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Help -- Patient denies double vision, abdominal pain or ???distortia??

Posted By: PRiddy on 2008-11-19
In Reply to:

Subject: Help -- Patient denies double vision, abdominal pain or ???distortia??




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Patient has abdominal pain
Subject: Patient has abdominal pain

The patient underwent a nuclear hepatobiliary scan and this revealed a gallbladder ejection fraction of 41.6%, severe pain during CHOLECYSTIC KININ??? adminstration.


Any clues.  I know I have heard this, just can't grasp it this morning.  Thanks


patient is given med for abdominal pain s/l DICLOSAMINE?
Subject: patient is given med for abdominal pain s/l DICLOSAMINE?


Labs - patient with abdominal pain. When seen earlier in the week - sm
Subject: Labs - patient with abdominal pain. When seen earlier in the week - sm

We obtained s/l acetive toxin and stool culture, which is still pending.
patient denies s/l accumplates, see message
Subject: patient denies s/l accumplates, see message

The patient denies any fevers, chills, night sweats, weight loss, hemoptysis, pleuritic chest pain, nausea, synovitis, arthralgia, skin rash, s/l accumplates,  headaches or sinus pain.   


This is throwing me for a loop! 


H&P, GU sytem, Patient denies any kps tenderness
Subject: H&P, GU sytem, Patient denies any kps tenderness

ESL doctor dictating the genetourinary system exam on a female. Patient denies any (GPS, KPS??) tenderness. Thank you for your help in advance.! Bad day. Computer hard drive went. Working on old machine. Yikes.
s/l patient denies history of *metachezia* or melena??? nm
Subject: s/l patient denies history of *metachezia* or melena??? nm

nm
The doc dictates under ROS, GU: The patient denies issues with polyuria POLYPHASIA, or polydipsia..
Subject: The doc dictates under ROS, GU: The patient denies issues with polyuria POLYPHASIA, or polydipsia..

is this correct?  POLYPHASIA????  Isn't POLYPHAGIA having to do with eating/swallowing?  I can't find anything in google relating to urination or GU system.....


  Thanks in advance!!


 


Patient had lap cholecystectomy. Denies "diet-ation" at current time. ??
Subject: Patient had lap cholecystectomy. Denies "diet-ation" at current time. ??

No other details,  sounds like "diet -ation" ?


Any ideas?


patient pregnant with concomitant hemoglobinopathy denies *tagophasia nor does she have a history-sm
Subject: patient pregnant with concomitant hemoglobinopathy denies *tagophasia nor does she have a history-sm

of bleeding???  Thanks.
Abdominal pain
Subject: Abdominal pain

.....female who complains of "s/l unpling" epigastric pain. Anyone has an idea?
abdominal pain or
Subject: abdominal pain or

dysarthria
LLQ abdominal pain with a negative *s/l see* sm
Subject: LLQ abdominal pain with a negative *s/l see* sm

left lower quadrant abdominal pain, with a negative****s/l see*** but treated as possibly occult diverticulitis


 


Thanks for any help!


abdominal pain and diarrhea ? SM
Subject: abdominal pain and diarrhea ? SM

it is for sure
Cryptococcal meningitis to the poster who thought it was streptococcal.
Agree with abdominal pain - sm
Subject: Agree with abdominal pain - sm

Guessing for 2nd one - dysuria or dyspnea ?
abdominal pain-yes! (DUH!) pretty sure it's not diarrhea. Thanks!
Subject: abdominal pain-yes! (DUH!) pretty sure it's not diarrhea. Thanks!


medication for abdominal pain s/l "Mycra"
Subject: medication for abdominal pain s/l "Mycra"


H. pylori test or s/l "antiglia" antibodies, I would do those for the abdominal pain and migra
Subject: H. pylori test or s/l "antiglia" antibodies, I would do those for the abdominal pain and migraine nm


No evidence of cramping abdominal pain that would suggest a s/l hydraged obstruction. Help??
Subject: No evidence of cramping abdominal pain that would suggest a s/l hydraged obstruction. Help??


Patient RX Sterapred 12-day s/l double-strength dose
Subject: Patient RX Sterapred 12-day s/l double-strength dose


The patient's abdominal...
Subject: The patient's abdominal...

s/l PANNUCK has an area of early developing erythema, which encompasses about 4 to 6% body surface area. 


TIA....Lisa


 


Mittelschmerz is characterised by lower abdominal and pelvic pain that occurs roughly midway through
Subject: Mittelschmerz is characterised by lower abdominal and pelvic pain that occurs roughly midway through a woman's menstrual cycle


Mittelschmerz is characterized by lower abdominal and pelvic pain that occurs roughly midway through
Subject: Mittelschmerz is characterized by lower abdominal and pelvic pain that occurs roughly midway through a woman's menstrual cycle.


Patient also with abdominal lipodystrophy.
Subject: Patient also with abdominal lipodystrophy.

nm
The patient has had an abdominal CT scan in January 2006 which showed significant intra- and extra b
Subject: The patient has had an abdominal CT scan in January 2006 which showed significant intra- and extra b

The patient has had an abdominal CT scan in January 2006 which showed significant intra- and extra biliary tree dilatation, but this was unchanged from a previous scan of 2003.


 


I am specifically wondering about the hypen after intra.  Thanks.


If the patient has pain down near the coccyx, it's a sm
Subject: If the patient has pain down near the coccyx, it's a sm

coccygeal fracture. It's difficult to tell your S/L without context.
Patient has low back pain
Subject: Patient has low back pain

She has normal lumbar lordosis with tenderness at right PSI? and sacral sciatic notch?
Patient with foot pain. Please sm
Subject: Patient with foot pain. Please sm

Exam shows the foot to be clinically well aligned. Tenderness about the s/l ray of the 4th metatarsal. TIA
Patient with low back pain. She is on ....sm
Subject: Patient with low back pain. She is on ....sm

She is on s/l oral phenadrin/fenadrine (may be saying orphenadrine) and Cataflam for this.
Patient in mid back pain
Subject: Patient in mid back pain

Bowel sounds are normal. No organomegaly. She does have some epigastric tenderness. She also has some left flank tenderness, but there is no s/l spleen dent or dip noted. Thanks!
the patient actually is in for shoulder pain. This is just part of the PE and that's all he says
Subject: the patient actually is in for shoulder pain. This is just part of the PE and that's all he says.


Patient was given s/l *sweeties* for pain control. sm
Subject: Patient was given s/l *sweeties* for pain control. sm

This is a 15-day-old baby, and ER doc is describing the LP being done.  He says:  The pt was given s/l *sweeties* for pain control. 


Can't find anything in my Stedman's neonatology, abbrev., or with Google. 


Anyone?!


Patient is having pain up to the s/l reed of his neck??
Subject: Patient is having pain up to the s/l reed of his neck??


Thanks for your help. The UBE makes sense as far as patient's pain.
Subject: Thanks for your help. The UBE makes sense as far as patient's pain.

nm
Patient has neck stiffness and pain ....
Subject: Patient has neck stiffness and pain ....

beginning in the s/l sero cervical aspect of the neck
she has had pain over her skin above s/l the level of T8 with hypoesthesias. patient has MS TIA!
Subject: she has had pain over her skin above s/l the level of T8 with hypoesthesias. patient has MS TIA!


patient with chronic back pain on SENTINEL 75 every third day.
Subject: patient with chronic back pain on SENTINEL 75 every third day.

The patient has chronic back pain and has been in a detox program recently.  The medication S/L SENTINEL 75 - any help?? 


 


 


.75 mg per day / patient suffers from depression, Epigastric pain...
Subject: .75 mg per day / patient suffers from depression, Epigastric pain...

This patient is also on Cymbalta, Prevacid, simvastatin, metoprolol and Coumadin.  This is really all I have.  Thanks!


Patient complains of s/l Theater sign with left hip pain. Thanks! nm
Subject: Patient complains of s/l Theater sign with left hip pain. Thanks! nm


patient with back pain, s/l policing eight paucet tumor??? nm
Subject: patient with back pain, s/l policing eight paucet tumor??? nm

nm
Epigastric/right upper quadrant pain. give the patient some pam-e-am 5 mg twice a day. nm
Subject: Epigastric/right upper quadrant pain. give the patient some pam-e-am 5 mg twice a day. nm

thanks
Ortho - patient has chronic cervical pain, numbness. sm
Subject: Ortho - patient has chronic cervical pain, numbness. sm

His position s/l shunts of the great toes is poor on the right and fair to good on the left. Just can't get it. I appreciate your help.

patient with back pain. s/l lichen does help but it makes him drowsy. Thanks. nm
Subject: patient with back pain. s/l lichen does help but it makes him drowsy. Thanks. nm

nm
s/l berra trauma left ear? (Patient has URI, ear pain from blowing nose) TIA
Subject: s/l berra trauma left ear? (Patient has URI, ear pain from blowing nose) TIA


patient has shoulder pain. On exam no cerva-chromal crepitus. nm
Subject: patient has shoulder pain. On exam no cerva-chromal crepitus. nm

thanks.
the patient stated he has had a s/l ??PARTNESS?? over the anterior chest with incredible pain
Subject: the patient stated he has had a s/l ??PARTNESS?? over the anterior chest with incredible pain

NM
s/l Tiazine 2 mg at night. Patient with nack and back pain history
Subject: s/l Tiazine 2 mg at night. Patient with nack and back pain history

thank you
Patient presents with a several year history of pain and this is s/l dedscious referable to the left
Subject: Patient presents with a several year history of pain and this is s/l dedscious referable to the left


Patient states the pain is located in the posterior lower back or **box** region. This is a new PA
Subject: Patient states the pain is located in the posterior lower back or **box** region. This is a new PA

student dictating but I have never heard this term used. Any help would be appreciated.  Thxs
There is hesitancy in range of motion due to pain and guarding on the patient’s para-articular flexi
Subject: There is hesitancy in range of motion due to pain and guarding on the patient’s para-articular flexion, extension and supination.


Pt has low back pain. Patient exhibits no signs of "caudo-aquino syndrom"? I have no clue!!
Subject: Pt has low back pain. Patient exhibits no signs of "caudo-aquino syndrom"? I have no clue!! nm


Patient has a positive drawer test and s/l wobble test (knee pain)
Subject: Patient has a positive drawer test and s/l wobble test (knee pain)

thanks so much!!!