Medical Documentation Proofreading Example 11
Proofreading
This patient present two the office today dew to some problems with her right hand. It had been tingling and getting numb periodicaly over the past several weeks. She is worried about carpel tunnel. She does lot of repetitive type activities. It is worse at night. It involve mostly the middle finger, although she says it also involves the first and second digit on the right hand. She has some pain on her thumb as well. She thinks that could be arthritis. The patient is going to use Anaprox double strength one pills every 12 hours with food as well as a cock-up Wrist splint. We are going to try this for two weeks, and if condition is still present then we are going to proceed with EMG test at that time. He is working on diet and exercise and she is doing a great job. Right now, for the blood pressure we are going to continue to observe as she carries forward addition measures in her diet or exercise for lose more weight, and I expect the bloodpressure will continue to improve.
Answer
This patient presents to the office today due to some problems with her right hand. It has been tingling and getting numb periodically over the past several weeks. She is worried about carpal tunnel. She does a lot of repetitive type activities. It is worse at night. It involves mostly the middle finger, although she says it also involves the first and second digits on the right hand. She has some pain in her thumb as well. She thinks that could be arthritis. The patient is going to use Anaprox double strength one pill every 12 hours with food as well as a cock-up wrist splint. We are going to try this for two weeks, and if the condition is still present, then we are going to proceed with EMG test at that time. She is working on diet and exercise, and she is doing a great job. Right now, for the blood pressure, we are going to continue to observe as she carries forward additional measures in her diet and exercise to lose more weight, and I expect the blood pressure will continue to improve.
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