Any question not listed is considered not to have been asked. Patients often have two or more acute or chronic medical problems. Lumping is convenient, but often confusing to the reader. It makes it difficult to determine what you were thinking about when you evaluated the patient. It is often difficult for the clinician to ensure that they have evaluated each problem in a complete manner if the data is lumped.
Some problems seem easy to lump - e.g. cough and sore throat.
Most clinicians would record a SOAP note with the hx for both complaints, followed by the objective findings, followed by an assessment with a P.L and discussion, concluding with a plan for both complaints. However, some problems are best dealt with by splitting - eg Diabetes mellitus and Hypertension. Many clinicians actually use a hybrid of lumping and splitting combining S and O data and splitting the A and P for each problem. He takes Diabeta 5 mg qd reliably for the DM and reports no side effects. 94 two weeks ago.