Answer to Question 1
The diagnostic tests are used to make the assessment (conclusion, diagnosis), so the results of those tests should support the conclusions made by the physician. For example, a negative x-ray would not support a diagnosis of fracture.
Answer to Question 2
The Past Medical History section may include the patient's ongoing (chronic) problems, and often these problems require medications. Significant chronic illnesses such as hypertension, diabetes, autoimmune disorders, and HIV are almost always treated pharmaceutically. A conflict between the patient's current illnesses and medications should alert the transcriptionist to the possibility of an error in one section or the other.
Sagittal section of upper respiratory system illustrating the internal anatomy of the nasal cavity,
planes of section
In situ hybridization. This color-coded frontal section through a rat brain reveals high ...
Sagittal section of eye and its accessory structures
Frontal section showing location of auditory ossicles in the middle ear
Section of a normal brain (left) and an HD brain (right). The HD brain shows extensive damage to the