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severe? situational? secondary? nm

Posted By: Txczech on 2007-07-22
In Reply to: Please help. Sorry but unable to .sm - catzgonewild

Subject: severe? situational? secondary? nm




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or how about moderately severe encephalopathy or moderate-to-severe ? nm
Subject: or how about moderately severe encephalopathy or moderate-to-severe ? nm


Situational
Subject: Situational

My home transcription had me typing it x 3.  My regular job at the office has me typing it times 3.  "x 3" makes more sense and I've had doctors tell me to do it that way in the dictatioin itself.
sl escleritis secondary to RA - nm - TIA
Subject: sl escleritis secondary to RA - nm - TIA

++++


relatively severe, diffuse....
Subject: relatively severe, diffuse....

/
severe ileus?? nm
Subject: severe ileus?? nm

ss
severe phobia maybe? nm
Subject: severe phobia maybe? nm

nm
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. 
......'as severe as HERS'...nm
Subject: ......'as severe as HERS'...nm

nm
s/l cervical or severe?
Subject: s/l cervical or severe?

Cervical or severe spinal stenosis surgery 3 years ago.
vertigo secondary to BPPH? sm
Subject: vertigo secondary to BPPH? sm

This is in diagnosis. Not BPH, BPPH. Thanks.
Yes, have seen that in severe case of cholera
Subject: Yes, have seen that in severe case of cholera


could be, does not pronounce the xi, med list of 18, but does have severe PVD, thanks
Subject: could be, does not pronounce the xi, med list of 18, but does have severe PVD, thanks


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

s/l narrow complex?
secondary to the subcutaneous Heparinn?
Subject: secondary to the subcutaneous Heparinn?


localized severe pain? nm
Subject: localized severe pain? nm

.
Long shot - secondary??
Subject: Long shot - secondary??


agree - probably follicular dermatitis, severe
Subject: agree - probably follicular dermatitis, severe


It was "mucositis secondary to the radiation therapy"
Subject: It was "mucositis secondary to the radiation therapy"

My sister, who is also an MT (with more experience than me), got it in one listen!  Too bad I couldn't get a hold of her earlier.  I'm afraid my s/l wasn't much help.  Thanks to those who put out some ideas though!
severe splanchnic activity with s/l durolap
Subject: severe splanchnic activity with s/l durolap

thank you
Severe narrowing of the lateral recess nm
Subject: Severe narrowing of the lateral recess nm

.
Recurrent ***losis secondary to MRSA.
Subject: Recurrent ***losis secondary to MRSA.

The patient takes tetracycline to treat these areas on her buttocks. TIA!!!
as postop diagnosis says severe central
Subject: as postop diagnosis says severe central

stenosis at L3-4 and 4-5 and s/l fraying/framing?? stenosis at 3-4, 4-5, and 5-1
rule out s/l end of thalamus? secondary to the candidemia
Subject: rule out s/l end of thalamus? secondary to the candidemia


esophageal *pharases* secondary to alcoholis. nm Thanks
Subject: esophageal *pharases* secondary to alcoholis. nm Thanks

nm


patient w severe metatarsal prolapse please sm
Subject: patient w severe metatarsal prolapse please sm

The conservative means of therapy in this case would be orthotic devices with a deep s/l-rale- for the lesser metatarsal heads and support of the metatarsal necks. 
Could it be "evidence of secondary infection?"nm
Subject: Could it be "evidence of secondary infection?"nm


Figured it out. She's saying no scale or secondary infection.
Subject: Figured it out. She's saying no scale or secondary infection.


Sorry, sequelae meaning NO secondary consequence
Subject: Sorry, sequelae meaning NO secondary consequence


Sequelae-meaning secondary consequence
Subject: Sequelae-meaning secondary consequence


Her EMG/NCV showed she has severe CTS on the right with a distal s/l mo-lank-c-see-a of 6.69.
Subject: Her EMG/NCV showed she has severe CTS on the right with a distal s/l mo-lank-c-see-a of 6.69.

:-)
3. Seizure disorder to secondary to s/l monophylies influenza
Subject: 3. Seizure disorder to secondary to s/l monophylies influenza


previous s/l attisoning syndrome secondary to steroid use
Subject: previous s/l attisoning syndrome secondary to steroid use


Differin cream is used for treating severe acne.
Subject: Differin cream is used for treating severe acne.


Foley was maintained throughout the stay secondary to s/l co-poor-ify?
Subject: Foley was maintained throughout the stay secondary to s/l co-poor-ify?


There are bruises on the extremities, but no "local eye a severe" pain???
Subject: There are bruises on the extremities, but no "local eye a severe" pain???

Anyone know what this might be? 


Flare effect?? secondary to hormonal therapy
Subject: Flare effect?? secondary to hormonal therapy

NM
Maybe early severe acute pancreatitis ESAP
Subject: Maybe early severe acute pancreatitis ESAP

.
forgot to add...secondary to Charcot Marie Tooth. *NM*
Subject: forgot to add...secondary to Charcot Marie Tooth. *NM*

x
hardness of hearing secondary to (s/l proprio acusia) - nm
Subject: hardness of hearing secondary to (s/l proprio acusia) - nm


Immunizations are deferred secondary to PACENTIAL side effects.
Subject: Immunizations are deferred secondary to PACENTIAL side effects.

IMMUNIZATIONS


Deferred secondary to PACENTIAL side effects.


ASOS is abbreviation for Adjacent Secondary Organs or Structures, but
Subject: ASOS is abbreviation for Adjacent Secondary Organs or Structures, but

not certain it fits in the manner you describe.
Urology help - phimosis secondary to chronic s/l pose-theet-us (sm)
Subject: Urology help - phimosis secondary to chronic s/l pose-theet-us (sm)

This is just a "sounds like" because he is not the world's clearest dictator :-)


Thanks!


Pt with severe anemia. The patient had s/l tegrabtusol scan that was negative.
Subject: Pt with severe anemia. The patient had s/l tegrabtusol scan that was negative.

Any ideas? I've done Nuclear Medicine, but the way this guy is chewing the word I just drew a blank.
Patient with complex partial epilepsy with secondary generalization.
Subject: Patient with complex partial epilepsy with secondary generalization.


She was on a trip without problication and had severe pain in the left knee. nm
Subject: She was on a trip without problication and had severe pain in the left knee. nm

nm
The tissues are somewhat s/l furbotic especially inferiorly and laterally secondary to radiation.
Subject: The tissues are somewhat s/l furbotic especially inferiorly and laterally secondary to radiation.

n/t
had the *apoplathic* onset of a very severe thunder clap headache-Thanks. nm
Subject: had the *apoplathic* onset of a very severe thunder clap headache-Thanks. nm

nm
more info - secondary to infection with a placement of an antibiotic space nm
Subject: more info - secondary to infection with a placement of an antibiotic space nm


in list of past medical history....hypothyroidism secondary to sm
Subject: in list of past medical history....hypothyroidism secondary to sm

s/l "dis-turds" versus anemia.  The doc is is seriously mumbling but I think he says something like this.


Pt with severe headache - will obtain s/l F E axis before sending to hospital. nm
Subject: Pt with severe headache - will obtain s/l F E axis before sending to hospital. nm