posted by Rachel .
I am having troubles finding all 10 mistakes and need some help.
Inpatient Progress Report
Attending Physician: Moreover, Cindy
Patient: Stephen R. Peters
CHIEF COMPLAINT: This 53-year-old man visited the outpatient clinic for dyspnea and recurrent coughing.
HISTORY OF PRESENT ILLNESS: This patient has a long history of Chronic Constructive Pulmonary Disease (CODP). He was treated for bronchitis and afonia twice last year. Nebulizer treatments are conducted in the home 3 times a day and at every clinic visit. There is a productive cough with spudum being mucopurulent however airway is patent. Chest X-ray (CXR) indicates possible fluid in the lower left lobe of the lung. A Chest Computed Tomography (CT) Scan reveals a suspicious lesion in the left lower lobe of the lung with diffuse interstitial fibrotic lesions. Pulmonary Function Test (PFT) reveal lower measurement in breathing from last visit and Pulse Oximetry indicates 91 percent oxygen saturation with 142 heartbeats per minute. In May 2007, the patient underwent a sleep study, was diagnosed with severe sleep eupnea and prescribed a CPAP ventolator to be used during any sleep period.
Over the last 10 dailys, the patient has had at least 25 episodes of dyspnea; all relieved by a bronchodilator inhaler. Most recent episode of dysphnea was yesterday and the prescribed inhaler gave no relief for almost 15 minutes before subsiding to another puff of the inhaler. He went to the emergency room (ER) yesterday for a nebulizer and parioxysm treatment. This patient is a current smoker and indicates a consumption of 2-3 packs of cigarettes per day and has not discussed the need to stop at this point.
PHYSICAL EXAM: On exam today, blood pressure is 158/92. He has tachycardia with a pulse of 152. He is in no acute distress. Crackles heard in lungs with little air exchange in both right and left sides. Small air movement on the right lower lobe and no movement in the left lower lobe of the lungs can be heard. There is no edema or distention of neck veins.
This is what I found in the first few lines:
COPD = Chronic OBSTRUCTIVE Pulmonary Disorder
Spudum = SPUTUM
being mucopurulent however airway is patent. >> Runon sentence
Which other errors have you found?
Looks good. Here's another:
parioxysm = PAROXYSM
You might like one of my dictionaries online:
Afonia-Aphonia (?) Aphonia is the loss of voice and would make sense in this report. I'm not sure why people keep suggesting pneumonia.
Chest Computed Tomography I think should be "X-ray Computed Tomography", but I'm not sure.
Pretty sure this is cheating but the funny thing is you are getting wrong advice.
spudum = sputum
CODP = COPD
AFONIA = APHONIA
CHRONIC CONSTRUCTIVE PULMONARY DISEASE = CHRONIC OBSTRUCTIVE PULMONARY DISEASE
DOT = DOB
EUPNEA = APENA
VENTOLATOR = VENTILATOR
DYSPHNEA = DYSPNEA
PARIOXYSM = PAROXYSM
DAILYS = DAYS
When I took this class, I went with the word distention. It is spelled wrong. It is suppose to be distension. I don't remember what my grade was but you can try that one too. I could be wrong but I just wanted to throw something out there.
Andrea is CORRECT!!! 100%
Andrea is not 100% right.
left lower lobe = lower left lobe (LLL)
I find nine(9)words, but I need ten (10) I do not know what I am missing. But I am missing a word and place my finger on it.
Dob chronic obstructive pulmonary disease (COPD)
So what is I missing here?!