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The patient is gravida 2, "TIB" 2?? or maybe she's saying TAB2?? help! thanks!

Posted By: jen on 2009-01-20
In Reply to:

Subject: The patient is gravida 2, "TIB" 2?? or maybe she's saying TAB2?? help! thanks!

mn


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"tib-peritoneal" disease?
worsening outflow tract disease of the right leg, most notably _____ disease.  Tip-peritoneal?  Tib-peritoneal?  I'm clueless here...  TIA
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Subject: "tib peroneal disease" ??

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Could this be?  Thanks


s/l *men r p* 15, gravida 0 sm
Subject: s/l *men r p* 15, gravida 0 sm

Postoperative H&P for patient with multiple breast lumps.


Gravida IV
Subject: Gravida IV


gravida 0 (nm)
Subject: gravida 0 (nm)

dd
ENDIQUA - TP is a gravida 2,
Subject: ENDIQUA - TP is a gravida 2,

x
gravida/para
Subject: gravida/para

I think it makes sense if she is currently pregnant.  Gravida 11 -- pregnant 11 times, then the 2-0-8-2 means she has had 2 live births/ 0 preterm births / 8 miscarriages / 2 living children. 


Gravida/Para
Subject: Gravida/Para

All CP issues aside, I have always been told to not take it upon ourselves to abbreviate unless the dictator abbreviates. I wouldn't "zing" someone for it, but would probably correct it and put a comment.
gravida para
Subject: gravida para

Dictated as "G3 P2 100."  Not sure how to transcribe it properly.  TIA. 


G4, P1-1-1-3. Gravida 4, para 1....as below....
Subject: G4, P1-1-1-3. Gravida 4, para 1....as below....

xx
gravida 3, para 0-2-1
Subject: gravida 3, para 0-2-1

Usually the para is a single number or set of 4.  If there's a 4th number just add another hyphen.
help on gravida-para
Subject: help on gravida-para

I'm still a student, and I've been presented with the phrase "gravida 5, para 4-1-1-3, and asked if it "refers to 5 pregnancies resulting in 4 full-term deliveries plus 1 premature birth plus 1 abortion/miscarriage with 3 living children".


My belief is that 4 full-term, 1 premie, and 1 miscarriage should add up to gravida 6, making the above formula invalid. Is that an accurate assessment, or am I missing something?


help on gravida-para
Subject: help on gravida-para

G 5 P 4-1-1-3 actually means that this female was pregnant 5 times, gave 4 living births (not full-term), one of these 4 was a preterm baby, she had one abortion or still birth, and she has 3 living children.


I hope that I was of any help.


I was taught gravida 0. NM
Subject: I was taught gravida 0. NM


Gravida/Para

Do you type this as:


G2, P2-0-02, or


G 2 P 2-0-0-2? 


I put a space in between the G/number and P/number.  Am I doing this wrong?  If we were typing out the words, we'd be typing gravida 2, para 2.  Thoughts?


QA question; gravida/para

Is the rule still to spell out gravida para abortus if the number 0 is dictated with them, i.e., dictated G1, P0 transcribed as gravida 1, para 0.  I can't find this is the second edition of BOS. 


Another question...gravide 4 or gravida IV?
Subject: Another question...gravide 4 or gravida IV?


Stedman's says Roman numerals, such as Gravida I
Subject: Stedman's says Roman numerals, such as Gravida I


Unless it is considered gravida 2, para 2, "live births" 2?
Subject: Unless it is considered gravida 2, para 2, "live births" 2?


gravida 1 and para something: para is live births. sm
Subject: gravida 1 and para something: para is live births. sm

See this link:


 


http://www.meditec.com/obstetrics-words.html


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


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

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

nm
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Subject: Patient given PPD - sm pls

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Subject: HIV patient. Please sm.

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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?
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Subject: new patient

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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


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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

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Doc is saying the patient is this PDI-3 or
Subject: Doc is saying the patient is this PDI-3 or

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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,

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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.

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Subject: patient

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Subject: What is patient seen for?


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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


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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