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How is this being treated or is this an xray reading? nm

Posted By: psg thru on 2007-09-12
In Reply to: Temporal bone s/l bitrisis? Any suggestions? nm - trose

Subject: How is this being treated or is this an xray reading? nm

s


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xray help
Subject: xray help

 X-ray with and without BLANK  does show some BLANK under the diaphragm.


 


Any idea


xray help for ortho
Subject: xray help for ortho

Review of her MRI shows she has a small partial thickness rotator cuff tear and some s/l 'tennis-narvi-tous' around biceps tendon.


 


Thanks tons.


chest xray
Subject: chest xray

doc says s/l heme effusion as relates to trauma.


Is this correct?


Ortho Xray help please
Subject: Ortho Xray help please

Review of her x-rays today show that she has a s/l valgus-nemus and a lateral based arthritis in the lateral compartment.


 


Drawing a blank


xray - how to type (re) x-ray
Subject: xray - how to type (re) x-ray

He is dictating re-xray.  How do I type that?!


I remember seeing this once before as a question and I should have written the suggestions down, but I didn't.  Thanks for your help.


Abdominal xray
Subject: Abdominal xray

Acute abdominal series demonstrates "adelikesis" of the right basis compared to....


Could this be "added lightness"? Help!!!


Thanks!


Is this a chest xray? Maybe atelectatic? nm
Subject: Is this a chest xray? Maybe atelectatic? nm

s
Ever heard of this? Xray review
Subject: Ever heard of this? Xray review

Review of his x-rays today show no evidence of any s/l 'ab-lateral compartmental arthritis.


wasn't sure if this was an actual word (short for something) or if he possibly tumbled over his words and just meant to say lateral compartmental . . .


thanks for the help.


It has to be femur if it's xray of the knee and is distal. nm
Subject: It has to be femur if it's xray of the knee and is distal. nm

nm
google "knee xray windswept"
Subject: google "knee xray windswept"

Deformity seems to come up quite a bit, but also position and knee, so you'll probably have to see what fits?
Context, please! What are you doing - xray, scan, office visit, etc.?
/
Yes, is this an xray or a scan? An exam? Neuro testing? nm
Subject: Yes, is this an xray or a scan? An exam? Neuro testing? nm

s
Xray help with rotator cuff tear views
Subject: Xray help with rotator cuff tear views

we will obtain some x-rays of that right shoulder, an AP s/l grasivial only .


 


or something that starts with the letter g and then view only?


chest xray showed small sl. antivulor? infiltrate
Subject: chest xray showed small sl. antivulor? infiltrate


xray shows ulnar shortening osteoplasty is aligned well?
Subject: xray shows ulnar shortening osteoplasty is aligned well?

nm
I think your doc has been reading
Subject: I think your doc has been reading

too much Harry Potter. I think there are Lamentors in there.

No wait, those are Dementors.

Never mind.
reading of an x-ray sm
Subject: reading of an x-ray sm

His zygomatic frontal and zygomatic temporal bones ? are all intact
I bet it is reading! nm
Subject: I bet it is reading! nm

,,
If it's a lab test and not some kind of scan, xray, or study, then you're mis-hearing
Subject: If it's a lab test and not some kind of scan, xray, or study, then you're mis-hearing

s
ankle arthroplasty xray s/l slud line or settling of component sm
Subject: ankle arthroplasty xray s/l slud line or settling of component sm

Talks fast.  Says there is no ?slud line or possibly settling or ____ of the talar component.  I can't find anything similar.


He is reading from a list sm
Subject: He is reading from a list sm

that the patient wrote so I feel sure that is it. Thanks!
I believe you are reading it wrong sm
Subject: I believe you are reading it wrong sm

There is a comma between tics and the next item so tics and spasm are separate items. 
Reading the article below it seems to dB
Subject: Reading the article below it seems to dB

The relationships among visual acuity (log MAR), diagnostic category, age, the magnitude of a relative afferent pupillary defect (RAPD) in log units, photopic foveal thresholds to white and colored light (dB), and the mean deviation on the Humphrey visual field (dB) were studied in patients with various optic neuropathies. All acuity and dB values were expressed as interocular differences, the majority of cases having normal acuity in the fellow eye. In multiple regression analyses, acuity and RAPD were alternately chosen as the dependent or response variable with all remaining variables serving as the predictors or independent variables. The main finding was that the only significant predictor of a RAPD was the interocular mean deviation difference on the Humphrey field and the only significant predictor of acuity was the foveal threshold to white light. Redundant and insignificant variables were therefore identified with multiple regression analysis. Subsidiary findings include: (a) although diagnostic group was not a significant predictor in the above, simple linear regression line slopes relating RAPD magnitude to the Humphrey mean deviation were significantly different between optic neuritis and compression categories; (b) for a given level of acuity, foveal thresholds were substantially worse in these cases with neuronal damage than in strabismic amblyopia, refractive error, or corneal damage; and (c) sensitivity losses for red vs. blue light were similar...


Perhaps he is reading what the patient
Subject: Perhaps he is reading what the patient

incorrectly wrote down in place of Maxalt.  That's not so uncommon.  I'd leave a blank.
Can a lab reading be "small"??
Subject: Can a lab reading be "small"??

Patient is having high blood sugar and in her labs, dictator says something that s/l "serum acetone small."  Is this right or am I crazy?
Hmm after reading the dictation again, you may be right...sm
Subject: Hmm after reading the dictation again, you may be right...sm

Mohs does make sense, he does say with negative results, and this was done some time after the p63, TTF-1, etc.  THANK YOU for that great point!  My brain is so done today. 


Reading your sentence I would think sm
Subject: Reading your sentence I would think sm

That the EEC is enteropathic E. coli due to the anxiety. 
He may be reading from what the pt wrote
Subject: He may be reading from what the pt wrote

My doctor does that. He reads the drug as it was incorrectly written by the pt or the medical assistant. I have to look at the PMH to figure it out.
cardiology, echo reading
Subject: cardiology, echo reading

The aortic valve appears to be a s/l tri-commish-er valve with fusion of one s/l commish-er and acts as a bicuspid aortic valve.


 


he is pretty clear with both of these, but I cannot verify either one. Thanks!!


Blood Pressure Reading
Subject: Blood Pressure Reading

I had a doctor who did this also, and the person who QA'd my report told me to put it just like you have it except told me to use 120/80 without the "s".
Blood glucose reading, please sm
Subject: Blood glucose reading, please sm

Doc is saying "patient went back on Metaglip and now his sugars are around *100 mg percent*.  I've never heard that, just sugars around 100 or whatever, no "mg percent".  Thanks for any help!
reading that, it sounded rude. sm
Subject: reading that, it sounded rude. sm

I did not mean it that way. Again, just a pet peeve of mine.
hep c is treated with interferon and....n/m
Subject: hep c is treated with interferon and....n/m


Not cryotherapy? What's being treated? nm
Subject: Not cryotherapy? What's being treated? nm

s
treated with s/l 50 K-lite? TIA
Subject: treated with s/l 50 K-lite? TIA

xx
*The patient was treated for the
Subject: *The patient was treated for the

GI bleed with epinephrine injection and resolution (capitalized?) clips...*


Thanks in advance for help.


CLL treated with IBG therapy and - sm
Subject: CLL treated with IBG therapy and - sm

sounds like ritican - but cannot find this anywhere.


 


This should be treated like "aspirin."
Subject: This should be treated like "aspirin."

x
Bet the doctor is reading off the patient's list that sm
Subject: Bet the doctor is reading off the patient's list that sm

the patient wrote him/herself. When they can't tell what it is, they often spell it the way the patient did. I'd leave a blank and make a note with the doctor's spelling if you've already researched the term and found nothing to verify it. I found nothing in my Drake. I never trust a doc's spelling of ANYTHING!!


Bet the PA is reading the patient's history sheet. sm
Subject: Bet the PA is reading the patient's history sheet. sm

9 times out of 10 it is  arthroscopy and meniscectomy.


Is this a follow up to lab work or reading a film, etc.? nm
Subject: Is this a follow up to lab work or reading a film, etc.? nm

s
I always enjoy reading your replies. Thanks for the info also!
Subject: I always enjoy reading your replies. Thanks for the info also!


reading med list says Toprol, B6?, Protonics..is B6
Subject: reading med list says Toprol, B6?, Protonics..is B6

B6 is okay?
He's very clear. I'm thinking he's reading from pt note.
Subject: He's very clear. I'm thinking he's reading from pt note.


Reading comprehension test s/l Wyatt? nm
Subject: Reading comprehension test s/l Wyatt? nm

xx
WAG but maybe she's reading some bad handwriting and could be "and herniation?"-nm
Subject: WAG but maybe she's reading some bad handwriting and could be "and herniation?"-nm


The pt has been treated for septic arthritis
Subject: The pt has been treated for septic arthritis

Doc says: We stopped his s/l fluoroclinolones.

I've searched on every spelling I can think of.

Thanks for any help!
What muscle or area is being treated? nm
Subject: What muscle or area is being treated? nm

s
treated for reflux with s/l lenissen? nm
Subject: treated for reflux with s/l lenissen? nm

nm.
Patient has blastomycosis and is treated with s/l
Subject: Patient has blastomycosis and is treated with s/l

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What is the patient being treated for? And, is Ortho-Est.
Subject: What is the patient being treated for? And, is Ortho-Est.