Subjective information only
Objective information only
Diagnostic information only
defer or omit her comments.
have her husband call you.
quote her concerns verbatim.
refer her for psychiatric treatment.
Relationship to anatomic landmarks
Comparison with other patients of same gender and size
Comparison to previous examinations using light pen markings
are methods for recording locations of findings.
are used for noting disease progression.
are ways for recording laboratory study results.
should not be used in the legal record.
a grading scale of 0 to 4.
color and consistency.
demographic data and risk factors.
associated symptoms in alphabetic order.