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becky34bl
can anyone tell me which acute care record report these questions would be found & if inpatient or outpatient?
1. HEENT: Reveals the tympanic membranes, nares, and pharynx to be clear. No obvious
head trauma.
CHEST: Good bilateral chest sounds
2. Microscopic: Sections are of squamous mucosa with no atypia.
3. Admit to 3C. Diet: NPO
Meds: Compazine 10mg IV Q 6 PRN
4. Following induction of an adequate general anesthesia, with the patient supine on the
padded table, the left upper extremity was prepped and draped in the standard fashion.
5. CBC: WBC 12.0H, RBC 4.65,
HGB 14.8, HCT 43.3, MCV 93
6. I authorize and direct William Smith, MD, my surgeon, and/or associates of his choice to
perform the following operation upon me.
7. 38 weeks gestation, Apgar’s 8/9, 6# 9.8 oz., good cry, to room with mom.
8. Diagnoses: chronic atrial fibrillation, congestive heart failure, old myocardial infarction. She
will be followed by me in the office.
9. Spoke to the attending re: my assessment. Provided adoption and counseling information.
Spoke to CPS re: referral. Case manager to meet with patient and family.
10. I was asked to evaluate this Level I trauma patient with an open left humeral epicondylar
fracture. Recommendations; Proceed with urgent surgery for debridement, irrigation, and
treatment of open fracture.
11. c/o slight tingling in fingers, better when arm out of sling, fingers warm, color pink,
wiggles fingers, will monitor.
12. PA and Lateral Chest: the lungs are clear. The heart and mediastinum are normal in size and
configuration. There are minor degenerative changes of the lower thoracic spine.
13. Admit to 3C. Diet NPO
Meds: Compazine 10mg IV Q 6 PRN
14. CBC: WBC 12.0H, RBC 4.65
HGB 14.8, HCT 43.3 MCV 93
Other - Diseases1 decade agocan anyone tell me which acute care record report these questions would be found & if inpatient or outpatient?
1. HEENT: Reveals the tympanic membranes, nares, and pharynx to be clear. No obvious
head trauma.
CHEST: Good bilateral chest sounds
2. Microscopic: Sections are of squamous mucosa with no atypia.
3. Admit to 3C. Diet: NPO
Meds: Compazine 10mg IV Q 6 PRN
4. Following induction of an adequate general anesthesia, with the patient supine on the
padded table, the left upper extremity was prepped and draped in the standard fashion.
5. CBC: WBC 12.0H, RBC 4.65,
HGB 14.8, HCT 43.3, MCV 93
6. I authorize and direct William Smith, MD, my surgeon, and/or associates of his choice to
perform the following operation upon me.
7. 38 weeks gestation, Apgar’s 8/9, 6# 9.8 oz., good cry, to room with mom.
8. Diagnoses: chronic atrial fibrillation, congestive heart failure, old myocardial infarction. She
will be followed by me in the office.
9. Spoke to the attending re: my assessment. Provided adoption and counseling information.
Spoke to CPS re: referral. Case manager to meet with patient and family.
10. I was asked to evaluate this Level I trauma patient with an open left humeral epicondylar
fracture. Recommendations; Proceed with urgent surgery for debridement, irrigation, and
treatment of open fracture.
11. c/o slight tingling in fingers, better when arm out of sling, fingers warm, color pink,
wiggles fingers, will monitor.
12. PA and Lateral Chest: the lungs are clear. The heart and mediastinum are normal in size and
configuration. There are minor degenerative changes of the lower thoracic spine.
13. Admit to 3C. Diet NPO
Meds: Compazine 10mg IV Q 6 PRN
14. CBC: WBC 12.0H, RBC 4.65
HGB 14.8, HCT 43.3 MCV 93
2 AnswersOther - Health1 decade agoHow do I change a 2001 chevy venture LS waterpump?
I have checked gauges and they work fine. we checked the water reseve and its fine.it must be the waterpump.10 pts for 1st and best answer.
2 AnswersChevrolet1 decade agowhy cant i answer as many questions as i want on yahoo answers?
why are there limits on how many times you can answer if you are not doing anything wrong or saying rude things?
5 AnswersYahoo Answers1 decade ago