A high severity presenting problem is?

• A. A problem where the risk of morbidity without treatment is high to extreme; there is a moderate to high risk of mortality without treatment OR high probability of severe, prolonged functional impairment
• B. A routine follow-up appointment
• C. A problem with no risk
• D. A minor annoyance that resolves spontaneously

Answer: (D)

Severity of a presenting problem reflects the potential harm if it’s not treated. A high severity problem is one where withholding treatment could lead to substantial harm, such as a high risk of morbidity, a real possibility of death, or a prolonged and serious impact on function. The statement that best fits this concept describes a scenario with a high risk of morbidity without treatment, and the possibility of mortality or severe, long-lasting impairment. The other options describe issues that are routine, carry little to no risk, or resolve on their own, which do not meet the threshold for high severity.