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See HPI. (as in see history of present illness)

Posted By: MT50 on 2008-02-13
In Reply to: Word help - gina

Subject: See HPI. (as in see history of present illness)




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Not sure, but "Per History of Present Illness?
Subject: Not sure, but "Per History of Present Illness?

Would my guess work? I just checked my Sloan Medical Abbreviations and Eponyms book and found neither "PHPI" nor "CHPI" listed. These abbreviations can be soooo difficult!
I type it History of Present Illness
Subject: I type it History of Present Illness

but that's the way the employer wants it. If it's verbatim I'd type just what he said HPI.
Review of systems: See HPI (History of Present Illness.)
Subject: Review of systems: See HPI (History of Present Illness.)


wild guess..."unremarkable for history of illness" ??? or sm
Subject: wild guess..."unremarkable for history of illness" ??? or sm

or could they be mangling "Unremarkable except as in history of present illness" ???
could they be mumbling "present illness" or current illness
Subject: could they be mumbling "present illness" or current illness


maybe flu illness? nm
Subject: maybe flu illness? nm


illness
Subject: illness

javascript:editor_insertHTML('text','');
javascript:editor_insertHTML('text','');
Some type of illness? What comes before or after this? nm
Subject: Some type of illness? What comes before or after this? nm

s
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. 
history of colorectal history with metastasis to the liver and lymph nodes
Subject: history of colorectal history with metastasis to the liver and lymph nodes


What is the vaccine for or what is the illness or disease?
Subject: What is the vaccine for or what is the illness or disease?


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Subject: long-term illness.. sm

or: illness is long term, without dash... never used longterm... hope this helps
herold versus herald (as in illness)
Subject: herold versus herald (as in illness)

This doctor habitually spells herald/herold, i.e., as in herald symptoms.. Is is herald or herold? Thanks.
Doesn't clinical presentation mean how the illness presents sm
Subject: Doesn't clinical presentation mean how the illness presents sm

itself, not the patient's number of visits.
which is present??
Subject: which is present??

after her surgery. Could mean "still present" after her surgery
She lay in bed, present tense....sm
Subject: She lay in bed, present tense....sm

she laid in bed all day Saturday (past tense).........
s/l vertebrae Why's present
Subject: s/l vertebrae Why's present

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Thanks for any help


can present doppler
Subject: can present doppler

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S/l tar-loff-sis is present in the sacrum.
Subject: S/l tar-loff-sis is present in the sacrum.

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s/l dorsal *kelostity* present...
Subject: s/l dorsal *kelostity* present...

Podiatry again.


There are hammertoe contractures that are increasing in size of digits 2-5 of the right foot.  There is dorsal ______ present at digits three and four at the PIPJ, this is increasing as well especially since this patient is not wearing shoes. 


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on all reps I try for present tense except
Subject: on all reps I try for present tense except


Could the first part be comprehensive instead of can present?
Subject: Could the first part be comprehensive instead of can present?


Bilateral Rouse? are present
Subject: Bilateral Rouse? are present


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Any idea? Thanks


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Subject: s/l on UA she had cass present as well as mucus threads


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Subject: Echo- no wall motion in the s/l value is present?


HEENT s/l early calazian is present......nm
Subject: HEENT s/l early calazian is present......nm


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Subject: Under HEENT, very slight s/l arca senilis is present.

TIA!
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Procedures: s/l can present my vehicle of venous doppler
Subject: Procedures: s/l can present my vehicle of venous doppler


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Subject: Skin: s/l icthius present antecubital region


tachycardia present with a rate of 175 s/l atropic beats
Subject: tachycardia present with a rate of 175 s/l atropic beats


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Subject: Symptoms of epigastric discomfort present s/l *de novo*

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Unless treatment in the report indicates those conditions are present, would just leave blanks. nm
Subject: Unless treatment in the report indicates those conditions are present, would just leave blanks. nm

s
Pt with a miscarriage. A complete placenta appeared to be present w/o any missing SM
Subject: Pt with a miscarriage. A complete placenta appeared to be present w/o any missing SM

s/l caudal lee-dent.
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Subject: to the best of my knowledge it is a word (past/versus present tense)


s/l: "The ___ dens space is present indicating atrophy" (sm)
Subject: s/l: "The ___ dens space is present indicating atrophy" (sm)

s/l  There is some ___ choroid dens space is present


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Subject: Multiple internal s/l syneckyi are present within this popliteal cyst. I know this word....grr!


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Subject: T1 high-grade disease, but no *neeb-teeb muscle* was present. SM for context

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4 liter high humidity nasal canula with present requirements 21 to 22%, _________
Subject: 4 liter high humidity nasal canula with present requirements 21 to 22%, _________

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"the joint sting" osteophytic spurring is present at the medial compartment. knee x-ray. nm
Subject: "the joint sting" osteophytic spurring is present at the medial compartment. knee x-ray. nm

x
past tense or present tense.sm.

in PE.  Doctors love to toggle back and forth between is, are, and was, and were!  On ASR we are told not to over edit!  What would you do.... anybody :)


history
Subject: history

s/ true, screw, tew.


A 20 gauge____  guide monoptic coaxial system was employed to obtain 2 core biopsies of the lesion


OB history
Subject: OB history

CAMT- In my BOS second edition- page 290: Separate GPS sections by commas:


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History of?
Subject: History of?

Could the dictator be saying "history of" cholecystectomy," instead of "her 'seri' cholecystectomy?
history of **leg TB**? sm
Subject: history of **leg TB**? sm

it's on a numbered list so i really dont have anything else to work on. THANKS!
not sure but her history is.....
Subject: not sure but her history is.....

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??? not sure, not really any history
Subject: ??? not sure, not really any history

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Subject: Social history

I forget the proper transcription for this regarding numbers--


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Subject: patient history

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Subject: family history

7yo girl with pneumonia. no family history of asthma or other chronic lung disease, immune deficiency or decreased sl-fertility.