In Section 4, you will proofread the Progress Report listed below. Next, you will identify the 15 mistakes that are listed in the report. The mistakes could be misspellings, incorrect abbreviations or misuse of a medical term. Please list them in the chart below under the heading “Medical Terminology Error.” After you have listed the errors, you will need to identify the correct term or abbreviation. Please list them in the chart below under the heading “Correct Term.”
• PROGRESS NOTE
• CHIEF COMPLAINT: Severe pain between the shoulder blades, shortness of breathe, nausea for the past 3 hours.
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• PRESENT ILLNESS: Darelen Denton is a 62-year-old woman who presented to the emergency department via ambulance. In transport, patient received O2 at 4 liters via nasal cannula, baseline EKG, Normal Saline IV started in left hand, 325 mg aspirin by mouth (po). Patient complained she was short of breath and experiencing severe pain between her shoulder blades. She stated that she has been feeling nasuseated for the past 3 hours. She states she has a history of stable angina and is currently taking medication as needed. She states she did not take the nitroglycerin because she was not experiencing chest pain, just back pain. She states that her last check-up with the Pulmonologist showed that her EKG did not show any changes since her last visit. She denies episodes of syncope. The patient does report that she tripped over something on the floor, which resulted in her falling and hitting her back on a large table. In addition, she states that her heart rate has been ranging from 130/ 90 to 140/92. Patient states her Primary care physician placed her on blood pressure medication 2 months ago due to the increase.
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• ALLERGIES: Penisyllin, IVP dye, mold, pollen
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• CURRENT MEDICATIONS: Lovastatin 20 mg po per day, Enalapril 20 mg po bid, Nitroglycerin 0.4