Question

·         To practice charting, translate the following statements (A through H) into medical terms as you would document in the patient’s medical record.

A. the patient was examined on January 12, 20XX a ten-fifteen in the morning

B. the patient says has had lower abdominal pain on the left side for a week and has been feeling more tired.

C. weight is 135 pounds. height is 5 feet 4 inches. Temperature is 99.8 F, slightly elevated above normal. Respiration is 19 breaths per minute and is clear. Pulse is 78 beats per minute and is regular. The blood pressure reading is 134 (systolic)/ 82 diastolic.

D. the patient describes an increasing urge to urinate with a burning sensation upon urination, pressure in the abdomen, and feeling of tiredness.

E.the patient has a medical history that is positive for frequent urinary tract infections. The patient was diagnoses with type II diabetes Mellitus in 1987 and takes a prescribed dosage of 3 mg of Glynase orally daily in the table form. The patient quit smoking 29 years ago and last ost 10 pounds in the last 2 years.

F. the patient has no known allergies

G. there is no change in family history

H. the patient has lees that two glasses of wine per week, do not smoke, and exercise regularly 

thank you for your help