June 30, 2007

Fillable PDF Presentation for MedicalTemplates




This presentation is a detailed overview of how fillable PDFs give MedicalTemplates powerful features without the cost of a full-fledged electronic medical record.

Slide 1: MedicalTemplates Fillable PDF Technology MedicalTemplates medical documentation templates are based on HCFA 1997 Evaluation and Management Documentation Guidelines Developed by e-MedTools www.e-medtools.com

Slide 2: MedicalTemplate are Fillable Adobe PDF Forms Adobe Reader is Required Download Adobe Reader for free from www.adobe.com MedicalTemplates medical documentation tools are developed by e-MedTools. Visit www.e-medtools.com to learn more.

Slide 3: What are MedicalTemplates? Adobe PDF medical documentation templates • H&Ps • Consult Notes • SOAP notes • Progress notes • Disease evaluation templates MedicalTemplates medical documentation tools are developed by e-MedTools. Visit www.e-medtools.com to learn more.

Slide 4: Open MedicalTemplate File Click on the MedicalTemplate file to open with Adobe Reader MedicalTemplates medical documentation tools are developed by e-MedTools. Visit www.e-medtools.com to learn more.

Slide 5: Print and use as any paper form Printed and completed by hand like any other paper form MedicalTemplates medical documentation tools are developed by e-MedTools. Visit www.e-medtools.com to learn more.

Slide 6: Or

Slide 7: Use MedicalTemplates as Electronic Forms MedicalTemplates have fillable text fields and working checkboxes MedicalTemplates medical documentation tools are developed by e-MedTools. Visit www.e-medtools.com to learn more.

Slide 8: Print out filled MedicalTemplates Filled MedicalTemplates can be printed out MedicalTemplates medical documentation tools are developed by e-MedTools. Visit www.e-medtools.com to learn more.

Slide 9: Save filled MedicalTemplates MedicalTemplates can be saved to preserve medical documentation MedicalTemplates medical documentation tools are developed by e-MedTools. Visit www.e-medtools.com to learn more.

Slide 10: Save filled MedicalTemplates for future use • Hard Drives • USB Drives • CD-ROMs • iPods • And more… • Portable storage allows you to carry patient charts with you for access in the hospital, clinic, or at home. • Mobile access saves time and effort any time access to your patient’s medical records is needed MedicalTemplates medical documentation tools are developed by e-MedTools. Visit www.e-medtools.com to learn more.

Slide 11: Purchasing MedicalTemplates Visit www.e-medtools.com for a catalog of available templates and links for online purchase through RegNow MedicalTemplates medical documentation tools are developed by e-MedTools. Visit www.e-medtools.com to learn more.

June 27, 2007

MedSpel Price Update

New pricing for MedSpel will go into effect on July 1, 2007.

This is the first price change of MedSpel since 2001.

The new prices for MedSpel are
  • $15 Single user license
  • $30 2-5 user license
  • $50 6-10 user license
  • $120 11-50 user license
  • $300 51-100 user license
  • $500 unlimited user license
All MedSpel licenses include free lifetime updates.

Major MedSpel update - 6/27/07

MedSpel version 7.5 has been released, making MedSpel compatible with Microsoft Office Vista.

A free trial of MedSpel can be downloaded from here>

MedSpel includes over 40,000 medical words and abbreviations that are not in the standard Microsoft Office spellchecker.

MedSpel words inlcude
  • medication names
  • diseases
  • abbreviations
  • medical procedures
  • medical devices
  • surgical terms
  • anatomy terms
  • eponyms
  • acronyms
  • and many more medical words.
MedSpel version 7.5 is compatible with Microsoft Office 97, Microsoft Office 2000, Microsoft Office XP, and Microsoft Office Vista.

June 21, 2007

Pleural Effusion MedicalTemplate Updated 6/18/07

An updated pleural effusion evaluation MedicalTemplate was released 6/18/07.

This updated pleural effusion evaluation template features -

Click here to learn more about the updated pleural effusion evaluation MedicalTemplate.

Read this document on Scribd: Pleural Effusion Evaluation

Pleural Effusion Evaluation MRN Allergies Date Chief complaint/Reason for consult Start time Stop time Medications History of present illness ‰Pleuritic chest pain present ‰Dyspnea or cough ‰Peripheral edema ‰Orthopnea or PND ‰Decreased exercise tolerance ‰Recent fever, chills or nightsweats ‰Recent severe emesis or esophageal dilatation ‰Recent MI or cardiothoracic surgery ‰CHF, ESRD on HD, SLE, RA, Sarcoidosis ‰History of asbestos exposure ‰History of malignancy Drugs associated with pleural effusion include, but are not limited to: bromocriptine, cyclophosphamide, dantrolene, isotretinoin, mesalamine, methotrexate, mitomycin, nitrofurantoin, practolol, procarbazine Social History ‰ Tobacco use ____ Packs x ____ Yrs ‰ Quit Daily, occasional and ex-smokers are more likely to be hazardous drinkers Review of Systems See HPI WNL ‰ Alcohol use ______ Drinks per ‰ day ‰ week Hazardous drinking NIAAA (National Institute on Alcoholism and Alcohol Abuse guidelines) Men > 14 drinks per week OR > 4 drinks per day Women > 7 drinks per week OR >3 drinks per day ‰ Recreational drug use ‰ ‰ ‰ ‰ ‰ ‰ ‰ ‰ ‰ ‰ ‰ ‰ ‰ ‰ ‰ ‰ ‰ ‰ ‰ ‰ ‰ ‰ ‰ ‰ ‰ ‰ ‰ ‰ Constitutional Eyes ENT/mouth Resp CV GI GU Musc Skin/breasts Neuro Endo Heme/lymph Allergy/Immun Psych Fatigue, malaise, fever/chills, weight loss, change in appetite Vision changes, New pain, Scotomas Nose bleeds, dental caries, dental abscesses, jaw pain Dyspnea, Cough, Phlegm, Hemoptysis, Wheeze, Witnessed Apnea Chest pain, diaphoresis, ankle edema, PND, syncope Emesis, dysphagia, GERD, abdominal pain, diarrhea, melena Change in urinary habits, hematuria, dysuria Myalgias, recent trauma, bony fractures, arthralgias, joint swelling Rashes, new masses or skin lesions, increased sensitivity to sun Seizures, episodic or chronic muscle weakness Hair loss, polydipsia Bleeding gums, unusual bruising, swollen lymph nodes Sinus probs, recurrent infections Mood changes, agitation, psychosis, delirium, dementia Notes Family Medical History ‰ Congestive Heart Failure ‰ Coronary Artery Disease ‰ Malignancy ‰ Pancreatitis ‰ Renal Dysfunction ‰ Thyroid Disease Past Medical and Surgical History ‰ Asthma ‰ Cerebral Artery Disease ‰ Bronchiectasis ‰ Congestive Heart Failure ‰ COPD ‰ Coronary Artery Disease ‰ COP (BOOP) ‰ Diabetes ‰ Cystic Fibrosis ‰ GERD ‰ Histiocytosis ‰ Hepatic Dysfunction ‰ Tuberculosis ‰ HIV/AIDS ‰ PAH ‰ Hypertension ‰ Sarcoidosis ‰ Inflam bowel disease ‰ Tuberculosis ‰ Malignancy ‰ Neuromuscular weakness ‰ Occupational exposures ‰ Pancreatitis ‰ Peripheral Artery Disease ‰ Scleroderma ‰ Seizure Disorder ‰ Sjogren ‰ Renal Dysfunction ‰ Rheumatoid arthritis ‰ Thrombotic Disease ‰ Thyroid Disease ‰ Chemotherapy ‰ Colonoscopy ‰ ECHO/Stress Test ‰ Mammogram ‰ PFTs ‰ PapSmear ‰ Prior Intubations ‰ Radiation exposure ‰ Sleep Study ‰ Steroid use Notes ©MB and RR 2006, 2007 Revised 24April07 Pleural Effusion Evaluation Vitals _____ _____ Weight Height Exam General ENT _____ Temperature ___________ BP Sitting ___________ BP Standing Sats Rest _____ Pulse _____ Exercise 50 feet _____ 100 feet _____ _____ _____ ‰ Alert ‰ Nasal mucosa ‰ Dentition ‰ Oropharynx Mallampati ‰I ‰II ‰III ‰IV Neck ‰ Normal to palpation ‰ Thyroid ‰ No JVD Resp ‰ Clear to auscultation ‰ Dullness to percussion ‰No respiratory distress ‰No chest wall defects ‰ Decreased fremitus ‰ Bronchial breath sounds ‰ Absence of intercostal respiratory retractions ‰ Egophony (E to A change) CV ‰ Clear S1 S2 ‰ No murmur ‰ No gallop ‰No rub ‰ Peripheral pulses ‰ No peripheral edema GI ‰No palpable masses ‰ Liver and spleen not palpable ‰ No hepatojugular reflux Lymph ‰ No lymphadenopathy Musc ‰Tone ‰ Gait Extrem ‰ No clubbing ‰ No cyanosis Skin ‰ No rashes, ecchymoses, nodules, ulcers Neuro ‰ Oriented œ58(Pts with Community Acquired Bacterial Pneumonia) ‰Affect Glasgow Coma Score E____ V____ M____ APACHE II Score ____ Impression and Plan Labs/Tests ‰CXR (PA, lateral, lateral decubitus) ‰CT of chest ‰PET scan ‰MRI ‰Thoracentesis ‰Pleural fluid ‰Glucose ‰LDH, include serum level ‰pH ‰Protein, include serum level ‰Cell count with differential ‰Cultures: bacterial, fungal, AFB (all suspected exudates) ‰Cytology (suspected exudates) ‰Adenosine deaminase (for TB) ‰Amylase (for suspected pancreatitis or ruptured esophagus) ‰ANA, RF (for suspected autoimmune disease) (all suspected exudates) (PE protocol if PE suspected) DDx includes, but is not limited to: Pulmonary embolism, Tuberculous pleurisy, Infection, hepatitis, esophageal rupture of any cause or recent sclerotherapy, malignancy, pancreatitis, congestive heart failure, renal failure, hemothorax, uremic pleurisy, sarcoidosis, post-cardiac injury syndrome or coronary artery bypass graft surgery, ARDS, lupus, rheumatoid pleurisy, MCTD, hypothyroidism, urinothorax, SVC obstruction, trapped lung, hypoalbuminema, cirrhosis, atelectasis, pericarditis Imperative rule outs: PE and tuberculous pleurisy => due to increased morbidity if left undiagnosed ‰Flow cytometry ‰Hematocrit (for bloody effusion) ‰Pleural biopsy ‰Triglyceride, cholesterol levels (for suspected chylothorax or pseudochylothorax) ‰Urea (for suspected urinothorax) (for suspected TB or malignancy) (for suspected lymphoma) Exudate if: Pleural:serum protein >0.5 Pleural:serum LDH >0.45 pleural LDH >2/3 upper limit normal for serum If patient history of diuretic use: Serum -- pleural protein = <3.1 g/dL suggests exudate Pleural LDH of >1000 suggests empyema, malignancy, rheumatoid lung effusion or paragonimiasis ‰ Patient has completed advanced health care directivesœ47 HCPOA is Signature ©MB and RR 2006, 2007 Revised 24April07


Hospital H&P MedicalTemplate Updated 6/18/07

The Hospital history and physical MedicalTemplate has been updated on 6/18/07.

This inpatient history and physical template features -

  • Improved layout
  • Documentation prompters for hazardous alcohol consumption as defined by the National Institute on Alcoholism and Alcohol abuse
  • Documentation prompters for prescription drug dependence
  • Documentation prompters for the documentation of non-invasive ventilator use and settings
  • PQRI quality measure reminders
Click here to learn more about the updated Hospital history and physical MedicalTemplate.

June 20, 2007

GenericMedList

e-MedTools is compiling a list of reduced price generic medication programs, such as the well publicised WalMart $4 generic medication program.

This list is available at www.genericmedlist.com

Generic Medication Discount Programs at major retail pharmacies such as WalMart and Target provide effective, FDA approved medications for many medical conditions at affordable prices.

These generic medication discount programs usually do not have the eligibility requirements, applications to fill out, additional costs, or long term commitment of programs such as Medicare Part D.