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I haven't transcribed it as urine analysis in ages, but rather urinalysis.

Posted By: jcr on 2006-07-26
In Reply to: Ok this may be a stupid question but is it an UA or a UA - me

Subject: I haven't transcribed it as urine analysis in ages, but rather urinalysis.

x


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Urinalysis was clear. s/l Clothoid residuals, zero s/l molage of urine.
Subject: Urinalysis was clear. s/l Clothoid residuals, zero s/l molage of urine.


http://library.med.utah.edu/WebPath/TUTORIAL/URINE/URINE.html
Subject: http://library.med.utah.edu/WebPath/TUTORIAL/URINE/URINE.html

http://library.med.utah.edu/WebPath/TUTORIAL/URINE/URINE.html
leukocyte esterase test, urine C&S = urine culture and sensitivity
Subject: leukocyte esterase test, urine C&S = urine culture and sensitivity


ages
Subject: ages

Dictator says one-and-a-half-years-old. He said 'years'. Is this correct and did I type it correctly. This is at the beginning of a sentence.
Sure did, along with using numbers for all ages now, not just 10 and over. nm
Subject: Sure did, along with using numbers for all ages now, not just 10 and over. nm

s
Hyphens with ages

Anyone know the rule on this one:


Two children, a 12 year old and a 14 year old.


Hyphens or no Hyphens?


 


 


ages 40's or fourties
Subject: ages 40's or fourties

do you put "when the patient was in his fourties..."

or

"when the patient was in his 40's..."
urine cultures, GC, chlamydia, urine s/l SMV.nm
Subject: urine cultures, GC, chlamydia, urine s/l SMV.nm

xx
I like this site, you can pull by lab test, conditions, ages, etc.
Subject: I like this site, you can pull by lab test, conditions, ages, etc.

http://www.labtestsonline.org/
You're welcome...any spelling always comes after you've spent ages trying to figure out :-)
Subject: You're welcome...any spelling always comes after you've spent ages trying to figure out :-)


chromosome analysis help
Subject: chromosome analysis help

I just wanted to make sure I am writing this correctly.  Could anyone more familiar with this than me let me know if this is written out correctly?  "His chromosome analysis revealed 46,XY deletion of 20q13 plus q13.3"
MRI/MRA is that how it should be transcribed?
Subject: MRI/MRA is that how it should be transcribed?

The doctor says MRI MRA--SHOULD IT HAVE A SLASH BETWEEN THE TWO?  THANKS!
+/- how should it be transcribed?
Subject: +/- how should it be transcribed?

is there a rule in BOS on how it should be transcribed. Should it be +/- or plus/minus.


Thanks!


s/l "permanent infection analysis"
Subject: s/l "permanent infection analysis"

it is an op note for a nasopharyngeal endoscopy. The context is " the surrounding mucosa was excised for s/l 'permanent infection analysis'. "  Please help!! TIA!!! 
You could do that, or put a comma after the word analysis. nm
Subject: You could do that, or put a comma after the word analysis. nm

xx
s/l VIR or VER analysis showed no infection nm
Subject: s/l VIR or VER analysis showed no infection nm

nm
Found it! Red MASS analysis! nm
Subject: Found it! Red MASS analysis! nm

x
This is common where I have transcribed.
Subject: This is common where I have transcribed.

I have worked in the OR also, and local MAC is a common anesthesia term. Should be easy to check on by googling.
Analyze? Analysis? Some form of the word? nm
Subject: Analyze? Analysis? Some form of the word? nm


I believe it is VIR analysis; there are VIR proteins and VIR genes, etc. Cannot find anything on VER
Subject: I believe it is VIR analysis; there are VIR proteins and VIR genes, etc. Cannot find anything on VER.


applied behavior analysis ABA-capitalize?
Subject: applied behavior analysis ABA-capitalize?

Do I need to capitalize applied behavior analysis in a sentence?
any genetics whizzes? FISH analysis - sm
Subject: any genetics whizzes? FISH analysis - sm

deletion in the STS gene ... s/l ficalmin gene was intact suggesting cutaneous involvement only. TIA!
got it but thanks, Trisomy 21 confirmed by genetic analysis
Subject: got it but thanks, Trisomy 21 confirmed by genetic analysis

she talks funny 
I disagree. I've always transcribed SM
Subject: I disagree. I've always transcribed SM

coffee-grounds emesis, and that is how it is listed in Stedman's GI & GU book as well.


Chickadee


Transcribed NitroPaste, can't find it anywhere,
Subject: Transcribed NitroPaste, can't find it anywhere,

isn't that just short for nitroglycerin paste? 
Transcribed as home O2 or oxygen or other?
Subject: Transcribed as home O2 or oxygen or other?


I'd type is as it was transcribed; CT. alternatively,
Subject: I'd type is as it was transcribed; CT. alternatively,

some use CAT scan, especialy if the doctor dictates it as CAT scan.
Sorry, only have transcribed sharp in that instance.
Subject: Sorry, only have transcribed sharp in that instance.


Sorry that is the Latin, should be transcribed in toto
Subject: Sorry that is the Latin, should be transcribed in toto


I've always transcribed Augmentin 875 mg p.o. t.i.d. (or whatever) for,,,,sm
Subject: I've always transcribed Augmentin 875 mg p.o. t.i.d. (or whatever) for,,,,sm

ten days, #20.  By putting the #sign modifier, it separates and makes clear the number of pills in prescrption, versus the mg or the times per day, etc. 
Apparently during this test it is just transcribed as J-sign;
Subject: Apparently during this test it is just transcribed as J-sign;

UNDER ORTHO TESTING: Observe patellar tracking (J-sign), palpate for crepitus with knee extension.
I've always transcribed cranial nerves II-XII... nm
Subject: I've always transcribed cranial nerves II-XII... nm


I transcribed cardiac caths for years
Subject: I transcribed cardiac caths for years

a separate heading.  Another old timer here.  I don't know the original post, but I agree with separating out the arteries. 
I never said that I transcribed that word ~ I only mentioned that the doctor (sm)
Subject: I never said that I transcribed that word ~ I only mentioned that the doctor (sm)

spelled it that way (I always left a blank in the report ~ he would always "write" it in when he got the report back). This was many, many years ago when I worked in-house. I honestly thought it was a "made-up" word as he was the only doctor who used it (I have never heard it used since), so I was surprised to hear of somebody else stumbling onto the same word (or something similar). By no means did I intend to mean that that was the "correct" spelling or that I used that word ~ I apologize if that is how my message was read. :)
A fine-needle aspiration was sent for amylase, CEA, and s/l *red-pass* analysis. nm
Subject: A fine-needle aspiration was sent for amylase, CEA, and s/l *red-pass* analysis. nm

x
and articles online have been transcribed by transcriptionists initially, and probably
Subject: and articles online have been transcribed by transcriptionists initially, and probably

scanned by a scanner, so there's bound to be text/spelling inconsistencies.
I have actually transcribed this myself along the way and found the site http://www.spineuniverse.co
Subject: I have actually transcribed this myself along the way and found the site http://www.spineuniverse.com/displayarticle.php/article1972.html awhile ago, so a dull bell rang in my head. So big you're welcome!


punch and scissor biopsy is submitted in *phormone* for pernmanent analysis. ??? Thanks. nm
Subject: punch and scissor biopsy is submitted in *phormone* for pernmanent analysis. ??? Thanks. nm

nm
Bet you haven't seen this one before ...
Subject: Bet you haven't seen this one before ...

This is not an account where I have any editorial leeway.  The doctor states, "She was evaluated by an orthopedist, who kind of poo-poo'ed the patient's complaints and apparently did not do an x-ray exam."


Opinions on how to spell "poo-poo'ed?"  


Thanks!   


I think you may be right...haven't sent it in yet
Subject: I think you may be right...haven't sent it in yet

as I'm waiting on the rest of the report. Thanks for your help! It definitely is only part of the word, so I will put vascular and highlight it.
Urinalysis
Subject: Urinalysis

Urinalysis did show a s/l page of 6, large blood, ketones 40, protein 100, nitrate positive, WBCs 11 to 20, RBCs 3 to 5, bacteria many. 
An/A urinalysis
Subject: An/A urinalysis

I don't get this.  Why is it A instead of an?
Urinalysis / UA
Subject: Urinalysis / UA


Thank you! Do this doc often and haven't heard her say this before.
Subject: Thank you! Do this doc often and haven't heard her say this before.


she may say it again in impression if you haven't got there. nm
Subject: she may say it again in impression if you haven't got there. nm


Thanks, haven't done OPs in forever!
Subject: Thanks, haven't done OPs in forever!


I haven't - is a dosage given? sm
Subject: I haven't - is a dosage given? sm

If there's no dosage I'd listen and see if he's whispering some word between We and Will, such as "give" or "prescribe". Sorry I can't be of more help.
Haven't heard that one in a while!!
Subject: Haven't heard that one in a while!!


I believe you are looking for Calve-Legg-Perthes disease. There is an umlaut over the "Calve" but not sure it will take here.

Have a nice weekend!
Haven't heard that but there is
Subject: Haven't heard that but there is

Chloraprep/ChloraPrep -- seen it both ways.
Thank you, haven't heard of that one! nm
Subject: Thank you, haven't heard of that one! nm

nm
I haven't hear of that one. :- )
Subject: I haven't hear of that one. :- )