Interpreting Medical Records

A 27 y/o male presents to ER with second degree burns to 9 percent of the lateral RLE as a result of a fire pit malfunction. Tx of the area includes irrigation with normal saline solution, applying silver sulfadiazine oint, and dressing the area.

Define: y/o

A 27 y/o male presents to ER with second degree burns to 9 percent of the lateral RLE as a result of a fire pit malfunction. Tx of the area includes irrigation with normal saline solution, applying silver sulfadiazine oint, and dressing the area.

Define: ER

A 27 y/o male presents to ER with second degree burns to 9 percent of the lateral RLE as a result of a fire pit malfunction. Tx of the area includes irrigation with normal saline solution, applying silver sulfadiazine oint, and dressing the area.

Define: RLE

A 27 y/o male presents to ER with second degree burns to 9 percent of the lateral RLE as a result of a fire pit malfunction. Tx of the area includes irrigation with normal saline solution, applying silver sulfadiazine oint, and dressing the area.

Define: Tx

A 27 y/o male presents to ER with second degree burns to 9 percent of the lateral RLE as a result of a fire pit malfunction. Tx of the area includes irrigation with normal saline solution, applying silver sulfadiazine oint, and dressing the area.

Define: oint

A 60 y/o female presents to outpatient cosmetic surgery center to be evaluated for a possible face lift. Pt is a NS. Eval of HEENT WNL. Schedule this patient for rhytidectomy, bilateral blephroplasty, and dermabrasion. Explain to patient that these procedures are not covered by her insurance company because they are considered cosmetic.

Define: Pt

A 60 y/o female presents to outpatient cosmetic surgery center to be evaluated for a possible face lift. Pt is a NS. Eval of HEENT WNL. Schedule this patient for rhytidectomy, bilateral blephroplasty, and dermabrasion. Explain to patient that these procedures are not covered by her insurance company because they are considered cosmetic.

Define: NS

A 60 y/o female presents to outpatient cosmetic surgery center to be evaluated for a possible face lift. Pt is a NS. Eval of HEENT WNL. Schedule this patient for rhytidectomy, bilateral blephroplasty, and dermabrasion. Explain to patient that these procedures are not covered by her insurance company because they are considered cosmetic.

Define: HEENT

A 60 y/o female presents to outpatient cosmetic surgery center to be evaluated for a possible face lift. Pt is a NS. Eval of HEENT WNL. Schedule this patient for rhytidectomy, bilateral blephroplasty, and dermabrasion. Explain to patient that these procedures are not covered by her insurance company because they are considered cosmetic.

Define: WNL

abnormal condition of a fungus in the nail