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CXR: Negative for focal s/l of-the-note infiltrate.

Posted By: PoodleLady on 2008-12-19
In Reply to:

Subject: CXR: Negative for focal s/l of-the-note infiltrate.




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Maybe free of focal infiltrate?
Subject: Maybe free of focal infiltrate?


focal bony activity or focal bony uptake?
Subject: focal bony activity or focal bony uptake?

dd
five lobe infiltrate
Subject: five lobe infiltrate

The patient has respiratory failure with s/l  five lobe infiltrate?
bilobed infiltrate
Subject: bilobed infiltrate

/
retropacemaker infiltrate? nm
Subject: retropacemaker infiltrate? nm


5-lobe infiltrate is good
Subject: 5-lobe infiltrate is good

Right lung has 3 lobes, left has 2, 5 in all, so "5-lobe infiltrate" is infiltrate in all 5 lobes


plasma cell infiltrate
Subject: plasma cell infiltrate


Wet-prep shows negative whiff, 10-20 WBCs, negative clue, few s/l "LB's". Is LB's right?
Subject: Wet-prep shows negative whiff, 10-20 WBCs, negative clue, few s/l "LB's". Is LB's right? nm


gram-negative, lactose-negative rods is correct. I found a couple of interesting websites SM
Subject: gram-negative, lactose-negative rods is correct. I found a couple of interesting websites SM

after doing a google search for gram-negative, lactose-negative rods.  Basically testing organisms to see if they ferment lactose (positive) or not (negative).


Also, just FYI, gram-negative is not capitalized.


Probably too late, I'm sure.  Better late than never, I guess. 


Ortho - negative straight leg raise and negative s/l Lasek??
Subject: Ortho - negative straight leg raise and negative s/l Lasek??


She had a negative s/l clasp thumb test and a negative Finkelstein's.
Subject: She had a negative s/l clasp thumb test and a negative Finkelstein's.

:-)
Biopsy shows slight lymphocytic infiltrate without vasculitis
Subject: Biopsy shows slight lymphocytic infiltrate without vasculitis

i got it i got it
chest xray showed small sl. antivulor? infiltrate
Subject: chest xray showed small sl. antivulor? infiltrate


focal?
a
Focal?
Subject: Focal?


Focal? nm
Subject: Focal? nm

x
focal
Subject: focal

nm


 


McMurray's negative. Lachman's negative. nm
Subject: McMurray's negative. Lachman's negative. nm


McMurray negative. Lachman negative. No 's at end
Subject: McMurray negative. Lachman negative. No 's at end

x
focal deficit?
Subject: focal deficit?


focal status
Subject: focal status

focal status as in Neuro
Psych note Axis III s/l VPS and neuropathy. No health history in the note. Only meds listed psych
Subject: Psych note Axis III s/l VPS and neuropathy. No health history in the note. Only meds listed psych


Focal bacterial nephritis maybe?
Subject: Focal bacterial nephritis maybe?

or early renal failure or early renal disease? 
No focal motor or neurological deficits
Subject: No focal motor or neurological deficits

nm
cerebellar or possibly focal deficit (?)
Subject: cerebellar or possibly focal deficit (?)


You guys are awesome yes it is focal deficit thank you
Subject: You guys are awesome yes it is focal deficit thank you


Do you hear focal weakness and paresthesias? nm
Subject: Do you hear focal weakness and paresthesias? nm

nm
Patient has a negative wrist extension sign on the right and a negative s/l 3rd finger sign on the R
Subject: Patient has a negative wrist extension sign on the right and a negative s/l 3rd finger sign on the R


Neurologically intact with no focal or (s/l other-lyzing) deficit.
Subject: Neurologically intact with no focal or (s/l other-lyzing) deficit.


Neurologic: No headaches or seizures. Focal weakness of all ??parathesis??
Subject: Neurologic: No headaches or seizures. Focal weakness of all ??parathesis??


This was a high-grade intraductal carcinoma of the breast with focal s/l chromenonecrosis.
Subject: This was a high-grade intraductal carcinoma of the breast with focal s/l chromenonecrosis.


osteonecrosis- pt had "a bone scan significant for area of intense focal [s/l bony labeling]"?
Subject: osteonecrosis- pt had "a bone scan significant for area of intense focal [s/l bony labeling]"?

The whole sentence reads thusly:

The patient also underwent bone scan, this being significant for an area of intense [s/l focal bony labeling] involving the lateral epicondyle of the right femur in an individual without history of trauma, and given his history of aseptic necrosis of the femoral head, it was felt that this might be reflective of osteonecrosis including "osteochondritis desiccans."

Thanks in advance for any help.
noteworthy; note worthy; note-worthy
Subject: noteworthy; note worthy; note-worthy

Just wondering if there is any general rule about transcribing noteworthy.


Also, status post; status-post.


 


Thank you.


 


Op note ref. SM
Subject: Op note ref. SM

http://www.mtdesk.com/frame.php?frame=resources
ER note
Subject: ER note

? pulse ox 99% on room air which is normal per ______ interpretation.


 


ER note thanks
Subject: ER note thanks

Thanks, practically sure it was per the ER physician reading. So, will be ready for next time!

At the end of OP note, he says
Subject: At the end of OP note, he says

what sounds like "mick" instrument and needle count. 


On another, says "sponge, _____and instrument" and that sounds like "lab".  Any clues are appreciated.  Thank you!


OP note help please sm...
Subject: OP note help please sm...

mild (s/l-fibulations-) with changes on the surface of the condyle
Of note..... I want
Subject: Of note..... I want

to thank everyone so much for all the help I have received on this website since I have become an MT.  Bless everyone of you.  I hope one day to help those also asking questions as you all have me.


Op note
Subject: Op note

Dictator says: Local Xylocaine 1% anesthesia 'arfate' cannulated.

What is the 'a' word?
me again - same op note :(
Subject: me again - same op note :(

The wound was irrigated and rough edges were S/L RASSED. 
op note help
Subject: op note help

Using an up-biting basket and a S/L 405 shaver a medial meniscectomy was performed.


 


TIA!


OP NOTE HELP
Subject: OP NOTE HELP

The iliotibial band was then split inline with the incision and retracted anteriorly and posteriorly with a _____ bow.  s/l charming.....


 


The procedure is a cemented bipolar hemiarthroplasty left hip. 


OP NOTE STILL
Subject: OP NOTE STILL

Should have went further in the note...sorry...another blank is


Attention was directed to the proximal femur, which was prepared with a box-cutting chisel, _____ canal finder and a trochanteric router  this sounds like "chauney"


 


ESL help with op note
Subject: ESL help with op note

She says:  With forceps and a S/L barpotta knife the lesion was excised.  (This is excision of a lid nodule). 
have another on this same note - sm
Subject: have another on this same note - sm

Bilateral elbow rheumatoid arthritis. The left side is more advanced with (s/l)'spectus articulusdamage than appears on the right side
op note help
Subject: op note help

This is an excision of a breast nodule.  Two questions:


1. The area was prepped with s/l Cloraprep


2. The needle was grasped with an S/L Alice clamp


See note below
Subject: See note below

 


This is the context of the report.  It sounds just like Waddellian.  He says this quite a bit and it stumps me every time....


PSYCHIATRIC:  The patient was alert and oriented x3 with a somewhat depressed and scattered mood, being very jumpy and quickly agitated by minimal movements or pressures in various areas such as supporting the leg while doing musculoskeletal motor examination for neurologic examination.  The patient definitely showed some ____________________ symptoms through our examination.  When the idea of psychiatric help in this manner was brought up in this case, the patient seemed almost excited to know this was a coming event.


op note help
Subject: op note help

This is a partial medial meniscectomy and synovectomy.


large s/l type 1 plica present - is type 1 correct?


This was resected back to a stable configuration using an s/l oslite shaver or 8 inch shaver (he mumbles) ???


op note help
Subject: op note help

This is for an amputation of the left hallux. 


Upon induction of IV sedtion a total of 10 ml of 0.5% Marcaine plain was infiltrated in a S/L Mayo block type fashion.


Mayo block??? 


note, no h on the end.
Subject: note, no h on the end.

x