Hear This Write That Flashcards
“Incision is healing well, no redness or signs of infection.”
PE
The incision is clean, dry and intact. No erythema or drainage. No signs of infection.
“Looks like you can move it pretty well” PE
The patient has full range of motion of the knee.
“You lack about 1 cm with the index finger when making a fist” PE
The patient lacks digital flexion of the index finger to within 1 cm of the distal palmar crease with attempts at making a fist.
“I hear some crackling there” PE
The patient has crepitus with range of motion.
“No real pain there, but a little swelling” PE
The patient has no tenderness to palpitation. Mild swelling noted.
“I feel like I don’t have as much feeling in my finger on the right side” PE
The patient has subjective decreased sensation in his fingers on the right side.
“Looks like you have really good 2-point discrimination in all of the fingers” PE
The patient has intact 2-point discrimination to 5mm throughout the fingertips.
“The patient was referred by Dr. Smith for 1 year of right knee pain. No history of injury.” HPI
Smith for evaluation of 1 year history of right knee pain without specific injury.
“The patient returns today/The patient is here today for a recheck.” HPI
The patient presents today in clinic for follow up____.
“The patient returns today 2 weeks after surgery” HPI
The patient present today for follow up status post___.
“Both knees have been hurting, but the right is the worst.” HPI
Patient noted pain in bilateral knees, right worse than left.
“The pain comes and goes” HPI
Patient describes intermittent pain
“I have pain all the time” HPI
Patient describes constant pain
“It hurts a little bit sometimes” HPI
Patient notes mild occasional pain.
“My knee has been puffy” HPI
Patient reports mild swelling
“I am not able to bend the knee much” HPI
The patient notes limited knee flexion.
“I really can’t move my shoulder a whole lot and I have a tough time doing certain things around the house, even putting on my bra.” HPI
The patient notes limited range of motion with shoulder and difficulty with activities of daily living, such as putting on her bra.
“My knee has been hurting a lot, I have pain all of the time and I am really hindered by it.” HPI
The patient reports significant, constant pain causing them dysfunction with their activities of daily living.
“I’m doing okay doc. My knee has been getting better.” HPI
Patient is doing well overall and notes improvement of symptoms.
“I really haven’t been having any pain or anything” HPI
Patient is doing well overall and denies significant pain or new complaint today.
“I took ibuprofen and this helped a little, but made my stomach hurt.” HPI
Patient has tried ibuprofen with minimal relief, and this caused her gastrointestinal upset
“I had a shot in the knee a few months ago and it helped a little for a few weeks. The pain never was completely gone and then locking and catching never stopped either” HPI
Patient had a recent corticosteroid injection with temporary incomplete pain relief and no relief of mechanical symptoms.
“I’ve tried those gel shots too and they helped for a few months, but the pain eventually came back after those too.” HPI
The patient has tried viscosupplementation with a few months of reported pain relief.
“I tried wearing a boot, but then my other ankle starting hurting because I was walking funny.” HPI
The patient tried wearing a boot, but this caused her pain in the contralateral ankle due to compensating her gait.
