Preview

Unit 6 Assignment Medical Terms

Satisfactory Essays
Open Document
Open Document
365 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Unit 6 Assignment Medical Terms
HS111 Unit 6 Assignment- Progress Report

In this Assignment you will proofread the Progress Report listed 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 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 Center
6000 North Tree Street - Branch, Pennsylvania 12345 – (555) 123-4567
--------------------------------------------------------------------------------------------------------------------------------------------------
PATIENT NAME: Susan Sunshine MEDICAL RECORD: 5555555
DATE OF DEATH: 04/04/1954 DATE OF ADMISSION: 07/31/2013 PROGRESS NOTE
CHIEF COMPLAINT: Severe lower abdominal pain and the inability to void 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 great pain and could not urinate. He had not been seen by a physician for several years but claimed to be in good health except 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 N&D.

MEDICATION ALLERGIES: None

CURRENT MEDICATIONS: Benadryl 25 mg. dailys, at bedtime.

PHYSICAL EXAM: Temperature 98.6® F. Blood

You May Also Find These Documents Helpful

  • Satisfactory Essays

    This 75-year-old Asian female was admitted through the ER with acute massive rectal bleeding of unknown origin, possibly diverticulitis; congestive heart failure in mild exacerbation; chronic renal failure, worsening since the day before admission, with dehydration and chronic atrial fibrillation.…

    • 264 Words
    • 2 Pages
    Satisfactory Essays
  • Powerful Essays

    HS111_Unit4_Template

    • 1016 Words
    • 8 Pages

    In Section 4, you will proofread the Progress Report listed below. Next, you will identify the 15 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 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.”…

    • 1016 Words
    • 8 Pages
    Powerful Essays
  • Good Essays

    Complete the medical abbreviations chart. (Note that the medical abbreviations are the same as those highlighted in yellow in Jane Dare’s Health Record). In the second column, list what each of the individual letters in the abbreviation represents. In the third column define the context or meaning of the term that the abbreviation represents. Use simple terms. Finally, in the far right column, identify the source document. For example, face sheet, discharge summary, progress notes, or x-ray report.…

    • 882 Words
    • 8 Pages
    Good Essays
  • Powerful Essays

    Benjamin Engelhart

    • 2240 Words
    • 9 Pages

    HISTORY OF PRESENT ILLNESS: This 46-year old gentleman with past medical history significant only for degenerative disease of the bilateral hips, secondary to arthritis presents to the emergency room after having had 3 days of abdominal pain. It initially started 3 days ago and was a generalized vague abdominal complaint. Earlier this morning the pain localized and radiated to the right lower quadrant. He had some nausea without emesis. He was able to tolerate p.o earlier around 6am, but he now denies having an appetite. Patient had a very small bowel movement early this morning that was not normal for him. He has not passed gas this morning. He’s voiding well. He denies fevers, chills, or night sweats. The pain is localized to the RLQ without radiation at this point. He has never had a colonoscopy.…

    • 2240 Words
    • 9 Pages
    Powerful Essays
  • Good Essays

    Jane Dare

    • 387 Words
    • 2 Pages

    changes, so this adds to the poor communication in the medical field. Some of the abbreviations…

    • 387 Words
    • 2 Pages
    Good Essays
  • Satisfactory Essays

    proofreading

    • 372 Words
    • 2 Pages

    PHYSICAL EXAMINATION: The patient is a well-developed, well-nourished male who appears to be in moderate distress with pain and swelling in the upper left arm. VITAL SIGNS: Blood pressure 140/90, temperature 98.3 degrees Fahrenheit, pulse 97, respiration 18.HEENT: Head normal, no lesions. Eyes, arcus senilis, both eyes. Ears, impacted cerumen, left ear. Nose, clear. Mouth, dentures fit well, no lesions. NECK: Normal range of motion in all directs. INTEGUMENTARY: Psoriatic lesion, right thigh, approximately 1 mL in diameter. CHEST: Clear breath sounds bilaterally. No rales or rhonchi noted. HEART: Normal sinus rhythm. There is a holosystolic murmur. No friction rubs noted. ABDOMEN: Normal bowl sounds. Liver, kidneys, and spleen are normal to palpitation. GENITALIA: Tests normally descended bilaterally. RECTAL: Prostate 2+ and benign. EXTREMITIES: Pain and swelling noted above…

    • 372 Words
    • 2 Pages
    Satisfactory Essays
  • Satisfactory Essays

    Medical Transcription

    • 659 Words
    • 3 Pages

    urinary frequency, urgency, and hematuria. Denies arthralgia. The view of systems is otherwise essentially negatives.…

    • 659 Words
    • 3 Pages
    Satisfactory Essays
  • Satisfactory Essays

    Pain and weakness of the lower back and spine - this can be attributed to congestion in the bladder…

    • 81 Words
    • 1 Page
    Satisfactory Essays
  • Good Essays

    Duplex Collecting System

    • 1831 Words
    • 8 Pages

    The patient complained of being sore and being mildly uncomfortable during the exam. With review of the radiologist report it stated had a unilateral duplex collecting system (Farley, 2015). The pathology occurred on the left side, where the patients left kidney was mildly enlarged measuring 14cm long (Farley, 2015). Both ureters were imaged leaving the kidney and disappeared after the level of L4 (Farley, 2015). At the level of L4, the ureters did not opacify with contrast (Farley, 2015). Dr. Farley stated that the right kidney was of normal size with a normal collecting system and no signs of hyfronephrosis. Also, the bladder was of normal size and there was no evidence of filling defects or significant post-void lingering (Farley,…

    • 1831 Words
    • 8 Pages
    Good Essays
  • Good Essays

    Reflective Notes

    • 652 Words
    • 3 Pages

    Abdominal examination revealed only some suprapubic tenderness, and the patient refused a pelvic examination. A urinalysis showed that hematuria was the primary abnormality. The urinalysis did not suggest infection, and an infection would not account for the duration of symptoms. I considered interstitial cystitis, for which there is no consistently effective treatment, and in which blood in the urine does not usually occur. My concern was that the…

    • 652 Words
    • 3 Pages
    Good Essays
  • Satisfactory Essays

    The patient has no previous medical history and no urological abnormality (was observed) in the examination after hospitalization.…

    • 120 Words
    • 1 Page
    Satisfactory Essays
  • Good Essays

    Mr. S. V.’s bowel elimination pattern were usually 1x in every 3 days with a brown in color and would sometimes be constipated. With regards to his urinary elimination pattern, he voids 3x a day with a light yellow urine color. Also, caregiver notices problems with patient’s bladder control.…

    • 593 Words
    • 3 Pages
    Good Essays