After reading all of it, would change my answer to distally going with sensation. Not sure about th
Posted By: Terri on 2008-09-30
In Reply to: Here is more... - MT
Subject: After reading all of it, would change my answer to distally going with sensation. Not sure about the second ??.
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Do you think it could be distally?
Subject: Do you think it could be distally?
Might be saying something like 3 clips distally and 1 clip proximally?
Subject: Might be saying something like 3 clips distally and 1 clip proximally?
Pt undergoing endarterectomy. This was secured in plate with a s/l Davies-Goetzke clamp distally.
Subject: Pt undergoing endarterectomy. This was secured in plate with a s/l Davies-Goetzke clamp distally.
I know I've heard this before, but the brain today is in a total fog...x_X
Mo, I just sent an e-mail to the doc to get answer. Thx for help. Will post answer. THX
Subject: Mo, I just sent an e-mail to the doc to get answer. Thx for help. Will post answer. THX
Sensation ?
Subject: Sensation ?
? sensation
Subject: ? sensation
? sensation
Subject: ? sensation
I think your doc has been reading
Subject: I think your doc has been reading
too much Harry Potter. I think there are Lamentors in there.
No wait, those are Dementors.
Never mind.
reading of an x-ray sm
Subject: reading of an x-ray sm
His zygomatic frontal and zygomatic temporal bones ? are all intact
I bet it is reading! nm
Subject: I bet it is reading! nm
,,
pin prick sensation.
Subject: pin prick sensation.
We also checked 2 point and 1 point pin sensation discrimination and this was intact. (I am questioning discrimination have not heard it this way before I may be hearing discrimination incorrectly, any tips?)
Usually a *fluttering* sensation. (nm)
Subject: Usually a *fluttering* sensation. (nm)
x
discomfortable sensation?
Subject: discomfortable sensation?
xx
gross sensation? sm
Subject: gross sensation? sm
PDF]
File Format: PDF/Adobe Acrobat - View as HTMLNext, test gross sensation of Cranial Nerve V. Tell the patient to close their .... locations bilaterally to test for temperature sensation. Light touch ...
gas/gaseous sensation?
Subject: gas/gaseous sensation?
.
ahh-voo-cartic sensation??sm
Subject: ahh-voo-cartic sensation??sm
s/l "ah-voo-cartic" sensation is intact bilateral lower extremities, retrograde sensation for sharp, dull, vibratory and proprioception."
He is reading from a list sm
Subject: He is reading from a list sm
that the patient wrote so I feel sure that is it. Thanks!
I believe you are reading it wrong sm
Subject: I believe you are reading it wrong sm
There is a comma between tics and the next item so tics and spasm are separate items.
Reading the article below it seems to dB
Subject: Reading the article below it seems to dB
The relationships among visual acuity (log MAR), diagnostic category, age, the magnitude of a relative afferent pupillary defect (RAPD) in log units, photopic foveal thresholds to white and colored light (dB), and the mean deviation on the Humphrey visual field (dB) were studied in patients with various optic neuropathies. All acuity and dB values were expressed as interocular differences, the majority of cases having normal acuity in the fellow eye. In multiple regression analyses, acuity and RAPD were alternately chosen as the dependent or response variable with all remaining variables serving as the predictors or independent variables. The main finding was that the only significant predictor of a RAPD was the interocular mean deviation difference on the Humphrey field and the only significant predictor of acuity was the foveal threshold to white light. Redundant and insignificant variables were therefore identified with multiple regression analysis. Subsidiary findings include: (a) although diagnostic group was not a significant predictor in the above, simple linear regression line slopes relating RAPD magnitude to the Humphrey mean deviation were significantly different between optic neuritis and compression categories; (b) for a given level of acuity, foveal thresholds were substantially worse in these cases with neuronal damage than in strabismic amblyopia, refractive error, or corneal damage; and (c) sensitivity losses for red vs. blue light were similar...
Perhaps he is reading what the patient
Subject: Perhaps he is reading what the patient
incorrectly wrote down in place of Maxalt. That's not so uncommon. I'd leave a blank.
Can a lab reading be "small"??
Subject: Can a lab reading be "small"??
Patient is having high blood sugar and in her labs, dictator says something that s/l "serum acetone small." Is this right or am I crazy?
Hmm after reading the dictation again, you may be right...sm
Subject: Hmm after reading the dictation again, you may be right...sm
Mohs does make sense, he does say with negative results, and this was done some time after the p63, TTF-1, etc. THANK YOU for that great point! My brain is so done today.
Reading your sentence I would think sm
Subject: Reading your sentence I would think sm
That the EEC is enteropathic E. coli due to the anxiety.
He may be reading from what the pt wrote
Subject: He may be reading from what the pt wrote
My doctor does that. He reads the drug as it was incorrectly written by the pt or the medical assistant. I have to look at the PMH to figure it out.
Strength is 5/5 throughout. Sensation is intact.
Subject: Strength is 5/5 throughout. Sensation is intact.
is how I would do it.
pinprick sensation #1...patchiness #2....
Subject: pinprick sensation #1...patchiness #2....
but it's pinprick sensation (with a k)....*S*
not passiveness - rather patchiness.....
so...dull, aching sensation... but your QA may
Subject: so...dull, aching sensation... but your QA may
s
hypesthesia (loss of sensation)?
Subject: hypesthesia (loss of sensation)?
sensation and strength intact. (nm)
Subject: sensation and strength intact. (nm)
.
dr says s/l "grass" sensation while yawning
Subject: dr says s/l "grass" sensation while yawning
The working diagnosis at this point in time is paresthesias of the right thigh.
There is a s/l grass or glass sensation to light touch on the anterior and anteromedial aspect of the right thigh from the suprapatellar region to the proximal thigh region.
You're right, it's sensation. Thanks sooooo much!!!
Subject: You're right, it's sensation. Thanks sooooo much!!!
cardiology, echo reading
Subject: cardiology, echo reading
The aortic valve appears to be a s/l tri-commish-er valve with fusion of one s/l commish-er and acts as a bicuspid aortic valve.
he is pretty clear with both of these, but I cannot verify either one. Thanks!!
How is this being treated or is this an xray reading? nm
Subject: How is this being treated or is this an xray reading? nm
s
Blood Pressure Reading
Subject: Blood Pressure Reading
I had a doctor who did this also, and the person who QA'd my report told me to put it just like you have it except told me to use 120/80 without the "s".
Blood glucose reading, please sm
Subject: Blood glucose reading, please sm
Doc is saying "patient went back on Metaglip and now his sugars are around *100 mg percent*. I've never heard that, just sugars around 100 or whatever, no "mg percent". Thanks for any help!
reading that, it sounded rude. sm
Subject: reading that, it sounded rude. sm
I did not mean it that way. Again, just a pet peeve of mine.
Maybe an anesthetic reaction? Dulling of sensation? nm
Subject: Maybe an anesthetic reaction? Dulling of sensation? nm
s
GOT IT!!! EDG patient has choking sensation when swallowing.
Subject: GOT IT!!! EDG patient has choking sensation when swallowing.
Thanks.
patient had a ***clupping*** sensation in the chest SM
Subject: patient had a ***clupping*** sensation in the chest SM
he has been diagnosed with atrial fibrillation in the past and presents with palpitations.
neuro exam - says intact sensation, "V-one, V-two,
Subject: neuro exam - says intact sensation, "V-one, V-two,
and V-three" - would that be VI, VII, VIII or V1, V2, V3 ??
Neuro - not sure if I have this right - sensation testing of diabetic sm
Subject: Neuro - not sure if I have this right - sensation testing of diabetic sm
Usually this doc says something along the lines of monofilament testing is intact, which is also how the other docs have dictated it to one degree or another.
However, this time he says, "a nylon string test reveals s/l 5 point of sensation on both feet."
Don't know if it should be 5 points of sensation, 5-point sensation, or if it's simply 5.0 sensation. Is anyone aware of how to type this?
Thanks for any help with this.
Neuro - not sure if I have this right - sensation testing of diabetic sm
Subject: Neuro - not sure if I have this right - sensation testing of diabetic sm
Usually this doc says something along the lines of monofilament testing is intact, which is also how the other docs have dictated it to one degree or another.
However, this time he says, "a nylon string test reveals s/l 5 point of sensation on both feet."
Don't know if it should be 5 points of sensation, 5-point sensation, or if it's simply 5.0 sensation.
Is anyone aware of how to type this?
Thanks for any help with this.
Bet the doctor is reading off the patient's list that sm
Subject: Bet the doctor is reading off the patient's list that sm
the patient wrote him/herself. When they can't tell what it is, they often spell it the way the patient did. I'd leave a blank and make a note with the doctor's spelling if you've already researched the term and found nothing to verify it. I found nothing in my Drake. I never trust a doc's spelling of ANYTHING!!
Bet the PA is reading the patient's history sheet. sm
Subject: Bet the PA is reading the patient's history sheet. sm
9 times out of 10 it is arthroscopy and meniscectomy.
Is this a follow up to lab work or reading a film, etc.? nm
Subject: Is this a follow up to lab work or reading a film, etc.? nm
s
I always enjoy reading your replies. Thanks for the info also!
Subject: I always enjoy reading your replies. Thanks for the info also!
reading med list says Toprol, B6?, Protonics..is B6
Subject: reading med list says Toprol, B6?, Protonics..is B6
B6 is okay?
He's very clear. I'm thinking he's reading from pt note.
Subject: He's very clear. I'm thinking he's reading from pt note.
Reading comprehension test s/l Wyatt? nm
Subject: Reading comprehension test s/l Wyatt? nm
xx
WAG but maybe she's reading some bad handwriting and could be "and herniation?"-nm
Subject: WAG but maybe she's reading some bad handwriting and could be "and herniation?"-nm
Neurological: Moving all 4 extremities and s/l withdrawing to sensation.
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