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Clarification - s/l symptom status

Posted By: SG on 2007-08-08
In Reply to: Mental Status Exam: Symptom Status? - SG

Subject: Clarification - s/l symptom status

To clarify, I need help with this:


He smiles much of the time; he is cooperative.  s/l Symptom status revealed that he knew that George Bush was the current president and that Bill Clinton preceded him.  He denies hearing any voices.....


Thanks!




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Mental Status Exam: Symptom Status?
Subject: Mental Status Exam: Symptom Status?

Here's the context: He smiles much of the time; he is cooperative.  Symptom status revealed that he knew that George Bush was the current president and that Bill Clinton preceded him.  He denies hearing any voices..... 


Symptom sounds similar to System, Simple, etc., for this example.  Any input?


I wouldn't change" status" to "with" here, performance status is, sm
Subject: I wouldn't change" status" to "with" here, performance status is, sm

a specific term to quantify the patient's well being, "performance with" doesn't mean the same thing. 
No, it is a symptom and unless it is the
Subject: No, it is a symptom and unless it is the

beginning of a sentence makes no sense to capitalize it.
could the second word be symptom?
Subject: could the second word be symptom?

and then work from there?  doesn't make any sense, obviously, with ulnar, but you'd think he'd say an or a whatever? Tell me what you think about symptom
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Subject: AUA symptom score

His AUA symptom score is as follows:  bladder emptying 2, frequency 4, interim ?__________? 3, urgency 3, screen 3-4, strain 1, nocturia 4-5, quality of life score 3-4/6.  


 


also, usually it is syndrome of, not symptom of
Subject: also, usually it is syndrome of, not symptom of


Medication? Symptom ?
Subject: Medication? Symptom ?


Hi Charlie, is there any symptom or sentence with that?
Subject: Hi Charlie, is there any symptom or sentence with that?


Photopsia? a symptom of retinal detachment. nm
Subject: Photopsia? a symptom of retinal detachment. nm

nm
clarification
Subject: clarification

"... the lacertus fibrosus (bicipital fascia), which passes obliquely downward and medialward across the brachial artery, and is continuous with the deep fascia covering the origins of the Flexor muscles of the forearm..." per Gray's Anatomy. Hope this helps.
all right, thanks for the clarification
Subject: all right, thanks for the clarification


clarification
Subject: clarification

Does the following make sense? Fundi: Did have some status post laser therapy of the cerumen occlusion in the left ear.
clarification
Subject: clarification

I mean like a bedroom "air mattress"


Clarification, please
Subject: Clarification, please

You listed this:
Lowercase the first letter of each item
in a series following a colon when the items are separated by commas.
The patient is on the following medications: Theo-Dur, prednisone, Bronkometer.

It says 'lowercase the first letter of each item in a series...but Theo-Dur has a capital letter...can you please tell me which of my examples is correct? Thanks
Further Clarification
Subject: Further Clarification

I think I am just confusing the issue for you. Here is what the BOS says about Military time. Maybe this is more helpful.

"Military time identifies the day's 24 hours by numerals 0100 through 2400. Hours 0100 through 1200 are consistent with a.m. hours 1 through noon, while hours 1300 through 2400 correlate with p.m. hours 1 through midnight.

This form takes four numerals. Do not separate hours from minutes with a colon. Do not use a.m. or p.m."

In my previous post I made a mistake, I told you if the number started with a 1 0r a 2 it was p.m. - that is not true. 1000 hours is 10 a.m. 1100 hours is 11 a.m. and 1200 hours is noon. 1300 hours is 1 p.m. etc...
SM for quick clarification...
He has a long-standing problem. However, his problem is of long standing.

(Just thought I'd mention it.) *grin*
clarification of verbatim!!
Subject: clarification of verbatim!!

I am told to type some test files verbatim and I know that means exactly the way the dictator is saying it.  My problem is the doctor is saying ain't and doesn't, which are contractions.  This just do not seem right, right? 
clarification of my response
Subject: clarification of my response

I would leave it as you have it if the doctor is talking about two different fingers, which was my assumption.  In my experience, doctors like to omit the word and a lot and commas are substituted.  If he/she is taking about the same finger, then omit the comma. 
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Subject: Clarification - s/l hindru intox

To clarify, I need help with this:


He was found to be in rhabdomyolysis and s/l hindru intox was positive for amphetamines, benzos, opiates, and THC.


Thanks!


I stand corrected. Thanks for the clarification on that! nm
Subject: I stand corrected. Thanks for the clarification on that! nm

.
jg, thanks for that clarification. It makes sense.
Subject: jg, thanks for that clarification. It makes sense.

Thanks
Clarification - Hopital Course - leave abbreviations?
Subject: Clarification - Hopital Course - leave abbreviations?

Oops!  I meant, in the discharge summary under the hospital course heading must we expand dictated abbreviations as we would under the impression or diagnosis?  Or is it acceptable to leave them verbatim.


Thanks!!!!!!


For further clarification, per AAMT BOS2 if there is a value associated with this abbreviation it sh
Subject: For further clarification, per AAMT BOS2 if there is a value associated with this abbreviation it should be sq cm, i.e. 2 sq cm not 2 cm2 as too many numerals may cause confusion and not be easily read.


Status post stent placement and status post s/l key-til? placement
Subject: Status post stent placement and status post s/l key-til? placement


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In assessment if dictates DNR-how would you transcribe that? I know I have to expand, but would I capitalize it or just leave it do not resuscitate?
Status
Subject: Status

No, I said status means "with." Replace the word "status" with the word "with" since they mean the same thing and then you don't need a comma. :-)
Status
Subject: Status

Maybe you're getting a different vibe from the doc than I would. I would think that he meant decreasing performance in say- his activity level. If he meant decreasing performance status, he would actually be saying "decreasing performance condition." Really doesn't make much sense, even for an ESL, while a lot of them do put the noun before the adjective. :-) Status usually means at the present time where status post means the time afterwards. I wouldn't think he meant "decreasing performance status" meaning the condition of decreasing performance but rather "decreasing performance" with nausea, diarrhea, etc. It doesn't seem necessary for him to add the word "status" after "performance, where "decreasing performance," status, i.e, conditions of nausea, diarrhea, etc. would be necessary. But, the doc's ESL, so who really knows. :-)
Status Asthmaticus
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symptoms are refractory to initial bronchodilator therapy in the emergency
status post PCI
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I see this all the time in cardiology.
status post TAB? SM
Subject: status post TAB? SM

Here is a link with some abbrevs for OB/GYN.


 


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


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Subject: patient status

Patient has COPD, recent MI, anemia, is nonambulatory but is stable. She is being discharged for physical therapy. Her prognosis from a cardiac standpoint is [s/l bare/there]. Thanks.
it is mental status
Subject: it is mental status

They give lactulose with hepatic encephalopathy. Helps to lower ammonia level. Dad had cirrhosis so know first hand :-(
status post
Subject: status post

nm
a moribund status
Subject: a moribund status


Neurovascular status. NM
Subject: Neurovascular status. NM


Code status
Subject: Code status

Anyone know if code status is addressed in the AAMT BOS?  I cannot find it but am not certain what to look under either.  Wondering if this should always be set apart with all caps or separate line?
Status post or status-post?
Subject: Status post or status-post?

Just curious..have been using status-post and never heard anything about it being wrong, QA just told me today that it is status post and I can't get with my regular QA gal to clarify..anyone??
Status post
Subject: Status post

I have never seen/used a hyphen either.  I guess it also depends upon what the doctor wants.  I have one doctor where I use a hyphen in follow-up no matter what, and I know that is not "correct" just they way he wants it.   
status post
Subject: status post

no hyphen....Status post
Status post ......
Subject: Status post ......

I am lost ladies......


"Status post (s/l) when-troco-nay pay and gout,time four years."  This is in past history.  Foreign doc. 


Thanks for any help!  Kelley


Discharge status
Subject: Discharge status

Psychiatric discharge summary: Sounds like OPT NSD 'discharge'.


Could it be Vigamox? Many pts are on this status
Subject: Could it be Vigamox? Many pts are on this status

nm
Status post?.................nm
Subject: Status post?.................nm

nm
status post
Subject: status post

Thanks...but I don't think I hear the word Post.
(s/l?) focult status?
Subject: (s/l?) focult status?

(s/l?) focult status?
of occult status
Subject: of occult status


focal status
Subject: focal status

focal status as in Neuro
performance status
Subject: performance status

he presented to my office with s/l; decreasing performance status nausea, diarrhea


If this is decreasing performance status is there any punctuation following?


This is also an ESL


Thanks


Performance status
Subject: Performance status

Since the word "status" means "with" the sentence would read, decreasing performance with nausea, diarrhea.... You wouldn't put a comma before with. It would be bad grammar, IMHO. :-)
Comma after status.
Subject: Comma after status.

x
one never puts post together when status is....
Subject: one never puts post together when status is....

Sorry, I cannot help you with the atouche thing but I saw you put


status postbilateral......


 


As I know it, we put post together with the next word only if STATUS does not precede post....


postmastectomy would be correct but status postmastectomy would be incorrect....s/b status post mastectomy in the latter case.  *S*