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In plan he very plainly says says need to rule out

Posted By: coronal ligament tear. sm on 2007-11-16
In Reply to: collateral maybe? nm - sassee

Subject: In plan he very plainly says says need to rule out

Patient fell and injured right ankle. Sentence in question: She is significantly tender in the s/l coronal ligament s/l and the (or in the) right ankle.

Plan: MRI to rule out coronal ligament tear.

This is very clear - just cannot document it anywhere and don't want to flag it as it's very clear - just unsure and hoping for documentation or someone that has heard it.


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Subject: Plan help please!

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Ecotrin 1 p.o. b.i.d. with meals.  Keflex 500 mg p.o. q.i.d. for 4 days..  Follow-upl with me within the next 10 days.


 


thanks!


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I keep listening over and over to this, and this is all I can make out.  Any clue what he might be referring to??? TIA


assessment&plan help!
Subject: assessment&plan help!

If the doctor says assessment and plan together, do I put the header together? I am confused because when he gives the assessment he numbers them 1) 2) then when he gives the plan he numbers them as well but does not say plan any help?


 


ASSESSMENT:



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  2. Nausea.
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PLAN:



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Subject: assessment and plan

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I'm all yours - you rule! :) :) :) :) - nm
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