dot phrases

Question 1

.10cprisk

Answer 1

chest pain risk factors

Question 2

.AIFHPI

Answer 2

Name* is a Age* Sex* with a history of* who presents to the emergency department with complaints of CC. The patient reports that symptoms onset, timing, context. The patient describes CC, quality, severity. Modifying factors. Associated symptoms include. Patient denies. PMHx. PSHx. FHx.SHx.
(mine)

Question 3

.BSACBC

Answer 3

CBC

Question 4

.BSACMP

Answer 4

CMP

Question 5

.BSABNP

Answer 5

BNP

Question 6

.HJKUA

Answer 6

Normal/unremarkable UA

Question 7

.HJKLACTATE

Answer 7

lactate

Question 8

.HJKHCG

Answer 8

HCG qualitative when negative only, for positive quantitative you have to write in the value.

Question 9

.BSACHESTXRAY

Answer 9

normal chest x-ray

Question 10

.BSACTHEAD

Answer 10

normal/unremarkable CT Head

Question 11

.BSACTA

Answer 11

normal CT angio head and neck

Question 12

.BSAOBUS or .BSAUSOB

Answer 12

OB ultrasound which shows a pregnancy and is normal.

Question 13

.HJKCTCSPINE

Answer 13

negative CT C-Spine, can also be used for other spine imaging like thoracic or lumbar if you change from “cervical” to “thoracic”

Question 14

.HJKCTAP

Answer 14

normal/unremarkable CT abdomen and pelvis

Question 15

.HJKCTAC

Answer 15

CT angiogram chest for pulmonary embolism

Question 16

.HJKXBONE

Answer 16

negative x-ray of extremity such as arm, foot, etc.

Question 17

.ADBOBS

Answer 17

for observation care (bottom of ED course, above Diagnosis)

Question 18

.LASTEKG

Answer 18

imports most recent EKG to notes.

Question 19

.NOW

Answer 19

current time

Question 20

.BSACBC

Answer 20

normal CBC

Question 21

.BSACMP

Answer 21

normal CMP

Question 22

.BSAUA

Answer 22

normal urinalysis

Question 23

.HJKLIPASE

Answer 23

normal llipase

Question 24

.LAB24R

Answer 24

labs

Question 25

.RISRSL1DAY

Answer 25

imaging

Question 26

.EDMEDS

Answer 26

medication

Question 27

.eddiag

Answer 27

Diagnosis

Question 28

.ed and .edproc

Answer 28

are general phrases, anything else I will have to take from someone else.

Question 29

.AIFSAT

Answer 29

Entered by Alexandra Franklin, acting as scribe for Dr.. Signature Date* Time*.