hints?
Posted By: Sarah on 2008-09-27
In Reply to: Blood pressure drug help - me
Subject: hints?
any idea on the dosage?
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You might find hints in any
Subject: You might find hints in any
medication list that might be dictated or perhaps the dictator will mention how she is doing with symptoms of heartburn or some other clue.
a few hints for you - when doing the objective
Subject: a few hints for you - when doing the objective
findings, when doc says, for instance, "In general, the patient is..." you are putting that under the "general" subheading, so you don't need to repeat the "in general" part - meaning it would just be GENERAL: The patient is....
same with the skin exam that you have there - if doc is saying "skin is warm and dry," and you are putting it under the "skin" subheading, it should just be "SKIN: Warm and dry" ...and so on.
also, in the HEENT section, it should be "sclerae" and "conjunctivae" - doc is referring to the plural form here.
Does that make sense? This is the way it's usually done, but you'll need to follow the instructions you've been given, of course.
Maybe "underlying lung disease." Any hints to dx?
Subject: Maybe "underlying lung disease." Any hints to dx?
dd
Procedure to salvage whatever can be salvaged. Any hints in the rest of your dictation to tell you?
Subject: Procedure to salvage whatever can be salvaged. Any hints in the rest of your dictation to tell you?
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