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To change this template's initial visibility, the |state= parameter may be used: {{Medical records and physical exam | state = collapsed}} will show the template collapsed, i.e. hidden apart from its title bar. {{Medical records and physical exam | state = expanded}} will show the template expanded, i.e. fully visible.
[1] [2] Documenting patient encounters in the medical record is an integral part of practice workflow starting with appointment scheduling, patient check-in and exam, documentation of notes, check-out, rescheduling, and medical billing. [3] Additionally, it serves as a general cognitive framework for physicians to follow as they assess their ...
The information contained in the medical record allows health care providers to determine the patient's medical history and provide informed care. The medical record serves as the central repository for planning patient care and documenting communication among patient and health care provider and professionals contributing to the patient's care.
An admission note is part of a medical record that documents the patient's status (including history and physical examination findings), reasons why the patient is being admitted for inpatient care to a hospital or other facility, and the initial instructions for that patient's care. [1]
In a physical examination, medical examination, clinical examination, or medical checkup, a medical practitioner examines a patient for any possible medical signs or symptoms of a medical condition. It generally consists of a series of questions about the patient's medical history followed by an examination based on the reported symptoms.
physical examination [1] PEA: pulseless electrical activity: PERRLA: pupils equal, round and reactive to light [3] PEB: cisplatin, etoposide, and bleomycin (chemotherapy regimen) PEEP: positive end-expiratory pressure: PEF: peak expiratory flow: PEFR: peak expiratory flow rate: PEG: percutaneous endoscopic gastrostomy: PEM: protein/energy ...
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Print/export Download as PDF; Printable version; ... Pages in category "Physical examination" The following 70 pages are in this category, out of 70 total.