Mind it When Writing a Case Sheet

A collection of funny mistakes by paramedics, nurses and doctors while writing patient's records. See here, how messed up it can get.

The baby was delivered, the cord clamped, cut and handed to the pediatrician, who breathed and cried immediately.

Examination of genitalia revealed that he was circus sized.

The skin was moist and dry.

I saw your patient today, who is still under our car for physical therapy.

The patient lives at home with his mother, father, and pet turtle, who is presently enrolled in day care three times a week.

She is numb from her toes down.

Exam of genitalia was completely negative except for the right foot.

While in the emergency room, she was examined, X-rated and sent home.

The lab test indicated abnormal lover function.

The patient was to have a bowel resection. However he took a job as a stockbroker instead.

Occasional, constant, infrequent headaches.

Examination reveals a well-developed male lying in bed with his family in no distress.

Patient was alert and unresponsive.

When she fainted, her eyes rolled around the room.

The following are actual, unedited, notes written by doctors on
patients’ medical charts:

Patient has chest pain if she lies on her left side for over a
year.

On the second day the knee was better,
and on the third day it disappeared completely.

The patient has been depressed ever since she began seeing me in

2009.

The patient is tearful and crying constantly. She also appears to
be depressed.

Discharge status of the patient: Alive, without permission.

Healthy appearing, 69 year-old male, mentally alert but
forgetful.

The patient refused an autopsy.

The patient has no past history of suicides.

Patient has left his white blood cells at another hospital.

Patient had Benne Dosa for breakfast and anorexia for lunch.

While in the ER, she was examined, X-rated, and sent home.

Occasional, constant, infrequent headaches.

Patient was alert and unresponsive.

I saw your patient today, who is still under our car for physical

therapy.

Skin: Somewhat pale but present.

Large brown stool ambulating in the hall.

Patient has two teenage children, but no other abnormalities.

By the time he was admitted, his rapid heart had stopped, and he was feeling better.

Patient was released to outpatient department without dressing.

She slipped on the ice and apparently her legs went in separate directions in early December.