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#11418 - 07/29/10 03:54 PM H&P
Testforecho Offline
Seasoned Gabber

Registered: 07/14/10
Posts: 31
Loc: California
Under the Physical Examination section, the last two sentences stated by the doctor are:

His skin is warm, flushed, and slightly moist. No cervical adenopathy.

Patient's general appearance and neck were covered at the beginning of this section, so I am just at a loss what to catagorize this last statement as. Any help is greatly appreciated-thanks everyone!
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#11420 - 07/29/10 07:36 PM Re: H&P [Re: Testforecho]
MrsQASpec Offline
Veteran Gabber

Registered: 06/30/03
Posts: 130
Loc: South Carolina
That depends on how much leeway you have. I would consider the first sentence a "skin" subsection and place the 2nd sentence in the neck section. ..but only if you are allowed to do so. Otherwise, leave it where dictated.
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#11425 - 08/02/10 07:20 PM Re: H&P [Re: MrsQASpec]
Testforecho Offline
Seasoned Gabber

Registered: 07/14/10
Posts: 31
Loc: California
I did use the "skin" subsection, and decided to place the second under a "lymph nodes" subsection and those were both acceptable. Thanks for the suggestion!
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