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I have talked to the patient about the "depential" differential considerations.

Posted By: MSMT on 2009-02-26
In Reply to: What is the sentence? - need more info.

Subject: I have talked to the patient about the "depential" differential considerations.




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he clearly says "depential differential" but I can't verify that word
Subject: he clearly says "depential differential" but I can't verify that word


I actually concluded that diskal (my co. preference) was correct due to anatomic considerations.
dd
That's what I thought too, but it is so clearly pronounced as "depential".
Subject: That's what I thought too, but it is so clearly pronounced as "depential".


I did that and listened at least 10 times. He really is saying "depential".
Subject: I did that and listened at least 10 times. He really is saying "depential".


differential WBC- please SM
Subject: differential WBC- please SM

WBC is 10,000 with 49% s/l PM ents, 39% bands, 5% lymphs, 5% monos, 1% eosinophils, and the MCB (membranous cystoplasmic body???) was 74.


Not sure what the first percent is measuring (49% s/l PM ents), and I've never heard of MCB.


TIA!


differential
Subject: differential


ACF differential
Subject: ACF differential

Patient having stroke-like symptoms.  These are ordered along with an MRI of the brain.  Thanks.


CMP, TSH, _____ differential, sed rate.


CBC with differential? nm
Subject: CBC with differential? nm

xx
differential diagnosis
Subject: differential diagnosis

It is -sis never -ses in differential diagnosis.  According to BOS, 3rd edition, page 175, the term is always singular and uses a singular verb.


Differential on polyuria
Subject: Differential on polyuria

Help. Patient has polyuria.  Doctor dictates: Urine osmolality and electrolytes pending. He starts new sentence: s/l Dis person sent out differential on polyuria and possibility of obligatory polyuria secondary to chronic potassium loss. Any ideas on what "Dis person" or what the rest of the sentence might be?  Thanks.


Not saying WBC --- and differential of 10.2? See link.
Subject: Not saying WBC --- and differential of 10.2? See link.

http://www.labtestsonline.org/understanding/analytes/differential/glance.html
Differential dx: s/l anus laxus??? SM
Subject: Differential dx: s/l anus laxus??? SM

The patient had a syncopal episode.
Differential diagnosis or diagnoses? nm
Subject: Differential diagnosis or diagnoses? nm

 
lab values on differential, segs, bands .sm.
Subject: lab values on differential, segs, bands .sm.

hemoglobin 11.7, hematocrit 34.3, platelets 191, {differential (s/l 629) segs 3 bands}, 11 lymphocytes, 16 monos...


Any help on this appreciated


There is an automated differential blood count
Subject: There is an automated differential blood count


differential 5 types of..(so prob. will define which
Subject: differential 5 types of..(so prob. will define which

 A differential determines the percentage of each of the five types of mature white blood cells.
doc dictates "the patient has 120 pack year smoking history", patient is 75...is that right???
Subject: doc dictates "the patient has 120 pack year smoking history", patient is 75...is that right???? NM


Patient is here for an s/l eflex injection. Patient previously had Orthovisc.
Subject: Patient is here for an s/l eflex injection. Patient previously had Orthovisc.

nm
OB patient - s/l The patient has a 'null' sign.
Subject: OB patient - s/l The patient has a 'null' sign.


A1c; patient is to follow up in 2 weeks; patient has a followup in 2 weeks.
Subject: A1c; patient is to follow up in 2 weeks; patient has a followup in 2 weeks.

nm
Patient given PPD - sm pls
Subject: Patient given PPD - sm pls

Patient given PPD S/L "agreed" or "read" within the next 72 hours.
Patient does have a UTI but would it
Subject: Patient does have a UTI but would it


same doc. same patient
Subject: same doc. same patient

the lesion was vascular in natureand most likely _____ malformation.


S/L avio-lymphatic


HIV patient. Please sm.
Subject: HIV patient. Please sm.

Doc is dictating a test in relationship to patient's HIV.  He states s/l "firal row"is negative and T-cell count has actually risen since last visit.


Thanks for any/all help! 


do you have a Dx on this patient, and
Subject: do you have a Dx on this patient, and

if not, what is the chief complaint?
new patient
Subject: new patient

On a new patient is this how it should be put?  the doctor says it with chief complaint~~~~CHIEF COMPLAINT:  New patient, arm pain.
OD q.d.? Is it for the patient's eye? nm
Subject: OD q.d.? Is it for the patient's eye? nm

x
cc: the patient
Subject: cc: the patient

then he said, note to the transcriptionist, make sure that a copy of the mri scan results is sent to the patient with this letter.

What is the patient's dx? nm
Subject: What is the patient's dx? nm


Are you sure the patient isn't
Subject: Are you sure the patient isn't

very spiritual, and is hoping for healing through a prayer line? Many churches do have prayer lines and pray for sick people. Usually they don't intend that the person shouldn't seek medical help like it sounds like this patient would be talking about.
How old is this patient?
Subject: How old is this patient?


The patient has a ... (sm)
Subject: The patient has a ... (sm)

. . . distal radius fracture. It s/l the doctor dictates *there is a cast and flink* to right arm.  I thought it might be *splint*, but it really does not sound like that. Any idea?


Thanks, Melissa


Patient is p.o.ing well??????
Subject: Patient is p.o.ing well??????

POing??? or just change to eating?  It's a 3-month-old baby girl.
What is the patient
Subject: What is the patient

in the hospital for? Main symptoms? Specialist seeing the patient?


Is patient ill otherwise? sm
Subject: Is patient ill otherwise? sm

I know you say it is not positive exudate but if the patient is ill or has upper respiratory symptoms, positive could actually be right.
Doc is saying the patient is this PDI-3 or
Subject: Doc is saying the patient is this PDI-3 or

Peduli-3? Never heard of a patient being that, but I have heard of a resident doctor being a PGY-3 after their name. Otherwise, I have no idea. Sorry.
The patient has both, so you must be...
Subject: The patient has both, so you must be...

correct!!!  THANK YOU!!!!!!
but patient has URI, not UTI, yes? (nm)
Subject: but patient has URI, not UTI, yes? (nm)

nm
Patient with AML,
Subject: Patient with AML,

Sentence reads:  We have been watching her counts closely due to the fact that she has blood antibodies and requires s/l "spark of platelets" OR "sparkle platelets".  Any ideas?  TIA.
Thank you but the patient..sm
Subject: Thank you but the patient..sm

only came in for refill of birth control. She was out of insurance for a time period. No infections or anything.

Thank you for trying though. I do appreciate it. This dictator loves to ramble and sometimes not very clear.
The patient is on s/l T P.
Subject: The patient is on s/l T P.

It is definitely some sort of ventilator.
patient
Subject: patient

It is difficult to say whether his shortness of breath is secondary to coronary artery disease.  Ventricular function, underlying pulmonary disease, i.e. s/l a-co-sis, or his weight. 
What is patient seen for?
Subject: What is patient seen for?


Perhaps it has to do with what he is seeing the patient for..
Subject: Perhaps it has to do with what he is seeing the patient for..

?
Patient on s/l flo-air
Subject: Patient on s/l flo-air


could he mean the patient
Subject: could he mean the patient

can CONTINUE routine regimen of Prelief with these other meds?
is this patient HIV?
Subject: is this patient HIV?

Sustiva and Epizicom are given in conjunction for HIV
Patient has hep C
Subject: Patient has hep C

treated with s/l pegasus and ribaviran. These are not listed in my drug book, nor the one online. Not sure of spelling or whether capped. Thank you for your help.
No, the patient is in her 40s.
Subject: No, the patient is in her 40s.

:-)
Patient needs I&D - please sm for s/l
Subject: Patient needs I&D - please sm for s/l

Patient has an abscess and will need I&D and IV antibiotics. Arranged for admission with s/l IPOF or IPOTH.

Thank you.
This is a patient whom/who I have been seeing??? nm
Subject: This is a patient whom/who I have been seeing??? nm

nm