Category Archives: Medical Recording

Medical Recordings in the Medical Clinic

It is important to have informative medical recordings in the medical clinic to facilitate communication between and among physician colleagues (particularly in the setting of multiple physicians seeing one patient).  In addition, informative medical recordings are important to facilitate physician’s … Continue reading

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Making medical records during consultations in the medical clinic

It is important to have informative medical recordings in the medical clinic to facilitate communication between and among physician colleagues (particularly in the setting of multiple physicians seeing one patient).  In addition, informative medical recordings are important to facilitate physician’s … Continue reading

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One way of patients’ keeping their outpatient medical records from ROJoson Medical Clinic

Below is a way of how a patient kept her outpatient medical records from ROJoson Medical Clinic.  She placed them inside a folder that fitted the size of the outpatient medical records. See illustrations below: Note: the above illustrations also … Continue reading

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Sample of a Medical Recording on a Patient with Watery Nipple Discharge

Sample of a medical recording on a patient with watery nipple discharge with explanation, advice and informed consent. Note: the reliance on physical examination for a diagnosis. ROJ@17feb2

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Sample of Medical Recording on a Thyroid Patient

Sample of a medical recording on a thyroid patient with explanation and advice and informed consent. Note the use of benefit, risk, cost, availability comparison of diagnostic options. ROJ@17feb2

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Medical Recording in the Clinic

In the medical clinic, when a physician sees patients, he / she has to do medical recording or medical records. Medical recording will be operationally defined as making records of findings, treatment, plans, and advices of a physician after he … Continue reading

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Spelling out to label LEFT in Medical Records

In a medical recording with drawing or diagram, when putting a label as to side, right or left, instead of writing (R) and (L), I spell out “Right” and “Left”, particularly “Left.”  An “L” can easily be tampered into an … Continue reading

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