaints are more common in certain settings and among certain populations. ] has been reported as one of the ten most common reasons for seeing a physician.<ref>{{cite journal | last1 = Nelson | first1 = E | last2 = Kirk | first2 = J | last3 = McHugo | first3 = G | last4 = Douglass | first4 = R | last5 = Ohler | first5 = J | last6 = Wasson | first6 = J | last7 = Zubkoff | first7 = M. | author-separator =, | author-name-separator= | year = 1987 | month = Summer | title = Chief complaint fatigue: a longitudinal study from the patient's perspective | url = | journal = Fam Pract Res J. | volume = 6 | issue = 4| pages = 175–88 | pmid = 3455125 }}</ref> In ] settings, such as ]s, reports of ] are among the most common chief complaints.<ref></ref> The most common complaint in ERs has been reported to be ].<ref>{{cite journal | last1 = Graff | first1 = | last2 = Robinson | first2 = D. | author-separator =, | author-name-separator= | year = 2001 | month = Feb | title = Abdominal pain and emergency department evaluation | url = http://cat.inist.fr/?aModele=afficheN&cpsidt=917754 | journal = Emerg Med Clin North Am. | volume = 19 | issue = 1| pages = 123–36 | pmid = 11214394 }}</ref> Among ] residents seeking treatment at ERs, ] symptoms, altered mental status, ] symptoms, and ] are the most commonly reported.<ref>{{cite journal | last1 = Ackermann | first1 = RJ | last2 = Kemle | first2 = KA | last3 = Vogel | first3 = RL | last4 = Griffin | first4 = RC Jr | author-separator =, | author-name-separator= | year = 1998 | month = Jun | title = Emergency department use by nursing home residents | url = | journal = Ann Emerg Med. | volume = 31 | issue = 6| pages = 749–57 | pmid = 9624316 }}</ref>


==See also== ==See also==
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Revision as of 21:14, 6 December 2010

It has been suggested that this article be merged with reason for encounter. (Discuss) Proposed since November 2008.

The Chief Complaint formaly known as CC in the medical field, or termed Presenting Complaint (PC) in the UK, is a concise statement describing the symptom, problem, condition, diagnosis, physician recommended return, or other factor that is the reason for a medical encounter. The patient's initial comments to a physician, nurse, or other health care professional help form the differential diagnosis.

In some instances, the nature of a patient's chief complaint may determine whether or not services are covered by medical or vision insurance.

Medical students are advised to use open-ended questions in order to obtain the presenting complaint.

Prevalence

The collection of chief complaint data may be useful in addressing public health issues. Certain complaints are more common in certain settings and among certain populations. Fatigue has been reported as one of the ten most common reasons for seeing a physician. In acute care settings, such as emergency rooms, reports of chest pain are among the most common chief complaints. The most common complaint in ERs has been reported to be abdominal pain. Among nursing home residents seeking treatment at ERs, respiratory symptoms, altered mental status, gastrointestinal symptoms, and falls are the most commonly reported.

See also

References

  1. http://www.usc.edu/health/uscp/compliance/tm6.html#6
  2. Optometric Management
  3. sBMJ | Taking a history: Introduction and the presenting complaint
  4. http://www.cdc.gov/PHIN/architecture/implementation_guides/Healthcare%20Related/PHIN_Healthcare_Encounter_Chief_Complaint_v231.pdf
  5. Nelson, E; Kirk, J; McHugo, G; Douglass, R; Ohler, J; Wasson, J; Zubkoff, M. (1987). "Chief complaint fatigue: a longitudinal study from the patient's perspective". Fam Pract Res J. 6 (4): 175–88. PMID 3455125. {{cite journal}}: Cite has empty unknown parameter: |author-name-separator= (help); Unknown parameter |author-separator= ignored (help); Unknown parameter |month= ignored (help)
  6. Emergency Medicine
  7. Graff; Robinson, D. (2001). "Abdominal pain and emergency department evaluation". Emerg Med Clin North Am. 19 (1): 123–36. PMID 11214394. {{cite journal}}: Cite has empty unknown parameter: |author-name-separator= (help); Unknown parameter |author-separator= ignored (help); Unknown parameter |month= ignored (help)
  8. Ackermann, RJ; Kemle, KA; Vogel, RL; Griffin, RC Jr (1998). "Emergency department use by nursing home residents". Ann Emerg Med. 31 (6): 749–57. PMID 9624316. {{cite journal}}: Cite has empty unknown parameter: |author-name-separator= (help); Unknown parameter |author-separator= ignored (help); Unknown parameter |month= ignored (help)

External links

Medical examination and history taking
Medical history
Physical examination
General/IPPA
Vital signs
HEENT
Respiratory
Cardiovascular
Abdominal
Musculoskeletal
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Assessment and plan


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