Thank you so much for those that replyed so far. I really apperciate the help. If you need help with your pets I'd be happy to give my $0.02 (I'm a veterianrian).
The document that I have is a patient examination. It looks like the document below. I would like to jump from Signalment to Reason for visit to Subjective, then to T=, P=, R=, etc. This way I can enter data that I need or leave it if there is nothing to change. At one point I created a form with fields at each of these points so that I would just tab from one field to the next, however I couldn't use the spell check and it became difficult to edit the document if I needed to take out a section or add something it that was not in a field.
I'm sorry that I don't quite know how to think about these "points", but I hope this help you enough so you can help me understand what they are.
Steve Dennis
Date Monday, June 27, 2005
Signalment: ? ?
Reason for visit:
Subjective: No medications. No V/D/C/S/PU/PD/PP/Lameness.
Objective:
General: BAR, mucus membranes pink and moist, CRT < 2 seconds, well hydrated.
T= P= R= Weight = #
EENT:
Eyes: Clear OU.
Ears: NSF.
Nose: Moist.
Throat: Tonsils in crypts.
Integument: Full, shiny coat.
Musculoskeletal: Body condition score 5/9. Symmetric. No gait abnormalities.
Cardiovascular: No murmurs auscultated. Femoral pulses moderate and synchronous.
Respiratory: All lung fields auscult clear.
Gastrointestinal: Abdomen soft, non-painful, no masses palpated, bladder small.
Urogenital: Within normal limits.
Neurologic: Within normal limits.
Lymph Nodes: Within normal limits.
Problem List:
1. .
Diagnostic Test:
1. .
Assessment:
1. .
Plan:
1. .
Steven R. Dennis, DVM