Chief Complaint formally known as CC in the medical field, or termed Presenting Complaint (PC) in the UK, forms the second step of medical history taking, and 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, [1 ] nurse, or other health care professional help form the differential diagnosis.
In some instances, the nature of a patient's chief complaint may determine if services are covered by
medical or vision insurance. [2 ]
Medical students are advised to use open-ended questions in order to obtain the presenting complaint. [3 ]
Other terms sometimes used include
Reason for Encounter ( RFE), Presenting Problem, Problem on admission and Reason for Presenting.
Analyzing for the chief complaint involves assessment using the acronym
Prevalence [ edit ]
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. [4 ] Fatigue has been reported as one of the ten most common reasons for seeing a physician. In [5 ] 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 [6 ] abdominal pain. Among [7 ] nursing home residents seeking treatment at ERs, respiratory symptoms, altered mental status, gastrointestinal symptoms, and falls are the most commonly reported. [8 ]
CMS required history elements [9 ]
Type of history
Past, family, and/or social
Expanded problem focused
See also [ edit ]
References [ edit ]
^ Shah, Nayankumar (2005). "Taking a history: Introduction and the presenting complaint". Student BMJ 13: 309–52. doi:10.1136/sbmj.0509314 (inactive 2015-06-04).
^ 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". Family practice research journal 6 (4): 175–88. PMID 3455125.
^ http://www.emedmag.com/html/pre/cov/covers/021504.asp Emergency Medicine
^ Graff, Louis G.; Robinson, Dave (2001). "Abdominal Pain and Emergency Department Evaluation". Emergency Medicine Clinics of North America 19 (1): 123–36. doi: 10.1016/S0733-8627(05)70171-1. PMID 11214394.
^ Ackermann, Richard J; Kemle, Kathy A; Vogel, Robert L; Griffin, Ralph C (1998). "Emergency Department Use by Nursing Home Residents". Annals of Emergency Medicine 31 (6): 749–57. doi: 10.1016/S0196-0644(98)70235-5. PMID 9624316.
^ "www.cms.gov" (PDF) . Retrieved . 2011-02-27
External links [ edit ]