October 2, 2006 by steven.

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October 2, 2006 by steven.

It happens to all of us.  Too much to do and not enough time to write it, type it, or proof read it.  I actually saw a diagnosis on Saturday that was really funny! The fact is this diagnosis was not a matter of misspelling, but a matter of not knowing medical terminology.  I was looking over an order for some cardiac studies on a patient who has been diagnosed with “Ventricular Attack Cardia”.  Now if I was a betting man, I would bet that the patient has “ventricular tachycardia”.

Anyway, enjoy!   Hospital chart bloopers!  Actual writings from hospital charts.

- The patient refused the autopsy
- The patient had no previous history of suicides
- The patient has left white blood cells at another hospital
- She has no rigors or shaking chills, but her husband stated that she was very hot in bed last night.
- On the second day the knee was better and on the third day it disappeared.
- The patient is tearful and crying constantly.  She also appears to be depressed.
- The patient has been depressed since she started seeing me in 1993.
- Discharge status:  Alive but without permission.
- Healthy appearing decrepit 69 year old man, mentally alert, but forgetful.
- Patient had waffles for breakfast and anorexia for lunch.
- She is numb from her toes down.
- While in ER she was X-rated and sent home.
- The skin was moist and dry.
- Occasional, constant infrequent headaches.
- Patient was alert and unresponsive.
- Rectal examination revealed a normal sized thyroid
- She stated she had been constipated most of her life, until she got a divorce.
- I saw your patient today who is still under our car for physical therapy.
- Both breast are equal and reactive to light and accommodation.
- Examination of the genitalia revealed that he is circus sized.
- Lab results indicated abnormal lover function.
- Skin:  Somewhat pale but present.
- Patient has two teenage children, but no other abnormalities.

PLEASE…  If you have some others to share, we would love to read them.

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October 1, 2006 by steven.

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