Actual Writings On Charts In Hospitals

Johnney

Senior Member
Dec 9, 2003
4,330
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IOWA
1. The patient refused autopsy.

2. The patient has no previous history of suicides.

3. Patient has left white blood cells at another hospital.

4. Patient's medical history has been remarkably insignificant
with only a 40 pound weight gain in the past three days.

5. She has no rigors or shaking chills, but her husband states
she was very hot in bed last night.

6. Patient has chest pain if she lies on her left side for over a year.

7. On the second day the knee was better and on the third day
it disappeared.

8. The patient is tearful and crying constantly.
She also appears to be depressed.

9.The patient has been depressed since she began
seeing me in 1993.

10. Discharge status: Alive, but without my permission.

11. Healthy appearing decrepit 69-year old male, mentally
alert, but forgetful

12. Patient had waffles for breakfast and anorexia for lunch.

13. She is numb from her toes down.

14. While in ER, she was examined, x-rated and sent home.

15. The skin was moist and dry.

16. Occasional, constant infrequent headaches.

17. Patient was alert and unresponsive.

18. Rectal examination revealed a normal size thyroid.

19. She stated that she had been constipated for most
of her life until she got a divorce.

20. I saw your patient today, who is still under our car
for physical therapy.

21. Both breasts are equal and reactive to light
and accommodation.

22. Examination of genitalia reveals that he is circus sized

23. The lab test indicated abnormal lover function.

24. Skin: somewhat pale. but present.

25. The pelvic exam will be done later on the floor.

26. Large brown stool ambulating in the hall.

27. Patient has two teenage children, but no other abnormalities.
 

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