Thursday, June 6, 2019

Progress Report Essay Example for Free

Progress Report EssayIn this Assignment you willing proofread the Progress Report listinged 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 endpoint. enchant list them in the chart below under the heading Medical Terminology 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 get a line Susan SunshineMEDICAL RECORD5555555DATE OF DEATH04/04/1954DATE OF ADMISSION07/31/2013PROGRESS NOTECHIEF COMPLAINT Severe lower abdominal pain and the inability to vitiate for the past 12 hours.PRESENT ILLNESS Sam Samuel is a 75-year-old Asian-American man who came into the emergency department at 3 am stating that he was in spectacular pain and could not urinate. He had not been seen by a physician for several years but claimed to be in good health nevertheless for a little high blood pressure. The patient reports urinary frequency, noicturia x2, hesitancy, intermittency, disuria, and diminished force 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. quiver 98. Respirations 24. Palpation of the abdomen shows a suprapubic mass approximately three fingerbreadths below the umbilicus, dull to percussion, and slightly tender.IMPRESSIO N Renal Pelvis distention caused by urinary outlet obstruction, probably from benign prostatic hyperplasia.PLAN Indwelling Foley catheter for relief of urinary obstruction. Imaging to overwhelm 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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