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a few hints for you - when doing the objective

Posted By: vn on 2009-06-26
In Reply to: Help - smith

Subject: a few hints for you - when doing the objective

findings, when doc says, for instance, "In general, the patient is..." you are putting that under the "general" subheading, so you don't need to repeat the "in general" part - meaning it would just be GENERAL:  The patient is....


same with the skin exam that you have there - if doc is saying "skin is warm and dry," and you are putting it under the "skin" subheading, it should just be "SKIN:  Warm and dry" ...and so on.


also, in the HEENT section, it should be "sclerae" and "conjunctivae" - doc is referring to the plural form here.


Does that make sense?  This is the way it's usually done, but you'll need to follow the instructions you've been given, of course.




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