liver: in compensation/decompensated
chest: not in exacerbation/ in respiratory distress/failure
others: in remission/in relapse
renal allograft: this patient has ESRD and is on renal replacement therapy
in the form of renal allograft/
working arterio-venous fistula with thrilling
summary example:
1)
In summary, this patient has got severe COPD with complications of
pulmonary hypertension, cor pulmonale and polycythemia.
He is in respiratory failure and respiratory distress.
The most likely aetiology is smoking.
2) in summary, this patient has a mechanical mitral valve replacement,
with no evidence of infective endocarditis, no evidence of overwarfarinisation,
and is in sinus rhythm and not in heart failure.
3) in neurology, use terminologies like:
left sided spastic hemiparesis with dysphasia(a cortical sign),
spastic paraperesis with a sensory level of C5,
right sided flaccid hemiparesis
Bonus:
Splenomegaly
how to present:
In contrast to the kidneys, the mass is not ballotable,
furthermore, it is dull on percussion, and moves inferomedially upon inspiration,
I cannot get above it and I can feel the splenic notch.
renal allograft: this patient has ESRD and is on renal replacement therapy
in the form of renal allograft/
working arterio-venous fistula with thrilling
summary example:
1)
In summary, this patient has got severe COPD with complications of
pulmonary hypertension, cor pulmonale and polycythemia.
He is in respiratory failure and respiratory distress.
The most likely aetiology is smoking.
2) in summary, this patient has a mechanical mitral valve replacement,
with no evidence of infective endocarditis, no evidence of overwarfarinisation,
and is in sinus rhythm and not in heart failure.
3) in neurology, use terminologies like:
left sided spastic hemiparesis with dysphasia(a cortical sign),
spastic paraperesis with a sensory level of C5,
right sided flaccid hemiparesis
Bonus:
Splenomegaly
how to present:
In contrast to the kidneys, the mass is not ballotable,
furthermore, it is dull on percussion, and moves inferomedially upon inspiration,
I cannot get above it and I can feel the splenic notch.
No comments:
Post a Comment