A well-documented patient report is completed promptly after _______ _______

In a patient's chart, a diagnosis:

must be explicitly stated. can be stated or implied. must be part of the history of present illness (HPI). must be coded.

A 9-year-old boy has bilateral, white thickening of his buccal mucosa that extends into the vestibules. The lesions have been present since birth. His brother has similar lesions. Which of the following is suggested?

a. Lichen planus b. Leukoedema c. Mucous patches d. White sponge nevus e. None of the above