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Secondary cause of hypertension was worked up, including s/l amurin? VMA, metanephrine,free cortisol

Posted By: mm on 2007-09-25
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Subject: Secondary cause of hypertension was worked up, including s/l amurin? VMA, metanephrine,free cortisol




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liquid nitrogen in a free fall free pattern?
Subject: liquid nitrogen in a free fall free pattern?

has anyone heard of this before?  there's a little stumble between "free fall free" and "pattern" so I'm not certain.
am cortisol
Subject: am cortisol

is it a.m. cortisol or AM cortisol or A.M. cortisol please help
am cortisol
Subject: am cortisol

tx vn
maybe AM cortisol levels (nm)
Subject: maybe AM cortisol levels (nm)

x
? hydralazine - for hypertension, CHF, primary pulmonary hypertension.
Subject: ? hydralazine - for hypertension, CHF, primary pulmonary hypertension.


In LAB portion: "a free T and a free T4"
Subject: In LAB portion: "a free T and a free T4"

I cannot find any just free T lab studies to be performed, and I am thinking he is leaving out the number after the T.  I could be wrong though, so if anyone knows of there is a lab test of just a free T please post back and let me know.


 


Thanks so much in advance. 


usually just hear free T3 and free T4. nm
Subject: usually just hear free T3 and free T4. nm

s
no free fluid or free air. sm
Subject: no free fluid or free air. sm

CT scan of the chest, abdomen and pelvis with intravenous contrast ... There is no free fluid or free air.

 

www.telradsol.com/india/report_ct_chest_abdomen.html - 27k - Cached - Similar pages -



  • [PDF]

    RADIOLOGICAL


  • sorry - it was films including comparison
    Subject: sorry - it was films including comparison


    Pt at risk for cva with factors including sm
    Subject: Pt at risk for cva with factors including sm

    age, s/l atria of hypertension. TIA
    Do you capitalize meds through the report, including SM
    Subject: Do you capitalize meds through the report, including SM

    under MEDICATION headings, as well as within the body of the report? I was told AAMT Book of Style says this. TIA
    maybe "only including the hind foot...nm
    Subject: maybe "only including the hind foot...nm

    nm
    All are 2 words including brow lift. nm
    Subject: All are 2 words including brow lift. nm

    .
    Thank - couldn't find anywhere (spelled many ways) including QLDB.
    Subject: Thank - couldn't find anywhere (spelled many ways) including QLDB.

    nm
    Here is some more information. The doctor says There is mild tenderness right wrist region including
    Subject: Here is some more information. The doctor says There is mild tenderness right wrist region including the scaphoid, volvi or volsi? and dorsi


    Are you viewing a joint? Feeling them on an exam? Need more info including a body part! :) nm
    .
    Arimidex is used for treating breast cancer in women who have been through menopause, including wome
    Subject: Arimidex is used for treating breast cancer in women who have been through menopause, including women with disease progression after tamoxifen therapy.


    Probenecid has multiple drug interactions including captopril, metformin and *asophonophoreas.* nm
    Subject: Probenecid has multiple drug interactions including captopril, metformin and *asophonophoreas.* nm

    nm
    google "closed reduced" no comma, and you will find hits including journal articles
    Subject: google "closed reduced" no comma, and you will find hits including journal articles


    when I worked
    Subject: when I worked

    at a hospital in-house, they required 4-year-10-month-old...
    Where I have worked, this has been
    Subject: Where I have worked, this has been

    called a dangerous abbreviation or a doctorism (or nurse practitionerism) or something like that. How to handle it is often account specific, but I would always type out the words three times weekly or else 3x a week, or something that couldn't be misunderstood like that.
    everywhere I have worked it is x2.
    Subject: everywhere I have worked it is x2.

    x
    I once worked for a national that had such bad QA, sm
    that I emailed the supervisor requesting that any document of mine that QA made "alterations," that that QA person's initials be placed alongside mine on the report.  Hopefully, I made my point.
    What's the patient being worked up for? nm
    Subject: What's the patient being worked up for? nm

    s
    Don't think so, but what condition is being worked up? nm
    Subject: Don't think so, but what condition is being worked up? nm

    s
    woo hoo! glad it worked!
    Subject: woo hoo! glad it worked!

    ...especially before you hit the "send" button!
    Not where I've worked
    Subject: Not where I've worked

    The places I work at make it real clear.  If the doctor states Synthroid 100 mg and you type it and leave it that way, that is a patient care error which is the highest number of points I've ever seen taken off.  We have to have 98% or above accuracy and if you mess up and drop below that, you either get correction action (at one place) or get 5% of your pay reduced (at current place).  Now I agree with you that it shouldn't be that way.  My sister-in-law is a nurse and is appalled that we have to do that since we are not in the chain of responsibility regarding medication distribution.  Unfortunately, at least where I've worked, we are responsible for knowing all meds and proper dosages which is why my former employer gives Quick Look to all its employees.
    That question has come up everywhere I have worked, and -- sm
    Subject: That question has come up everywhere I have worked, and -- sm

    ... the consensus, across the board, has always been to use KCl unless specifically told by the dictator in some way that the other was intended (which, so far, has never happened in my experience).

    On the other hand, lots of our dictators routinely say s/l "cipro" and we always give them Cipro as a result, but I suspect that many of them intend ciprofloxacin and are just doing their lazy thang....

    So go figure.
    What has worked for me over the years - sm
    Subject: What has worked for me over the years - sm

    I use all the methods the other poster suggested.  I also begin thinking to myself "what could he/she be saying" here that would fit in with the context?  Can I actually hear anything that is pertinent?  Think in terms of what is being done to the patient, would they have a reason to be using a particular med, technique, test, whatever.  You sometimes just cannot make sense out of garbage no matter what methods you use and even QA will give them big, fat blanks.
    Huh? I worked for an osteophathic doc for 11 years
    Subject: Huh? I worked for an osteophathic doc for 11 years

    Who specialized in osteopathic manipulative treatment and I've never heard of "pub". 


    Does dictator pronounce it "pube" as in "tube" or "pub" as in "let's go get a pitcher of beer? :)


    I worked on an account that wanted us to use pus-like, but you are right. nm
    Subject: I worked on an account that wanted us to use pus-like, but you are right. nm

    xxxx
    I can only speak for the ones I've worked for...
    Subject: I can only speak for the ones I've worked for...

    Only 1 company wanted "disc". The rest wanted "disk".
    I worked for an orthopedic clinic and their
    Subject: I worked for an orthopedic clinic and their

    preference was L2-L3.
    I worked in insurance for 8 years before being an MT and.....
    Subject: I worked in insurance for 8 years before being an MT and.....

    We were told it was Worker's Comp. That was the way the insurance company I worked for at the time wanted it. I think it is just a matter of preference.
    April - I was the exact same but worked a dept....
    Subject: April - I was the exact same but worked a dept....

    I worked in radiation oncology and then helped develop surgical oncology for a local hospital all during the 80s and got very familiar with all the terminology (but admit that I have trouble with all the new combo drugs that are always coming out).


    It gets easier the longer you do it!!! 


    I've worked on site with radiologists
    Subject: I've worked on site with radiologists

    at both hospitals and an outpatient center. AND I worked in the operating room.

    So I offered the OP my best ideas, and all I got for attempting to help was sarcasm.

    You're welcome. Dang.
    Glad to help - worked for ENT group for 20 years!
    Subject: Glad to help - worked for ENT group for 20 years!

    nm
    Hm, maybe he's just saying that one conversion was positive, meaning, it worked.
    Subject: Hm, maybe he's just saying that one conversion was positive, meaning, it worked.

    That's my best guess.
    I typed it for years as 1 word, then worked
    Subject: I typed it for years as 1 word, then worked

    for an ortho clinic for a while and was told it was 2.
    hope the link worked, it was loooong
    Subject: hope the link worked, it was loooong


    sl escleritis secondary to RA - nm - TIA
    Subject: sl escleritis secondary to RA - nm - TIA

    ++++


    secondary to the sub q heprin?
    Subject: secondary to the sub q heprin?

    x
    transaminitis secondary to ?N.A.L.D.? SM
    Subject: transaminitis secondary to ?N.A.L.D.? SM

    The patient swallowed a fentanyl patch.  This is the discharge summary and in it, the ESL doctor says, "Transaminitis, most probably secondary to N A L D vs Lortab intoxication."  She never says these letters again and all I can document is neonatal adrenoleukodystropy.  Since she's almost 60, I don't think that would fit. 
    The companies I've worked for favor writing it out, sm
    Subject: The companies I've worked for favor writing it out, sm

    but it depends on if your account is strict "type what they say" and abbreviations like this are okay. I'm not in my office so I can't check BOS, but I'd bet the BOS says write it out unless you have strict rules about typing what is dictated.
    Not above poster, but every place I've worked has wanted
    Subject: Not above poster, but every place I've worked has wanted

    s
    Just comes from experience. Every job I've worked has handled it differently.
    Subject: Just comes from experience. Every job I've worked has handled it differently.

    s
    GU History: Questionable BPH. He does have *guakisfuria**. He is being worked up for diabetes
    Subject: GU History: Questionable BPH. He does have *guakisfuria**. He is being worked up for diabetes


    Think it is both. I always heard repair from my husband who worked with AF guys. nm
    Subject: Think it is both. I always heard repair from my husband who worked with AF guys. nm


    vertigo secondary to BPPH? sm
    Subject: vertigo secondary to BPPH? sm

    This is in diagnosis. Not BPH, BPPH. Thanks.
    severe? situational? secondary? nm
    Subject: severe? situational? secondary? nm


    SVT secondary to COPD exacerbation. It is a
    Subject: SVT secondary to COPD exacerbation. It is a

    s/l narrow complex?