No Head and Apathy

"This is a report by Dr. Dictation for patient Otto Recog Neizer.  (This was put together from actual Escription bloopers in our facility in the last few months).

CHIEF COMPLAINT:  Diving accident with paint.  The patient fell from Iraq and "Iran to the ER" which is interesting because the patient has a history of Iraq's dismal atrial fibrillation.

HISTORY OF PRESENT ILLNESS:  Pulp space is a 59-year-old woman who suffered a fall possibly secondary to a sinkable episode.  Boats and soft tissues within normal limits, however.  The patient had been brought in to have her toenails trimmed as they had been coughing and causing her some pain.  She complained of acute epigastric left sided upper abdominal pain since this morning but able to eat cereal probiotic breakfast.  She eats three males a day.  If she eats a larger than usual male she will have more frequent bowel movements and tend to have a flare up of abdominal pain.

PAST MEDICAL HISTORY:  Head injury at age of 2 with fractured ball and repair leak leaving a slight bump on her forehead.  Encouraged to try Lamisil cream twice daily to her toes and the bottoms of all her feet.

MEDICATIONS:
Benadryl for tackling the NuvaRing.

She should be on 10 milk colons of potassium daily.

Assi fix for groan's disease.

ALLERGIES:  The patient is allergic to irritable mice in Zosyn.  SHe has allergies to certain pain pills which make her vomit Jake.

FAMILY HISTORY:  Family history is positive for a grandfather spanking grandmother with bipolar disorder.

REVIEW OF SYSTEMS:  Headaches involving the area right above her left eighth ear.  No radiation of pain down her buttock into her arms.  She does complain of porcelain leap.

SOCIAL HISTORY:  The patient lives in an assisted living facility in Amputee, Oregon and is highly educated with a master's of dizziness at ministry.  She is close to another resident who is described as a scrotal friend.  She works for a stalker's association.  Their house was molested by a realtor, and she had a nervous breakdown and has a Gore phobia.  There is a scant left politician noted and a trace amount of Republican fluid.  No suspicous public apology identified but admits to steering Boyce.  The patient was toasted.  She has been more irritable lately and has broken things such as marriages.

PHYSICAL EXAM:

GENERAL:  Reveals an engaging female in no acute distress.

VITALS:  She just, just, just died.

HEENT:  The small doll appears normal.  There is no head and apathy.  There may be a very slight decreased density projecting over left my sorry sinus.  Animal food bilateral maxillary sinuses.  The right eye shows some mattress fee of the macula.

CHEST:  There are sternal lawyers present.

ABDOMEN:  No organomegaly or animality appreciated.  There is compression of thunder like superficial salsa.  Abdomen is soft, nontender, skinny positive bowel sounds.  Dog is distended.  There is an abundance tool in the right abdomen.

GENITALIA:  Small left hydrocele otherwise no squirrel abnormality.

EXTREMETIES:  Warm and well perfused though people pulses were decreased and in the phalanx of Jesus.  Extensive spawned Olympic changes on the cycle junction.

NEUROLOGIC:  THe patient is a right hand dominant, pig executive and a little bit hypo reflex sick.  Cranial nerves 2-12 are intact with the exception of his horizontal nice diagnosis.

LABS AND IMAGING:

CHEST:  Extensive postsurgical changes of a left upper lobectomy with a lucky lady effusion.  The visualized lung APCs are clear.  The basilar vas hilarity is mildly increased with wild placement of the right lateral ventricle.  Study shows television right hemidiaphragm unchanged.  There is suspicion for a possible superior mediastinal mouse, for which a CAT scan is indicated.  There is slight blunting of the right cost of chronic ankle.  There is increased retrosternal hair space which results in mild narrowing of the drool sack.

PLAIN FILMS OF THE HIPS AND KNEES:  The oval ossific density superior patellofemoral joint may represent a loose latte.  There is calcification noted adjacent to the great atrocity representing residual of old nononosseous union of the onerous childhood process.  Gonzo soft tissues within normal limits.

CT ABDOMEN/PELVIS:  8 mm calculus in the right renal pelvis, without evidence of obstructive teachers.  On the left there is no evidence of stoner hydronephrotic change or renal cow collide.  Nonspecific bilateral pelvic calcifications most likely flea bullets.  Focus of the fatty staring in the litter is suggested.  Small cavernous human genome in the right lobe of the liver along with a 7 mm lymph node to the pantheist.  Apollo was seen in the gallbladder neck on sonography along with splenic Pharisees noted.  There is also a solitary clip in the left parabolic gutter at about the level of the Iliad press.  Oedipus is grossly unremarkable in appearance.

CT BRAIN/SPINE:  Three view study shows no apparent bombing of humility.  There is posterior Boeing of the cortex and slight narrowing of the spinal canal.  There is diffusely mulching disk at this level. (good for gardening).  There may also be anterior wenching of a lower thoracic or upper lumbar vertebral body which is only faintly seen on this daddy duty technique.

Lab results messy and found stabbed to the emergency room."