A pulmonary specialist has been called in by an internist to examine a patient and help make a diagnosis. Where in the patient's medical record would you look for the pulmonary specialist's report?

Question

Quizplus · Accepted Answer

The pulmonary specialist's report would most likely be found in the consultation sheet, as this is typically where the notes and assessments of consultants are documented in the patient's medical record. The progress sheet may have updates on the patient's condition, but not specifically related to the consultation with the pulmonary specialist. The physician's orders would include any specific instructions for treatment or medications, but not necessarily the specialist's diagnosis. The history and physical exam is typically completed by the internist, and may not include the specialist's input.

A Pulmonary Specialist Has Been Called in by an Internist