PsychDr2B
Forum Elite
Topics: 35
Posts: 197
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Either on Step 2CS or in practice, translating your findings onto paper needs to be done properly and be grammatically correct in order to convey your proper intentions and avoid confusion. Check out these REAL mistakes made by Doctors while submitting medical records:
The lab test indicated abnormal lover function.
Exam of genitalia reveals that he is circus sized.
She stated that she had been constipated for most of her life until 1989 when she got a divorce.
The patient was in his usual state of good health until his airplane ran out of gas and crashed.
Rectal exam revealed a normal size thyroid. (Long fingers?)
A midsystolic ejaculation murmur heard over the mitral area.
The patient lives at home with his mother, father, and pet turtle, who is presently enrolled in day care three times a week.
Both breasts are equal and reactive to light and accommodation.
Exam of genitalia was completely negative except for the right foot.
The patient was to have a bowel resection. However, he took a job as stockbroker instead.
She has no rigors or chills but her husband says she was very hot in bed last night.
She can't get pregnant with her husband, so I will work her up.
On the second day the knee was better and on the third day it had completely disappeared.
The patient has been depressed ever since she began seeing me in 1983.
Discharge status: Alive but without permission.
The patient has no past history of suicides.
Patient was becoming more demented with urinary frequency.
The patient's past medical history has been remarkably insignificant with only a 40 pound weight gain in the past three days.
The patient experienced sudden onset of severe shortness of breath with a picture of acute pulmonary oedema at home while having sex which gradually deteriorated in the emergency room.
Patient has chest pains if she lies on her left side for over a year.
The patient is a 79-year-old widow who no longer lives with her husband.
The patient refused an autopsy.
The patient left the hospital feeling much better except for her original complaints.
This one is from my medical school during third year surgery rotation. Here's the set-up: A colleague of mine had to describe his first experience in the OR to the professor. This was a classic line in his report that had the professor, but not my colleague, rolling with laughter:
While under general anesthesia, the surgeon asked the patient if she felt any pain.
For more great medical bloopers check out:
http://www.thedoctorslounge.net/humour/bloopers.h...
Or maybe you have some of your own or know of other ones?
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