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.