Assignment — Medical Record Search
- Read through the two attached medical records.
- Go back and locate the following information for each medical record.
- You can use Excel or a word doc but you need to use the items below as the title of header for each item,
- Then you enter the information that you have found.
- For each medical record, find:
- the admitting diagnosis
- The discharge diagnosis
- admitting symptoms or complaint
- diagnostic tests done, if any
- any procedures, if any
- treatment/medications, if any
I do not want a description, nor do I want a paragraph of explanation, listing your answers is fine.
If there is nothing found, enter NA for that answer