Even as Electronic Health Record (EHR) systems become more commonplace in the medical community there is still a large knowledge gap between health care professionals and their patients regarding the availability and use of these systems, according to a recent survey.
As the workload for doctors increases some practices and hospitals are turning to scribes to help with some of the duties. What they should be doing and how much involvement they should have remains a topic of discussion.
A middle-aged man presents with exertional hemoptysis to your clinic. There is no associated chest discomfort with activity. At rest, he has no complaints. His exam is significant for a normal HR and BP and a normal lung exam. His cardiac exam is notable for a gallop. No murmurs are appreciated. A pulmonary evaluation including PFTs and CT PE protocol are negative.
This is a 23-year-old female admitted for the first time who provides the history of congenital right chest wall deformity, right hypoplastic breast and absent right pectoralis muscles (1). Preliminary upright PA, lateral and right posterior oblique radiographs were obtained to evaluate the osseous and soft tissues of the thorax prior to cosmetic surgery and repair. No past history was made available.