The 411 on Documenting a HEENT Exam | 合法醫療器材資訊網

2017年7月17日 — These blog posts will help guide your charting giving you the words you may need to accurately represent a physical exam. Today, let's check out ... Read More

2018年8月28日 — And, in the medical world, if you didn't write it down, it didn't happen. Documenting your findings on a physical exam as well as the reasoning ... Read More

2013年1月28日 — DATA BASE SAMPLE: PHYSICAL EXAMINATION. WITH ALL NORMAL FINDINGS ... HEENT. > Head: > Configuration- normocephalic. > Hair- normal texture. Read More

Septal deviation - a common physical disorder of the nose, involving a displacement of the nasal septum. Turbinates/Concha – ridge-shaped cartilage or soft bony ... Read More

2009年1月1日 — ... write-up of a patient without any significant physical exam findings. ... HEENT. Head: The skull is normal cephalic, atraumatic (NC/AT). Read More

SOAP stands for Subjective, Objective, Assessment, and Plan ... Past Medical History: (For problem-focused visit, document only pertinent information). Read More

由 KJ Moore 著作 · 2010 · 被引用 4 次 — The 1997 version of Medicare's “Documentation Guidelines for Evaluation and Management ... which will focus on documenting medical decision making. Read More

Inspect the skin as you perform the HEENT exam. Note any difficulty with breathing or speech. Eyes. Measure visual acuity with a pocket size near-vision ... Read More

Inspection of scars or skin changes · Palpation of temporomandibular joint, thyroid, and lymph nodes · Percussion may involve the skin above the frontal sinuses ... Read More