Saturday, April 6, 2019

Progress Report Essay Example for Free

Progress spread over EssayIn this Assignment you will proofread the Progress Report nameed below. Next, you will identify the 10 mistakes that are listed in the report. The mistakes could be misspellings, incorrect abbreviations, or misuse of a medical term. Please list them in the chart below under the heading medical checkup oral communication Error. After you have listed the errors, you will need to identify the correct term or abbreviation. Please list them in the chart below under the heading Correct Term. At the end of the project be sure to list all applicable references and cite them in APA format. Main Street Hospital and Medical Center6000 North Tree Street Branch, Pennsylvania 12345 (555) 123-4567PATIENT NAME Susan SunshineMEDICAL RECORD5555555DATE OF wipeout04/04/1954DATE OF ADMISSION07/31/2013PROGRESS NOTECHIEF COMPLAINT Severe lower abdominal ail and the inability to void for the past 12 hours.PRESENT ILLNESS Sam Samuel is a 75-year-old Asian-American man wh o came into the exigency department at 3 am stating that he was in great pain and could not urinate. He had not been seen by a physician for several years but claimed to be in proficient health except for a little high fall pressure. The patient reports urinary frequency, noicturia x2, hesitancy, intermittency, disuria, and diminished personnel department and caliber of the bladder system. In addition, he complained of intermittent pain in the right posterior lumbar area, radiating to the right flank. He also has post-void dribbling and the sensation of not having completely emptied the bladder. Earlier today, he had hematuria at the end of urination and several bouts of ND.MEDICATION ALLERGIES NoneCURRENT MEDICATIONS Benadryl 25 mg. dailys, at bedtime.PHYSICAL EXAM Temperature 98.6 F. Blood pressure 140/90. Pulse 98. Respirations 24. Palpation of the abdomen shows a suprapubic mass approximately three fingerbreadths below the umbilicus, dull to percussion, and slightly tender.I MPRESSION Renal Pelvis distension caused by urinary outlet obstruction, probably from benign prostatic hyperplasia.PLAN Indwelling Foley catheter for relief of urinary obstruction. Imaging to include a CAT scan, kidney ultrasound and IVR. Urinary consult. Labs to include white blood count, hemoglobin, hematocrit, blood urea nitrogen (BUA) and urinalnysis.

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