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This way or that?

Discussion in 'Clinical Rotations' started by ericdamiansean, May 10, 2007.

  1. ericdamiansean

    ericdamiansean High Profiler
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    In your schools, when you are writing your portfolios, in the PC/HPC, are you encouraged to write in the patient's words, or do you use medical terms?
    For example:
    The patient noticed bloody show vs blood stained mucus
    The patient noted painful micturition vs dysuria
     
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  3. Tired

    Tired Fading away
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    I was taught to use quotes for the chief complaint (ie - "My stomach is sore"), and in general, medical terms in the history of present illness. There are exceptions, for example when the patient uses odd ways of describing the quality of their pain (ie - "I feel like I was punched in the stomach"). But in general, my attendings seemed to prefer medical terminology because it is more succinct.
     
  4. Mayhem

    Mayhem Scut Bear
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    PC: Patient's word
    HPC: Medical terminology

    It makes for interesting PC's though.
     
  5. Dr JPH

    Dr JPH Membership Revoked
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    Agreed.

    Chief complaint is what the patient says to you.

    And yes, some are indeed funny.

    In fact...Im going to start a thread about this.
     

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