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Need help on Physical exam and patient note - docm
#1
Please can anyone from this forum tell me how to report the physical exam on the sheet because for example if I have an Abdominal pain as Chief complaint and beside abdominal exam I also perform CV exam , and most of the time I run out while transcribing the PE, should I transcribe for that case only the abdominal exam because it is a focused PE, or I should put everything. Please I welcome any answer.
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#2
NOBODY PLEASE.................................................................
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#3
History and PE both are supposed to be focussed. So if time seems to be a constrain restrict to the system with CC.
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#4
check thi out:
http://books.google.com/books?id=ZWyVa9vIdrwC&printsec=frontcover&source=gbs_v2_summary_r&cad=0
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#5
if you use abbreviations and write bullet style you'll have time in 10 min. Write everything you asked/did in PE, it's important.
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