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Chief complaint: s/l Stiler enalrgement with hyperthyroidism. Help???

Posted By: MSmt on 2009-04-20
In Reply to:

Subject: Chief complaint: s/l Stiler enalrgement with hyperthyroidism. Help???




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chief complaint
Subject: chief complaint

H & P~the doctor says chief complaint:??  sounds like a-pen-ded di-ver  (crazy, I know)


The patient awakened that morning with right upper quadrant pain, nausea, fever.  The patient has colonic cancer?  thanks for any help


Chief Complaint
Subject: Chief Complaint

Chief complaint right foot right shin pain. Fell and went to emergency room and had s/l radiax of her ankle,shin, elbow and wrist on the right side. Nothing about her head. :-(
Can you hear Chief Complaint in there? nm
Subject: Can you hear Chief Complaint in there? nm


It's a chief complaint. Just put it in quotes and you're done.
Subject: It's a chief complaint. Just put it in quotes and you're done.

(like you have it)

A little crazy is okay if it's in quotes, LOL.

:oD


QA ended up changing it to "right" in chief complaint
Subject: QA ended up changing it to "right" in chief complaint


No dx? No chief complaint? No planned tx? Give us a clue here! nm
Subject: No dx? No chief complaint? No planned tx? Give us a clue here! nm

s
any more info? Type of exam, chief complaint, anything at all.
Subject: any more info? Type of exam, chief complaint, anything at all.

dd
what is the name of a third complaint? S/L thirsory complaint Thanks!
Subject: what is the name of a third complaint? S/L thirsory complaint Thanks!


It could only be repressed if it was hypERthyroidism nm
Subject: It could only be repressed if it was hypERthyroidism nm

:
Could it be carbimazole - for hyperthyroidism??
Subject: Could it be carbimazole - for hyperthyroidism??


there's a "methimazole" for hyperthyroidism ??
Subject: there's a "methimazole" for hyperthyroidism ??


Do you take Synthroid for hyperthyroidism or just hypothyroidism? thank you
Subject: Do you take Synthroid for hyperthyroidism or just hypothyroidism? thank you


hypo versus hyperthyroidism (sm)
Subject: hypo versus hyperthyroidism (sm)

I got an ESL doc that I cannot differentiate between him saying hypo and hyper. 


He states that the TSH is more than the normal level and then prescribes levothyroxine.  Isn't levothyroxine for hypothyroidism?


 


Thanks. Makes sense, hyperthyroidism. nm
Subject: Thanks. Makes sense, hyperthyroidism. nm

xxxx
Well, it is neurology with a chief
Subject: Well, it is neurology with a chief

complaint of unsteadiness of gait. she has a lot of problems, but he says "past medical history: Medical Illnesses: FBS 110. Would you think that would fall under medical illnesses? I'm pretty sure that is what he is saying, though
Patient with hyperthyroidism - "stare sign" ?? Thanks, nm
x
patient has Graves hyperthyroidism..he is listing lab values & one the recording because fuzzy..sm
Subject: patient has Graves hyperthyroidism..he is listing lab values & one the recording because fuzzy..sm

Lab tests done at your office on 08/01/07 indicated a free T4 of 4.36 (0.8 to 1.9), T3 was 390 (72 to 170), and a TSH of less than 0.01.  A WBC count was slightly low at 3.5 (3.9 to 11.3), hemoglobin was 12.5, hematocrit 37.6, _____ of 77 (80 to 102). 


The blank sounds like LEV-IN AND CBU of 77.


??? any thoughts on what lab value this could be based on the normal range of 80 to 102?  thanks.


Medically it would fit, could you give patient's chief complaints and diagnoses? nm
Subject: Medically it would fit, could you give patient's chief complaints and diagnoses? nm

nm
what is the patient's condition/complaint? nm
Subject: what is the patient's condition/complaint? nm


can you give more? Diagnosis? Complaint?
Subject: can you give more? Diagnosis? Complaint?

x
maybe "tertiary" complaint (nomsg)
Subject: maybe "tertiary" complaint (nomsg)

x
Give us the line and context it is used, what is the complaint.
Subject: Give us the line and context it is used, what is the complaint.


Word help s/l glener nerve complaint
Subject: Word help s/l glener nerve complaint

He has not had numbness or tingling in his hands, trouble with walking, s/l glener nerve complaint
Can you give us some info about the patient, i.e. past history, current complaint, etc?
Subject: Can you give us some info about the patient, i.e. past history, current complaint, etc?


There are no palpable cords or calf tenderness, despite the patient’s complaint of diffuse body ache
Subject: There are no palpable cords or calf tenderness, despite the patient’s complaint of diffuse body ache