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Past medical history: Significant for s/l uterine CA.

Posted By: Tracey on 2007-12-03
In Reply to:

Subject: Past medical history: Significant for s/l uterine CA.




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Past medical history significant for s/l wrekal sinus excision
Subject: Past medical history significant for s/l wrekal sinus excision


Under past medical history - history of abnormal s/l petatrie functioning. I really cannot make *sm
Subject: Under past medical history - history of abnormal s/l petatrie functioning. I really cannot make *sm

it out.  It is a foreigner.  He is saying it very fast.  History of abnormal petatrie functioning is what is sounds like to me.  I have no clue. 
Past medical history
Subject: Past medical history

Under history of present illness he has that the patient has a history of IV drug abuse.


Past medical history: IODINE ALLERGY WITH SHORTNESS OF BREATH AND HIVES FOLLOWING IV SPREE THREE YEARS PTA.


Could that be what he's saying? Thanks.


under past medical history...
Subject: under past medical history...


Past medical history
Subject: Past medical history

Surgeries: Small bowel obstruction, THA/BA for cholecystectomy.


I'm not sure if he said BA or BA with another letter on the end. Help! Thanks.


past medical history
Subject: past medical history

This is the only information I have and it sounds like **Ba-dex Ex-lo-dian** under past medical history. Thanks for any suggestions!
Past medical history
Subject: Past medical history

Past medical history: Positive for arthritis, asthma, and "vic-in-plant-ous". She also has a dystonia that has been longstanding. This is on an ortho note, so this is the only thing said about this. Thanks for checking it out!
Past medical history help
Subject: Past medical history help

Under past medical history he states "Basal cell **and blue** carcinoma.


My apologies if this is something simple, but this is what it sounds like and I am not finding anything to point me in the right direction. Thanks!


past medical history?
Subject: past medical history?

If it is past medical history, could he be saying something like history of Legg's disease. Try looking at it that way.
What is in Past Medical History
Subject: What is in Past Medical History

That could help determine what the drug is for.
What is the past medical history? - nm
Subject: What is the past medical history? - nm


what's in the past medical history?
Subject: what's in the past medical history?


past medical history of thrash?
Subject: past medical history of thrash?

The patient is a 3 1/2 month old with a past medical history of ____.  S/L thrash
CARDIO Past medical history
Subject: CARDIO Past medical history

CABG 1998 and s/l CVAA SPVD status post right lower extremity amputation and hypertension.


Thank you


Deborah


In past medical history - the only thing
Subject: In past medical history - the only thing

listed is s/l Berjay's disease.


I've Googled every spelling I can think of and have come up blank 


He only mentioned it once in the past medical history...(sm)
Subject: He only mentioned it once in the past medical history...(sm)

Didn't even mention it again in the final diagnoses with the rest.  I think the poster below found it.  Thanks.
the doctor said that only in the past medical history :(
Subject: the doctor said that only in the past medical history :(


H&P heading help again.. Past Medical History
Subject: H&P heading help again.. Past Medical History

dictator says: Past medical history for hypertension. Past surgical history is arthroscopy of his right knee. Allergies are to Demerol and Penicillin. Do I put Headings over each one and keep the exact dictation like this:  PAST MEDICAL HISTORY (type under this title) Past medical history for hypertension OR just Hypertension. Other part of my question.  ROS subheadings: dictator says this: Cardiovascular has a history of hypertension.  do I need to put a colon in there and cap the Has? or leave as I have typed in bold? Do I add a subheading of GI/GU: for this sentence - No GI/GU problems. Does this sentence also need colon?  Musculoskeletal I stated in the HPI. No neurological or hematological discorders.  Thanks for any help, sorry if these seem like dumb questions...but I really need the help.


Past medical history s/l ben rr ma gene
Subject: Past medical history s/l ben rr ma gene

Under past medical history, dictator is saying s/l ben r r ma gene.  Or banner arma gene.  ??? 


Patient also has hypertension, dyslipidemia, asymptomatic stroke, sleep apnea, renal insufficiency.  Any ideas?


No clues in the past medical history? n/m
Subject: No clues in the past medical history? n/m

X
afib dictated as past medical history...
Subject: afib dictated as past medical history...

how do you write that out?


atrial fibrillation, afib? 


Too early for me right now.


Can you give the diagnosis or past medical history.
Subject: Can you give the diagnosis or past medical history.

Do you anything that this medication might be for?
doc is dictating past medical history and said exactly what was quoted with nothing else regarding i
Subject: doc is dictating past medical history and said exactly what was quoted with nothing else regarding it. nm

Thanks.
Need help with past medical history list s/l - please see message
Subject: Need help with past medical history list s/l - please see message

Bipolar disorder, dyslipidemia, hypertension, type 2 diabetes, s/l pax dee a tosis (?ptosis).

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Past Medical History: Significiant, only as noted...??
Subject: Past Medical History: Significiant, only as noted...??

JMO
Past medical history: Bilateral pleural effusion, then s/l
Subject: Past medical history: Bilateral pleural effusion, then s/l

chronic stasis - period.  Would that be right?
Child with shoulder injury with past medical history of
Subject: Child with shoulder injury with past medical history of

s/l spheriocytoma. The closest I found was esthesioneurocytoma, but he is not saying "neuro" in between, and that he takes folic acid. Any ideas? Unfortunately, the doc never makes mention again about this diagnosis anywhere on the report.
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Subject: in list of past medical history....hypothyroidism secondary to sm

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foley site in the s/l avera? this is listed in past medical history
Subject: foley site in the s/l avera? this is listed in past medical history


please help! Past medical history includes s/l spilling? cardiac enzymes. Thanks!
Subject: please help! Past medical history includes s/l spilling? cardiac enzymes. Thanks!


how about typing Past Medical History heading and then typing what he says under the heading nm
Subject: how about typing Past Medical History heading and then typing what he says under the heading nm

xx
History significant for "IPP" at age 6?
Subject: History significant for "IPP" at age 6?

I don't see anything in my Abbr. book that might fit this.   s/l IPP or IPT.  Any ideas anyone?  THanks!
Family history significant for s/l share-covery II. thank you
Subject: Family history significant for s/l share-covery II. thank you


patient is a 15-year-old girl with history of significant
Subject: patient is a 15-year-old girl with history of significant

s/l Norwood degenerative type disorder. ???
Past medial history
Subject: Past medial history

The patient is admitted from the clinic where CT visuals showed recurrence of the disease.


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Past social history
Subject: Past social history

When typing amount of cigarettes, is three-quarters a pack a day correct or would you use numerals?


B&B in past surgical history
Subject: B&B in past surgical history

Anyone know what that could be?
Would that be under past surgical history though as he says it is? nm
Subject: Would that be under past surgical history though as he says it is? nm

nm
HTN dictated under past history...
Subject: HTN dictated under past history...

Is it best to leave it as dictated or write out hypertension?  Account is not verbatim.


I'm thinking maybe past history? nm
Subject: I'm thinking maybe past history? nm


past surgical history
Subject: past surgical history

She has had repair of cataracts s/l "in aretnas". I couldn't hear retina. Anyone?
is this a female and are you in past history?
Subject: is this a female and are you in past history?

if it is a youngish woman..........??  Just guessing here, don't know where you are in report......but if in past medical history and there is even more, it's possible, and just use a comma to separate........


....shingles on bridge of nose and some in-vitro problems...



Past surgical history is? nm
Subject: Past surgical history is? nm

nm
Any past history or diagnoses? nm
Subject: Any past history or diagnoses? nm

s
Past Surgical History
Subject: Past Surgical History

Doc is dictating patient's past surgical history.  States she had s/l a budd kay or e malformation based on her MRI at the hospital.  Any clues b/c I am at a loss with this one! 
In past medical hx Telagintafluveum
Subject: In past medical hx Telagintafluveum

Telagintafluveum  
history of multiple pharyngitis’ in the past
Subject: history of multiple pharyngitis’ in the past


past history of bacterial vaginosis ?
Subject: past history of bacterial vaginosis ?


Sounds like past surgical history.
Subject: Sounds like past surgical history.

x
I'm unsure. That was given in past history info and...
Subject: I'm unsure. That was given in past history info and...

patient is in for abdominal pain... hepatic flexure of colon suggesting intraluminal lipoma. I don't know if they are related or not. Also, am wondering if my s/l is an "uh" before "kine-o-chocal" cyst.
If he's listing past surgical history then
Subject: If he's listing past surgical history then

I'd put appendectomy, three D&C's, tonsillectomy.

D&C stands for dilation and curettage