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pt with dental pain - on PE, states "...'OROBUCCAL (1 word?) SYMPOSIN' appears to be normal

Posted By: vn on 2009-01-13
In Reply to:

Subject: pt with dental pain - on PE, states "...'OROBUCCAL (1 word?) SYMPOSIN' appears to be normal"




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rotator cuff s/l intensity appears normal.
Subject: rotator cuff s/l intensity appears normal.


He states childs platelet count normal...
Subject: He states childs platelet count normal...

but I cannot find normal values for kids. I have tried google but I am having one of those days I guess.
Patient states the pain is located in the posterior lower back or **box** region. This is a new PA
Subject: Patient states the pain is located in the posterior lower back or **box** region. This is a new PA

student dictating but I have never heard this term used. Any help would be appreciated.  Thxs
Phys exam on 2 yr old - Heart regular rate. ?? s/l vascularity appears intact or back appears int.
Subject: Phys exam on 2 yr old - Heart regular rate. ?? s/l vascularity appears intact or back appears int.


antibiotics for dental exams and dental work
Subject: antibiotics for dental exams and dental work

This is SBE prophylaxis (subacute bacterial endocarditis) which is given to patients with heart valve disease.  When dental work is done, this causes the bacteria from the mouth to go into the system and can cause vegetation on one or more of the heart valves....which is a very serious and possibly life-threatening situation.  Most surgeries require this be done before the procedure, even certain nonsurgical procedures that may be less invasive, require it as well.  However, the guidelines are less stringent than they were previously.  Hope this helps.
By the way, also states in AAMT BOS2 that 0 is correct for sutures as per The United States Pharmaco
Subject: By the way, also states in AAMT BOS2 that 0 is correct for sutures as per The United States Pharmacopeia system sizes...


It also states to "precede by # or No. if the word 'number' is dictated. sm
Subject: It also states to "precede by # or No. if the word 'number' is dictated. sm

"Keep in mind that 'French' is linked to diameter size and is not the eponymic name of an instrument. Thus, it is a 15-French catheter, not a French catheter, size 15."
Dr. states no emolliation used on itchy skin - I cannot find this word in dictionary only emollient
Subject: Dr. states no emolliation used on itchy skin - I cannot find this word in dictionary only emollient


Is sternitis a true word? Doc states"denies epistaxis or s/l sternitis." TIA.
Subject: Is sternitis a true word? Doc states"denies epistaxis or s/l sternitis." TIA.


has a normal s/l affact. Help, I can't think of a simple word?!!? sm
Subject: has a normal s/l affact. Help, I can't think of a simple word?!!? sm

Patient is orineted times three and has a normal ______. s/l affact.

My mind is drawing a blank
word help - pain management
Subject: word help - pain management

The patient will undergo diagnostic  s/l   putivly    therapeutic costotransverse costovertebral joint blockade. 
It is possible if doc is just using the word as an adjective describing any associated pain.
Subject: It is possible if doc is just using the word as an adjective describing any associated pain.


Yeah :) It does really sound like he's describing the pain with this word. nm
Subject: Yeah :) It does really sound like he's describing the pain with this word. nm


no dont think so, the two line prior are LFTS normal and Chem-7 was normal
Subject: no dont think so, the two line prior are LFTS normal and Chem-7 was normal


I would use saline since it's the solution he's changing from half-normal to normal, not the
Subject: I would use saline since it's the solution he's changing from half-normal to normal, not the

s
Lower back pain" is probably the most common use in AE - though "lumbalgia" is a real word
Subject: Lower back pain" is probably the most common use in AE - though "lumbalgia" is a real word in English medicine...it's rarely used.

.
It appears that the (sm)
Subject: It appears that the (sm)

measurement for lamotrigine level is mcg/mL.  There is such a measurement as mg%, but I am not sure if that is how lamotrigine is measured.
It appears to be a (sm)
Subject: It appears to be a (sm)

term most often used with laparoscopic procedures.  I found several sites mentioning an intraumbilical incision.  Here is an excerpt from a sample report from another MT site: 


OPERATIVE PROCEDURE: LAPAROSCOPIC BLADDER NECK SUSPENSION

Trocar placement may vary according to the preference of the surgeon. Usually, a 10-mm trocar is placed through an intraumbilical incision and another 10-mm trocar is placed suprapubically, followed by two 5-mm trocars placed laterally. Laparoscopes with different viewing angles are available. The selection of a straight or angled optic is the surgeon's personal choice. We prefer the straight, forward optic.


That appears to be a company...
Subject: That appears to be a company...


Had that one wrong it appears (nm)
Subject: Had that one wrong it appears (nm)

x
Currently appears stable?
Subject: Currently appears stable?

  Where there are no other instructions after that sentence, i.e. ordering a test or medication, the word "stable" comes to my mind.
Sorry, appears to be hemoglobin...nm
Subject: Sorry, appears to be hemoglobin...nm

x
It appears that the has now ___ s/l defervesced....Is this right?
Subject: It appears that the has now ___ s/l defervesced....Is this right?

x
normal Pap smear in there anywhere? Normal Pap in 2006?nm
Subject: normal Pap smear in there anywhere? Normal Pap in 2006?nm


normal motility? normal motilities? nm
Subject: normal motility? normal motilities? nm


You are probably hearing normal BUS or normal BUSV. sm
Subject: You are probably hearing normal BUS or normal BUSV. sm

BUS                                       Bartholins/Urethra/Skene’s


 


BUSV                                     Bartholins/Urethra/Skene’s/vagina.


 


Here is abbrev link for you.       


 


http://www.healthsystem.virginia.edu/internet/obgyn-clerkship/UVA/Abbreviations.cfm                         


In LD says UA normal and then what sounds like C-MENT T is normal (maybe CMT)? nm
Subject: In LD says UA normal and then what sounds like C-MENT T is normal (maybe CMT)? nm


may be normal values or normal range? nm
Subject: may be normal values or normal range? nm

nm
the patient has what appears to be a "vertig"
Subject: the patient has what appears to be a "vertig"

fracture of the right eighth rib.
Metabolic: Currently appears _________ -sm
Subject: Metabolic: Currently appears _________ -sm

Listed in the impression of consult by nephrology doctor. Here is what is before and after:

4. DIABETES MELLITUS. Continue insulin.
5. METABOLIC: Currently appears s/l "sensible" or "extensible."
6. ANEMIA MANAGEMENT. We will add Epogen. The patient’s hemoglobin and hematocrit are below goal.

However at this time clinically, she appears....
Subject: However at this time clinically, she appears....

too many commas for me
Did you receive my email containing the link? It appears to
Subject: Did you receive my email containing the link? It appears to

So, sorry. I tried to help you. Guess she felt it wasn't noteworthy.
It appears to be a correct term for a type of MRI
Subject: It appears to be a correct term for a type of MRI

T1W High-Resolution Isotropic Volume Examination
? she is normal cardic under examination. ? the word cardic
Subject: ? she is normal cardic under examination. ? the word cardic


possibly occult sciatic pain ( pain hidden/concealed/not manifest) ? nm
Subject: possibly occult sciatic pain ( pain hidden/concealed/not manifest) ? nm


This 4 year, 10-month-old child appears her stated age
Subject: This 4 year, 10-month-old child appears her stated age


PAR-Q appears to be some kind of health history per Google. nm
Subject: PAR-Q appears to be some kind of health history per Google. nm

x
on exam, pt appears alert and s/l "infantating" (end of sentence)
Subject: on exam, pt appears alert and s/l "infantating" (end of sentence)


if it's in the spine, it could be "discogenic" pain versus "facet"-related pain
Subject: if it's in the spine, it could be "discogenic" pain versus "facet"-related pain


I'm sorry, it appears I am a total goober and was hearing heard it all wrong. Thx for your help.
Subject: I'm sorry, it appears I am a total goober and was hearing heard it all wrong. Thx for your help. nm


s/l BTV? status post appendectomy (this appears in a list of diagnoses)
Subject: s/l BTV? status post appendectomy (this appears in a list of diagnoses)


Pleural fluid appears to be s/l ex hit ta tive with an LDH of 589.. see message pleez :)
Subject: Pleural fluid appears to be s/l ex hit ta tive with an LDH of 589.. see message pleez :)

ultra-sound guided thoracentesis was performed in the clinic with the removal of 1.6 liters of serosanguineous pleural fluid.  The fluid appears to be "ex hit a tive" with an LDH of 589, protein of 3.6, pH of 7.8, and glucose of 79.  The pleural fluid cytology is pending at the time of dictation. 
dental
Subject: dental


Dental help
Subject: Dental help

Sentence:  Dissection buccally was carried inferiorly along the lateral cortical plate and the mandible to identify the mental, foramen and (S/L insexapine nerve). I've googled til I can't google any more. Wasted so much time already.
FYI - dental help
Subject: FYI - dental help

The other day I posted for dental help. FYI, got feedback today and could kick myself now.


Here's the sentence:


Dissection buccally was carried inferiorly along the lateral cortical plate and the mandible to identify the mental foramen and (S/L insexapine nerve).


The word was mental foramen and its exiting nerve. He really mumbled that together.


Anyhow, thanks for trying to help.


could be TKA-total knee amputation. pain could be "ghost" pain --nm
Subject: could be TKA-total knee amputation. pain could be "ghost" pain --nm

///
Drug name - s/l amarek, for back pain and neck pain
Subject: Drug name - s/l amarek, for back pain and neck pain

Any ideas?  Thanks! 
Can you hear bunion for the first word? And the second can you hear symptomatic or sensory pain?
Subject: Can you hear bunion for the first word? And the second can you hear symptomatic or sensory pain?


dental elevators--sm
Subject: dental elevators--sm

I found a list of dental root elevators and the closest to what you are looking for is either Flohr elevators, or Warwick elevators. they are numbered by #1, #2, #3, and then angled left, right, straight or serrated. Don't know if this helps...hope so.
dental report: sm
Subject: dental report: sm

Restorative material utilized was bond 1A1 s/l Artisty? RTSD?
dental? Luxor? nm
Subject: dental? Luxor? nm