Friday, January 11, 2008

actual sentences found in medical charts

1.Discharge status: Alive but without my permission.
2.Healthy appearing decrepit 69-year-old male,
mentally alert but forgetful.
3.The patient refused autopsy.
4.She has no rigors or shaking chills, but her husband
states she was very hot in bed last night.
5.Patient has chest pain if she lies on her left side for over a year.
6.The patient is tearful and crying constantly.
She also appears to be depressed.
7.The patient has been depressed since she began seeing me in 1993.

8.The patient has no previous history of suicides.
9.Patient has left white blood cells at another hospital.
10.Patient's medical history has been remarkably with only
a 40-pound weight gain in the past three days.
11.Patient had waffles for breakfast and anorexia for lunch.
12.Between you and me, we ought to be able to get this lady pregnant.
13.Since she can't get pregnant with her husband,
I thought you might like to work her up.
14.She is numb from her toes down.
15.While in ER, she was examined, X-rated, and sent home.
16.The skin was moist and dry.
17.Suffers occasional, constant infrequent headaches.
18.Patient was alert and unresponsive.
19.Rectal examination revealed a normal size thyroid.
20.She stated that she had been constipated for most of
her life, until she got a divorce.
21.The lab test indicated abnormal lover function.
22.Skin: somewhat pale but present.
23.Patient was seen in consultation by Dr. Blank, who felt
we should sit on the abdomen and I agree.
24.Large brown stool ambulating in the hall.
25.Patient has two teenage children, but no other abnormalities

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