Jan 11, 201214 yr i don't know about you but these make my day~ do you have any to share with the rest of us? feel free, i'll be looking forward to them. nursing notes cardiac*patient has chest pains if she lies on her left side for over a year.*by the time she was admitted to the hospital, her rapid heart had stopped and she was feeling much better.musculokeletal*on the second day, the knee was better, and on the third day, it had completeley disappeared.*while in the emergency department, she was examined, x-rated and sent home.neurologic*patient was alert and unresponsive.*healthy appearing, decrepit 69-year-old female, mentally alert, but forgetful.*she is numb from her toes down.gastrointestinal*rectal examination revealed a normal-size thyroid.*the patient had waffles for breakfast and anorexia for lunch.*she stated that she had been constipated for most of her life until 1989, when she got a divorce.*bleeding started in the rectal area and continued all the way to los angeles*the patient was to have a bowel resection. however, he took a job as a stockbroker instead.*fleet enema given with stool hard as pine knots.*patient complains of indigestion since last night when he ate a stake.*patient passed flatus... two short, one long.*patient was seen in consultation by the physician who felt we should sit tight on the abdomen and i agreed.gynecologic/urologic*examination of genitalia reveals that he is circus-sized.*indwelling urinary catheter draining clear yellow roses.*examination of genitalia was completely negative except for the right foot.*pelvic examination to be done later on the floor.*indwelling catheter draining large amount of urine the color of american beer.*md at bedside attempting to urinate. unsuccessful. (the physician was actually attempting to intubate).social history*the patient lives at home with his mother, father and pet turtle, who is presently enrolled in day care three times a week.*patient was in his usual state of good health until his airplane ran out of gas and crashed.*examination reveals a well-developed male lying in bed with his family in no distress.miscellaneous*the skin was moist and dry.*both breasts are equal and reactive to light and accomodation.*the baby was delivered; the cord clamped and cut and handed to the pediatrician, who breathed and cried immediately.*skin: somewhat pale, but present.*i saw your patient today, who is still under our car for physical therapy.*because she can't get pregnant with her husband. i thought you'd like to work her up.*the test indicated abnormal lover function.*if he squeezes the back of his neck for 4 or 5 years, it comes and goes.*discharge status: alive, but without permission.(by jan black, rn, ocn) -contributed by francine
Feb 17, 201214 yr My mom caught this one before it actually got to the doctor."pt has p***Y discharge" pertaining to an infected wound.......
Mar 7, 201214 yr How many patients do you have?I got rid of 2. (transferred one, and discharged one). No? Oh well I tried
i don't know about you but these make my day~ do you have any to share with the rest of us? feel free, i'll be looking forward to them.
nursing notes
cardiac
*patient has chest pains if she lies on her left side for over a year.
*by the time she was admitted to the hospital, her rapid heart had stopped and she was feeling much better.
musculokeletal
*on the second day, the knee was better, and on the third day, it had completeley disappeared.
*while in the emergency department, she was examined, x-rated and sent home.
neurologic
*patient was alert and unresponsive.
*healthy appearing, decrepit 69-year-old female, mentally alert, but forgetful.
*she is numb from her toes down.
gastrointestinal
*rectal examination revealed a normal-size thyroid.
*the patient had waffles for breakfast and anorexia for lunch.
*she stated that she had been constipated for most of her life until 1989, when she got a divorce.
*bleeding started in the rectal area and continued all the way to los angeles
*the patient was to have a bowel resection. however, he took a job as a stockbroker instead.
*fleet enema given with stool hard as pine knots.
*patient complains of indigestion since last night when he ate a stake.
*patient passed flatus... two short, one long.
*patient was seen in consultation by the physician who felt we should sit tight on the abdomen and i agreed.
gynecologic/urologic
*examination of genitalia reveals that he is circus-sized.
*indwelling urinary catheter draining clear yellow roses.
*examination of genitalia was completely negative except for the right foot.
*pelvic examination to be done later on the floor.
*indwelling catheter draining large amount of urine the color of american beer.
*md at bedside attempting to urinate. unsuccessful. (the physician was actually attempting to intubate).
social history
*the patient lives at home with his mother, father and pet turtle, who is presently enrolled in day care three times a week.
*patient was in his usual state of good health until his airplane ran out of gas and crashed.
*examination reveals a well-developed male lying in bed with his family in no distress.
miscellaneous
*the skin was moist and dry.
*both breasts are equal and reactive to light and accomodation.
*the baby was delivered; the cord clamped and cut and handed to the pediatrician, who breathed and cried immediately.
*skin: somewhat pale, but present.
*i saw your patient today, who is still under our car for physical therapy.
*because she can't get pregnant with her husband. i thought you'd like to work her up.
*the test indicated abnormal lover function.
*if he squeezes the back of his neck for 4 or 5 years, it comes and goes.
*discharge status: alive, but without permission.
(by jan black, rn, ocn)
-contributed by francine