Transcription of 1 .5 ID 2. 6. d 3. 7. Contact Code 4status
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1 .5 ID 2. 6. d 3. 7. Contact Code 4status
Name Allergies Home Meds MRN Room 1. 5. ID 2. 6. 3. 7. d Contact Code status 4. 8. continue CC. HPI Fam Hx Physical Exam T BP HR RR O2. Orthostat 1. Gen HEENT/N. R. 2. Soc CV. Abd Rec/GU. 3. Lymph MSK. Skin 4. Neuro Psych 5. ED Admit Meds Vitals Diet: IVF: 1. 2. 3. 4. 5. ROS Const: sick contacts, fever, chills, wt loss, malaise, weakness, dizziness, appetite HEENT: blurry vision, 6. photophobia, vision, hearing, sore throat, tinnitus, 7. drainage Resp: SOB, cough, sputum, pleuritic chest pain, 8. hemoptysis Card: orthop, PND, DOE, LE edema, pain chest/ DVT Proph GI proph left arm/ shoulder/ neck/ jaw/ back, syncope, palp, ECG: claudication GI: N, V, regurg, heartburn, odynophagia, Prn meds dysphagia for solids/liquids, abd pain, diarrhea, constipation, Tylenol 650 PO q6 (pain).
©Meg Skibitsky 2007©Meg d C T P 1 7 P Name Allergies MRN Room ID Contact Code 4status C HPI 1. 2. 3. 4. 5. ROS Const: sick contacts, fever, chills, wt loss, malaise ...
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