LCTAB
RRR s M
Abd- soft, NT, ND BS+
Ext s edema
Or something to that effect?
Would they have said, "gee doc, you wrote the same thing on 5 patients in a row". I don't think you REALLY did that exam.
The biggest risk I would think is if you just plop the template in without thinking about what it is you are saying...
Yes, I think that is the main issue. If you are seeing someone on follow up for their mitral regurgitation, and you plop in a template that says no murmurs, it is going to look suspect! But I do examine the same things over and over, and I have found some real heart problems from my RRR x a million!
