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Discharge Summary?

Posted By: Diana on 2009-06-05
In Reply to:

Subject: Discharge Summary?

I'm practicing an assignment for my class and I figured this was the best place to post a question about it.

I know that it's a discharge summary but I'm completely stumped as to the layout. It doesn't seem to fit the layouts in my books so I don't know what I should do. I don't want to get a bad grade on the assignment and would love to get the format right the first time.

If anybody is willing to, I would love to e-mail the file to you so you can possibly give me an idea?


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Discharge summary
Subject: Discharge summary

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A discharge summary. Thank you
Subject: A discharge summary. Thank you

x
discharge summary
Subject: discharge summary

pt. had cardiac cath


Condition upon discharge:  Stable, up and walking without <bike line> complications.


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Subject: discharge summary help

 Patient is a 46-year-old white female with past medical history significant for motor vehicle accident in 1976 with closed head injury profound mental retardation.  Since then *** feedings at home.  Started to have diarrhea a week prior to her admission   S/L  "onfactive" feedings at home any suggestions?  thanks so much!!!
is this an OP or a discharge summary or what?
Subject: is this an OP or a discharge summary or what?


it is a discharge summary
Subject: it is a discharge summary


discharge summary
Subject: discharge summary

could possibly be "discharging Marcus John Doe" i.e. discharge summary?
discharge summary
Subject: discharge summary

I am working on a Discharge Summary and in the medication list "folic 12.5 one p.o. b.i.d." is listed.  (This is a male pt.)  I can't find 12.5 as a dosage available anywhere and also, isn't "folic" as in folic acid usually for women?  the diagnoses are.... chf, cellulitis, cardiomyopathy and morbid obesity.  I don't see what "folic" would be prescribed for.  Any ideas?  Thanks, this is driving me crazy!
discharge summary
Subject: discharge summary

I cannot make out this word at all.  Any suggestions?


On admission his INR and PTT were both elevated and his hemoglobin and hematocrit were 12.9 and 38.1.  We applied pressure dressingand gave 4 units of plasma.  We then gave subcutaneous Vitamin K.  The bleeding has stopped and we have *bal ized tip* and are sending him home on outpatient dialysis.


 


discharge summary
Subject: discharge summary

stabilized him?
discharge summary help
Subject: discharge summary help

does this sound right?


On admission his INR and PTT were elevated.  His hemoglobin and hematocrit were 13.2 and 37.2.  We applied pressure dressing and gave 7 units of fresh frozen plasma with vitamin K.  The bleeding has since stopped overnight and we have *dialyzed him* this morning.  We are sending him home to continue with his outpatient dialysis schedule.


word help please discharge summary
Subject: word help please discharge summary

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Subject: Discharge Summary Abbreviations

Must we expand all abbreviations in the Discharge Summary (as you would in a diagnosis/impression), or type verbatim?
Psych Discharge Summary
Subject: Psych Discharge Summary

Patient is status post total knee replacement and doctor is dictating regarding Hospital Course: She states, after preoperative medical clearance the patient was admitted. The patient underwent a lateral _______ of the left knee. S/L lateral litho of the left knee. She is really garbled. Any help would be appreciated. Thanks.
Psych Discharge Summary
Subject: Psych Discharge Summary

Thank you, thank you, thank you. I feel so braindead sometimes. It's like I just can't understand one more word.
Just a discharge summary stating pt had a uti with that type of bacteria, but nothing else.
Subject: Just a discharge summary stating pt had a uti with that type of bacteria, but nothing else.

xx
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Subject: Discarge summary

Eyes: The eyes have discharged bilaterally.


Could that be what he's saying?


S/L: M/S/S Hx: See summary report
Subject: S/L: M/S/S Hx: See summary report

any idea as to what this abbreviation could be?  M/S/S Hx:  See summary report.


Thanks


discharge
Subject: discharge

They eyes have discharge bilaterally. (secretions etc)


 


 


discharge
Subject: discharge

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2. PAS.
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Subject: discharge med.

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Subject: HPs, Consults, Ops and Discharge

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Subject: discharge, drainage, or pus IMO nm

x
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Subject: discharge medications

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Subject: Yes, it's discharge diagnoses-First

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Subject: Not sure. In the discharge meds. PT has

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6. HIV/AIDS.
7. Urinary tract infection.

MSIR discharge RX
Subject: MSIR discharge RX

He lists it as one of her current (discharge) meds--go figure.  I certainly appreciate the help. 


Seems odd to me...


discharge medication
Subject: discharge medication

I cannot find reference to this medication anywhere, but it sounds like "quinopen 30.5 mg p.o. nightly."


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Discharge status
Subject: Discharge status

Psychiatric discharge summary: Sounds like OPT NSD 'discharge'.


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Subject: He's probably saying suppuration or discharge of pus from the ear.

^-^
Under discharge medications, the doc says:
Subject: Under discharge medications, the doc says:

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TIA!


Sorry, no. It was just listed on the discharge meds; sm
Subject: Sorry, no. It was just listed on the discharge meds; sm

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It's a list of discharge diagnoses...
Subject: It's a list of discharge diagnoses...

DKA, then s/l Right leg varicose, then obesity.  He says it later in the report and it definitely s/l varicose.


it is part of discharge medications ....
Subject: it is part of discharge medications ....

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part of discharge diagnoes... sm
Subject: part of discharge diagnoes... sm

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Subject: HELP! Kolophonic discharge?? (sinusitis)

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ophthalmology-discharge report...
Subject: ophthalmology-discharge report...

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leukorrhea is vaginal discharge though
Subject: leukorrhea is vaginal discharge though

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Subject: The patient has no discharge, drainage, or pus.


On discharge note after bariatric
Subject: On discharge note after bariatric

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Thanks!
I would put "nasal or oral discharge..."
Subject: I would put "nasal or oral discharge..."


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Subject: DISCHARGE DIET: 2 peas???

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Subject: ?Through ostometer? has been more liquid discharge.

NA
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Subject: probably coryza, results in nasal discharge. nm

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Subject: Starting to sound more like cobblestone discharge. I think this is it...?

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Subject: The surgical wound had dry, s/l semuous discharge. TIA


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Subject: Patient with vaginal discharge, need help with lab term - sm

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Subject: Question about slide done breast discharge sm

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