Primary Care Physician
Assessment in medical nonemergency situation.
Severe nutrient deficiency
Mini nutritional assessment
What does a primary care physician do?
1. Annual health assessment of an existing patient
2. First-time consultation for this patient
3. New nonemergency medical problem
4. Follow-up
5. File a complaint
6. A case referred to this primary care provider
7. Provide referral to another specific healthcare provider
8. Report errors in medical records
9. I see something inaccurate in my chart
10. Non-urgent medical issue
11. Medication issue
12. Complaint against medical doctor license resource in America due to gross misconduct
13. Other specific issues to be elaborated upon

Severe nutrient deficiency
Mini nutritional assessment
First name:
Last name:
Gender:
Age:
Weight, kg:
Height, cm:
Date:

Screening

  1. A Has food intake declined over the past 3 months due to loss of appetite, digestive problems, chewing or swallowing difficulties?
    0 = severe decrease in food intake
    1 = moderate decrease in food intake
    2 = no decrease in food intake


  2. B Weight loss during the last 3 months
    0 = weight loss greater than 3 kg (6.6 lbs)
    1 = does not know
    2 = weight loss between 1 and 3 kg (2.2 and 6.6 lbs)
    3 = no weight loss


  3. C Mobility
    0 = bed or chair bound
    1 = able to get out of bed / chair but does not go out
    2 = goes out


  4. D Has suffered psychological stress or acute disease in the past 3 months?
    0 = yes 2 = no


  5. E Neuropsychological problems
    0 = severe dementia or depression
    1 = mild dementia
    2 = no psychological problems


  6. F1 Body Mass Index (BMI) (weight in kg) / (height in m) 2

    0 = BMI less than 19
    1 = BMI 19 to less than 21
    2 = BMI 21 to less than 23
    3 = BMI 23 or greater


Screening score
(max. 14 points)
12-14 points: Normal nutritional status
8-11 points: At risk of malnutrition
0-7 points: Malnourished

Is BMI <20.5?
Has the patient lost weight within the last 3 months?
Has the patient had a reduced dietary intake in the last week?
Is the patient severely ill? (e.g., in intensive therapy)

How is the body mass index calculated?

How do you calculate your body mass index?
How do I calculate my BMI?
You can calculate your BMI yourself by following these steps:
Multiply your weight in pounds by 703.
Divide that answer by your height in inches (there are 12 inches in 1 foot).
Divide that answer by your height in inches again.
For example, a person who weighs 180 pounds and is 5 feet 5 inches tall (65 inches total) would calculate their BMI in the following way:
180 x 703 = 126,540.
126,540 / 65 = 1,946.769.
1,946.769 / 65 = 29.95.
The person’s BMI is 29.9.

In general, the following BMI ranges (in kg/m2) classify different weight types:
Underweight: Less than 18.5
Optimum range: 18.5 to 24.9
Overweight: 25 to 29.9
Class I obesity: 30 to 34.9
Class II obesity: 35 to 39.9
Class III obesity: More than 40

Marasmus

What are the signs?
BMI below 16.
https://www.qureshiuniversity.com/nutrition.html

Obesity: How is it diagnosed?
Obesity/body mass index (BMI) over 30
In general, the following BMI ranges (in kg/m2) classify different weight types:
Underweight: Less than 18.5
Optimum range: 18.5 to 24.9
Overweight: 25 to 29.9
Class I obesity: 30 to 34.9
Class II obesity: 35 to 39.9
Class III obesity: More than 40

Do you have any existing medical condition?
Did you have any previous medical condition that does not exist now?
Do you take any medications now?
Did you take any medications in the past that you are not taking now?
Do you think any health care details need to be added?

What is your Email address?

________________________

What is the name of the individual who needs doctor consultation?

________________________

What is the date of birth of the individual who needs doctor consultation?

________________________

Address

What is your mailing address? <

________________________

What was your mailing address from birth until now?

________________________

Where is the patient now?

________________________

Where do you live now?

How long have you lived at this address?

________________________

How long do you plan to live at this address?

________________________

What is your contact information including current mailing address, telephone, e-mail, and any other details, and person to contact in case of emergency?

________________________

What is the gender of the patient?

What best describes the patient?: Child Adolescent girl Adolescent boy Woman Man

________________________

In general, how is your physical and mental health? Excellent Good Fair Poor

________________________

What is your telephone number?

________________________

Have you been in the hospital in the last month?
Yes No

________________________

Do you have health problems that you need help with right away?
Yes No

________________________

Do you have any appointments scheduled with doctors or other specialists?
Yes No

________________________

Screening for survival needs

Do you have enough of these resources from the state?
Food
Clothing
Housing
Health care
Transportation
Security
Education
Consumer goods
Communication

Do you need any of these resources to be enhanced?

________________________

What are the issues?

________________________

Do you need extra help to access services, such as a wheelchair ramp, a computer screen reader or large print materials?
Yes No

________________________

What is the number on your medical card?
A medical card number is usually a nine digit number.

________________________

What state or entity has issued this medical card?

________________________

What is troubling you?

________________________

How old is the patient?

________________________

What languages can you understand?

________________________

What are the sources of medical history?

________________________

Where are you located now?

________________________

Is your complete medical history ready?

________________________

Who is writing answers to these questions?

________________________

The patient.
Someone else on behalf of patient.

If someone else is answering these questions on behalf of the patient, how are you related to the patient?
Sister
Cousin
Brother
Mother
Father
Case manager
Relative Primary care physician
Nurse
If other, specify.
I have read and agree to the Terms & Conditions.

These are basic questions.
There are many more.

Once the above listed relevant questions about comprehensive patient assessment are answered and received, you will get another questions list relevant to age, gender, location, problems, or issues, if any.

This will be followed by specific recommendations.
Where is your profile?
When was your last complete blood count (CBC) done? Take a look at this.
When was your last basic metabolic panel done? Take a look at this.
Was this done fasting or random?
Where are the results of these blood tests?


If you are outside the United States, scan your blood test document and display it via the internet. Dr. Asif Qureshi will give you a diagnosis and outline treatment via the internet.

What problems does a primary care physician manage?
A primary care physician manages the assigned nonemergency medical problems. A primary care physician provides nonemergency medical services.

How does a specific physician know what is a nonemergency medical problem and what is an emergency medical problem?
Here is a simple example. If you need an annual health assessment or have a new nonemergency medical problem, such as an adult’s blood pressure going above 130/90 but less than 180/110, you will see a primary care physician. If at any point you have blood pressure that exceeds 180/110, this is a medical emergency and you have to see a medical emergency physician. There is a list of nonemergency medical problems and emergency medical problems that every specific physician must know.

Nonemergency Medical Problems
Here are further guidelines: https://qureshiuniversity.com/symptoms.html

Emergency Medical Problems
Here are further guidelines: https://www.qureshiuniversity.com/medicalemergency.html

What has research shown relevant to primary care?
Research shows that having access to competent primary care prolongs life and enhances the wellbeing of a person.

What does a primary care physician do?
1. Annual health assessment of an existing patient
2. First-time consultation for this patient
3. New nonemergency medical problem
4. Follow-up
5. File a complaint
6. A case referred to this primary care provider
7. Provide referral to another specific healthcare provider
8. Report errors in medical records
9. I see something inaccurate in my chart
10. Non-urgent medical issue
11. Medication issue
12. Complaint against medical doctor license resource in America due to gross misconduct
13. Other specific issues to be elaborated upon

What are the types of primary care physicians?
Family practitioners
Internal medicine providers
Pediatricians
OB-GYN providers
Geriatricians

What 10 problems relevant to adults, children, or women are most common for a primary care physician?
1. Annual health assessment
2. High blood pressure in an adult
3. Diabetes in an adult
4. Stress in an adult
5. Relationship issue
6. Counseling issue
7. Missed milestone in a child
8. Juvenile justice issue
9. A woman who has been maliciously impregnated or as part of a criminal conspiracy
10. Abortion issue for a woman of childbearing age
11. Many more

What are the most common issues for a primary care physician relevant to pediatrics?
Missed milestones
A child with special needs
Juvenile justice issues

OB-GYN providers

Maliciously impregnated
Rape
Abortion
Similar issues

How should a primary care physician record the consultation documentation?
Record the exact reasons for the consultation, including the exact statement or question relevant to the consultation.

At this point, what are the reasons for the consultation?
Date: August 23, 2022
Time: 10:00 AM
Location: 5304 North Broadway, Chicago, Illinois 60640 Office: 773-784-2822 Fax: 773-784-3931
Name of the Primary Care Physician: Kimberly Therese Remski, MD
Specialty: Family Medicine
Reasons for consultation:
1. Routine checkup
2. Issue that needs research and deliberations with the current primary care physician. I would prefer for you to research and come up with answers relevant to the standard of healthcare. What did you understand? What do you suggest?

I can guide 72 types of physicians, including primary care physicians.
Take a look at this:
www.qureshiuniversity.com/physicians.html

Take a look at this: https://www.qureshiuniversity.com/primarycarephysician.html

What are the concerns relevant to this issue?
A person says one thing.
The primary care physician writes something else.
See the examples.

Why is there a need to elaborate on this issue?

What advice do you have for this situation?

If you give any diagnoses, make sure these questions are answered with the diagnoses.

How did you reach this diagnosis?

What are the symptoms?

What are the signs?

What is normal?

Is there any controversy in normal biochemistry values?

How do you plan to fix this?

What is your answer?


Billing
Medical billing

What do you have to place in the record on my behalf?
Insurance must cover the services you provide to me. It is your responsibility to verify reimbursement before providing the service. I will not be paying for anything with cash, a credit card or debit card, or any other source. This was revealed to you previously. I thought of forwarding a reminder.
What did you understand?

What organizations are relevant to a primary care physician?
American Academy of Family Physicians
https://www.aafp.org/about/policies/all/primary-care.html

How long did it take Dr. Asif Qureshi to author these resources and professional guidelines?
It has taken Dr. Asif Qureshi 22 years in Chicago, Illinois, United States to author these resources and professional guidelines. Take a look at this: https://www.qureshiuniversity.com/physicians.html

Questions you need to answer.

What did you understand?
What would you like to add that is not there?

Last Updated: March 26, 2024