DISCHARGE SUMMARY Patient Name: Adela Torres Patient ID: 132463 Date of Admission: 6/22/---- Date of Discharge: 6/25/---- Admitting Physician: Leon Medina‚ MD‚ Internal Medicine Consultations: Sachi Kato‚ MD‚ Dermatology Procedures Performed: Intravenous Hydration. Complications: None. Admitting Diagnosis: Stomatitis possibly methotrexate related. HOSPITAL COURSE: This 57-year-old Cuban female was admitted from my office for treatment of severe stomatitis
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HILLCREST MEDICAL CENTER DISCHARGE SUMMARY Patient Name: Gerald Edwards Hospital No.: 11058 Date of Admission: 07/15/2010 Date of Discharge: 07/20/2010 Consultations: Gary Shelton‚ DPM and Midori Okano‚ MD Procedures: Complicated incision and drainage‚ right foot‚ on 07/17/2010. Complications: None Admitting Diagnosis: Known diabetes mellitus. Ulceration of right foot. HISTORY: The patient is a 53-year-old black individual‚ who has had diabetes for at least
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Hillcrest Medical Centre DISCHARGE SUMMARY Patient Name: Brenda C. Seggerman Hospital No: 903321 Date of Admission: 03/27/2014 Date of Discharge: 03/30/2014 Admitting Diagnosis: Ectopic pregnancy Surgical Procedures: Exploratory laparotomy‚ Partial salpingectomy‚ evacuation of hemoperitoneum‚ lysis of adhesions. Complications: blood loss requiring transfusion x2. History: This 35 year old white female‚ gravida 3‚ para 1-0-2-1. Had her last menstrual period in early January‚ prior menstrual
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Chapter 22 Performance and Discharge Laura Westensee Edited by Nikki Meltabarger I. Conditions in Contracts Under Common Law‚ a contract is an agreement involving a promise or set of promises enforceable by law. The Uniform Commercial Code uses this same definition of contract‚ but in a more limited sense pertaining to the sale of goods. A person who makes an offer is the offeror‚ while the person to whom the offer is made is the offeree. The offeree is given the power to create a legally
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[pic] DISCHARGE SUMMARY PATIENT NAME: Julie Reynolds HOSPITAL NO.: 11678 ADMITTED: 03/05/2012 DISCHARGED: 03/08/2012 CONSULTATIONS: None. PROCEDURES: Vaginal hysterectomy and excision of sebaceous cyst of vulva. COMPLICATIONS: None. ADMITTING DIAGNOSIS: Pelvic pain. Patient is a 32-year-old white female‚ gravada 2‚ para 1‚ ab 1. Her only child was born in 1994. Patient presented with pelvic pain and underwent GYN work up. Exam was unremarkable except for a modern
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newly single mother who’d just given birth to her first child 5 days ago. Ms. Simpson had a caesarean section done‚ so a surgical procedure has been made‚ to deliver the baby. Also‚ Ms. Simpson was discharged from the hospital 2 days ago. The discharge summary noted that she moved to Tasmania 6 months ago and separated from her partner 2 months before‚ so she’s now living by herself. Moreover‚ she has no family members in Tasmania as all her family and friends are in Perth‚ so she has no support.
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Medical Terminology Section I Assignment Reading: I. AMBULATORY CARE FACE SHEET Admit Date: 7/8/20XX @ 20:22 Discharge Date/Time: 7/9/20XX @ 10:10 Sex: M Age: 47 Disposition: Home Admitting Diagnosis: Possible esophageal foreign body. Discharge Diagnosis: Esophageal foreign body. Procedures: EGD with foreign body removal. CONSULTATION Date of Consultation: 7/8/20XX This is a 47-year-old
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This past December I observed the discharge of a patient from the Emergency Department that never should have taken place. The patient was a senior citizen who suffered a fall injury‚ and was diagnosed with bilateral humerus fractures. Her injuries did not require immediate surgical intervention and her pain was relatively well controlled. Therefore‚ the physician caring for her did not find it medically necessary to admit her. Unfortunately‚ the decision to discharge then resulted in a total lack of
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Right to Discharge Discharge from the hospital is the point at which a patient leaves the hospital and returns home or is transferred to a rehabilitation facility or a nursing home. The discharge process typically centers on the specific medical instructions which will encourage the healing process necessary for a full recovery by the patient. The planning process or discharge planning is also a service which fully integrates the recovering patient’s needs just after the hospital stay. In many
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diagnosis 2. In a hospital setting‚ the care provider takes the patient ’s history‚ details the reason the patient is being admitted and performs a physical exam. The report of this information is known as the: A. initial progress note B. discharge summary C. history and physical D. SOAP note 3. The SOAP documentation format is most commonly used in which healthcare setting? A. hospital inpatient B. physician ’s office C. hospital emergency department D. outpatient diagnostic department
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