Module 4

mickey1995
Mod04_BrendaJastik.pdf

Chief complaint

SOB, malaise, chest px

Vendor Order 1704PEQQ added on 04/06/17 Other

Imaging Order 1704PELA added on 04/06/17 Other

PATIENT Brenda Jastik DOB 07/15/1951 AGE 65 yrs SEX Female PRN BO958186

FACILITY Northstar Physicians Center T (999) 999-9999 1234 Sunshine Way 100 Minneapolis, MN 99999

ENCOUNTER

NOTE TYPE SOAP Note SEEN BY Nazir Ashaad DATE 02/05/2017 AGE AT DOS

65 yrs

Not signed

Orders

LAB ORDERS

3638 - CBC W Auto Differential panel - Blood

759 - Streptococcus pneumoniae Ag

IMAGING ORDERS

1769 - Chest X-ray 2 views

Free cloud based EHR

Encounter - Office Visit Date of service: 02/05/17 Patient: Bren... https://static.practicefusion.com/apps/ehr/?c=1385407302#/PF/...

1 of 1 4/6/17, 4:21 PM

Northstar Laboratory

3456 Sunshine Way #300

Minneapolis, MN 99999

Phone: (555) 555-5555

Patient: Brenda Jastik

DOB: 07/15/1951

Lab Results

Component Your Value Standard Range Units

WBC Count 18.0 4.5-11.0 K/UL

RBC Count 5.0 3.5-5.5 MIL/UL

Hgb 12.3 12.0-15.0 G/DL

Hematocrit 38.3 36.0-48.0 %

MCV 93.4 79.0-101.0 FL

MCH 29.6 25.0-35.0 PG

MCHC 33.4 31.0-37.0 %

RDW-CV 14.1 11.0-16.0 FL

Platelet Count 356 150-420 K/UL

Component Your Value Standard Range

Strep. Pneumon. Ag Positive NEG

Comments CBC shows elevated WBC count, indicating infection. RBC and remaining components are WNL. Strep. Pneumon. Ag test is positive, indicating a diagnosis of bacterial infection. Follow-up and treatment is necessary.

Interpretation by: Pamela Yost, MD

Northstar Imaging Center

2345 Sunshine Way #200

Minneapolis, MN 99999

Phone: (555) 555-5555

Patient: Brenda Jastik

DOB: 07/15/1951

Indication SOB, Chest pain, Malaise, Fever Clinical History Symptoms have persisted and progressed for 2 weeks. Unresponsive to prior antibiotic tx. Procedure

1. PA chest radiograph 2. Lateral chest radiograph

Findings

Comparison Exam is dated 11/01/06. Cardiomediastinal silhouette is normal. There is a right lower lobe opacity with an air bronchogram; the remaining lung fields are clear. There are no effusions. The bony thorax appears normal. The right lower lobe opacity is new since the comparison exam. Impression

1. Probable right lower lobe pneumonia. 2. Follow-up treatment is necessary.