The Medical Record Flashcards
1
Q
What are the 2 most common medical record entries?
A
Evaluation and management (E/M) documentation and Operative Reports
2
Q
Palpation
A
Examination of body by touch to look for organ size or condition or tenderness
3
Q
Auscultation
A
Listening to body sounds
4
Q
Percussion
A
Creating sounds from tapping on body areas to examine body organs and cavities
