The following quotes were lifted verbatim from the medical records of a general hospital in a large metropolitan area.
"Patient
suffers from headaches while menstruating on the top of her head"
"There
is a pressure bandage on the hip which is markedly swollen and tender."
"Patient
is a newborn infant delivered over an intact perineum which cried
spontaneously."
"Patient
experiences difficulty swallowing tires easily."
"Patient
had bronchoscopy today.Exam showed normal bowel to 25 cm."
"History:
Patient was shot in head with .32 caliber rifle.Chief Complaint:
Headache."
"Patient
has difficulty walking on Digitalis."
"Patient
had a D&C a year ago and all of her eyebrows came off."
"Patient
referred to hospital for repair of hernia by a social service worker."
"Patient
sent to hospital for erosion of the cervix by a local medical doctor."
Dictated: "Patient
had a Pap smear today."Transcribed: "Patient had a Pabst
beer today."
"This was
a nonsterile delivery by the nurse in the bed of a five pound male
infant."
"Patient
was struck by an auto while she was walking across the street at
approximately 45 miles per hour."
"Patient
complains of worsening acne and itching rash as well as nasal congestion
of his trunk."
"Patient
referred to hospital by private physician with green stools."
"This 54-year-old
female is complaining of abdominal cramps with BMs on the one hand
and constipation on the other."
"This mother
of a 2-year-old desires a circumcision."
"Patient
has been married twice, but denies any other serious illnesses."
"Patient's
wife hit him over the head with an ironing board which now has six
stitches on it."
"Patient
is separated from his wife, and he also is allergic to Penicillin."
"This 8-year-old
came to the GU clinic with his mother who has an absent right testicle
since birth."
"Patient
has no children and she doesn't smoke or drink either."
"She moves
her bowels roughly, three times a day."
"This GU
patient states he urinates around the clock every two hours."
[Male patient]
"Pelvic exam: Deferred."
"Rx: Mycostatin
vaginal suppositories, #24, Sig: Insert daily until exhausted."
om.
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