Home     Contact Us    
Main Board Job Seeker's Board Job Wanted Board Resume Bank Company Board Word Help Medquist New MTs Classifieds Offshore Concerns VR/Speech Recognition Tech Help Coding/Medical Billing
Gab Board Politics Comedy Stop Health Issues
ADVERTISEMENT




Serving Over 20,000 US Medical Transcriptionists

DTRs were dictated in sensory exam. Thanks for your help! Still stumped!

Posted By: tiny on 2006-12-18
In Reply to: DTR exam for reflexes? nm - Txczech

Subject: DTRs were dictated in sensory exam. Thanks for your help! Still stumped!




Complete Discussion Below: marks the location of current message within thread

The messages you are viewing are archived/old.
To view latest messages and participate in discussions, select the boards given in left menu


Other related messages found in our database

Sensory exam
Subject: Sensory exam

Thinking about the first one.
position sense - as in sensory exam (I think) (NM)
Subject: position sense - as in sensory exam (I think) (NM)

x
Neuro doc under sensory exam says s/l staring nosia's intact. TIA!!!
Subject: Neuro doc under sensory exam says s/l staring nosia's intact. TIA!!!


CNS physical exam, cranial nerve???, motor, cerebellum??? and sensory were normal...thanks.ASAP
Subject: CNS physical exam, cranial nerve???, motor, cerebellum??? and sensory were normal...thanks.ASAP


I have had this dictated with the abdominal exam,
Subject: I have had this dictated with the abdominal exam,

GU exam, and specifically the back exam. If dictated under a heading, put it where it is dictated.
3+ is referring to size as dictated during exam. nm
Subject: 3+ is referring to size as dictated during exam. nm


3+ is referring to size as dictated during exam. sm
Subject: 3+ is referring to size as dictated during exam. sm

Gleason score relates to prostate tumor size.
normal female ???? peak-- dictated in pelvic exam
Subject: normal female ???? peak-- dictated in pelvic exam

thanks
sensory (as in sensory nerve)
Subject: sensory (as in sensory nerve)


Can someone help me with DTRs?
Subject: Can someone help me with DTRs?

Dr. is dictating ...


Deep tendon reflexes:  (s/l) B, TDR and QA absent.  Does this make sense.


Thanks


DTRs?
Subject: DTRs?

.
What are DTRs?
Subject: What are DTRs?

I have not come across this abbreviation more than twice in my short time as an MT.  Anyone know what DTRs are?
DTRs were 2+ of the bicipital ? bilaterally.
Subject: DTRs were 2+ of the bicipital ? bilaterally.

Any ideas?  I'm a newbie!  Thanks!
Abnormal DTRs can be a sign of being euthyroid.
Subject: Abnormal DTRs can be a sign of being euthyroid.

x
Same ESL. DTRs are diminished both s/l roturian and Achilles. Any ideas?
Subject: Same ESL. DTRs are diminished both s/l roturian and Achilles. Any ideas?


Just as you have it if that's what was dictated. If "one fourth" was dictated, sm
Subject: Just as you have it if that's what was dictated. If "one fourth" was dictated, sm

it would be 1/4 pill or one fourth of a pill.


Def an 'N' dictated - Diabetes unsure of - no PMH dictated
Subject: Def an 'N' dictated - Diabetes unsure of - no PMH dictated


sensory testing? nm
Subject: sensory testing? nm

nm
s/l triple sensory
Subject: s/l triple sensory

 It showed occasional frequent PVCs with triple accelerated idioventriclar rhythm.
sensory radiculitis
Subject: sensory radiculitis


Motor-sensory question

would this transcribed as Motor-sensory:  5/5 or as a clipped sentence Motor-sensory 5/5. 


Under the physical examination


palmar sensory studies? nm
Subject: palmar sensory studies? nm

nm
It is "pure" sensory neuropathy
Subject: It is "pure" sensory neuropathy


We type it as dictated, if dictated
Subject: We type it as dictated, if dictated

c spine we transcribe C-spine, if cervical then cervical spine.
Clipped sentence. Motor/sensory 5/5. nm
Subject: Clipped sentence. Motor/sensory 5/5. nm

s
It's median sensory evoked potential....
Subject: It's median sensory evoked potential....

This test is dedicated to testing the median nerve.
motor and sensory s/l mentality intact
Subject: motor and sensory s/l mentality intact


Pt to physical therapy for presumed "saracalgia" and possible mild sensory radicular signs. sm
Subject: Pt to physical therapy for presumed "saracalgia" and possible mild sensory radicular signs. sm

The only other neurological complaint that he has had is some low-grade headache at the base of his skull in the left side of his neck that sometimes radiates to his shoulder, which has been going on since November. He is going to physical therapy for presumed saracalgia and possible mild sensory radicular signs.
total sensory absence *intesting* with a 10 gram Semes-Weinstein monofilament.-nm Thanks.
Subject: total sensory absence *intesting* with a 10 gram Semes-Weinstein monofilament.-nm Thanks.

nm
Throat exam is normal, as were the rest of her neck, face, and skull exam.
Subject: Throat exam is normal, as were the rest of her neck, face, and skull exam.


Eye exam: s/l "sub-lamp" exam shows left side has multiple small punctations in the cornea.(t
Subject: Eye exam: s/l "sub-lamp" exam shows left side has multiple small punctations in the cornea.(thanks)


Physical exam on eye exam, s/l Cardinal Welk's space?? noted.NM
Subject: Physical exam on eye exam, s/l Cardinal Welk's space?? noted.NM


When you get stumped like this try...
Subject: When you get stumped like this try...

...asking yourself a few questions that can help.

For example: You're looking at the cervix (visualize with me), there isn't much in the way of structure in the cervix, so your choices are limited. You've got a clue in the dictation--orifice. What is the orifice called? "Os." Sounds like you've got a doc that belches his way through the term, but the only logical choice for this particular term would be os.

Isn't transcription fun?!

thank you. i was really stumped.
Subject: thank you. i was really stumped.

x
stumped...sm
Subject: stumped...sm

If that measurement is correct, 0.45 mm, it sounds to me like the diameter of a WIRE not a plate...without more info, I can't think of anything that would fit here. I suppose 0.45 mm could be the amount of DISTRACTION created if they're using a plate and screws, but again without more info, i don't know...sorry!
really don't think so--I'm stumped
Subject: really don't think so--I'm stumped

I really don't think he is saying that.  Almost sounds like the word "interpretation" except with a "z"...interprezation. 
stumped, please help
Subject: stumped, please help

The doctor says, self - s/l "unreserveratings" are functioning.  She is talking about ADD.  TIA!!
Okay, I'm stumped!! sm, please
Subject: Okay, I'm stumped!! sm, please

Anterior chest wall scar is healing nicely without erythemia or ???? Certainly sounds like he is saying dysuria, but I know he's not.  Any suggestions?
Stumped on this one. sm
Subject: Stumped on this one. sm

All I can think of is some kind of Mycolog paste. Sorry. All I can think of regarding your S/L.


 



MedlinePlus Drug Information: Triamcinolone Topical





You may need to use more paste if the mouth sore is large. ... Mycolog® II containing Triamcinolone Acetonide and Nystatin; Mycolog®-II containing ...
www.nlm.nih.gov/medlineplus/druginfo/medmaster/a601124.html - 28k - Cached - Similar pages


stumped.....
Subject: stumped.....

Ortho doc is dictating impressions and says:  Mild bursitis and tendonitis of the right shoulder ???? ieou ?? syndrome???


He actually says a - e - i - o -u  and then what sounds like syndrome. 


Am I hearing things? 


stumped
Subject: stumped

try barre-lieou syndrome
I am stumped on this one. sm
Subject: I am stumped on this one. sm

Here is an excellent article from emedicine.com.  Look under the synonyms paragraph at the names of instruments etc. May help.


 


I am so sorry. I am a real dink today!!!


 


Here is the link:


 


http://www.emedicine.com/med/topic3284.htm


stumped on this one
Subject: stumped on this one

She is noted to have a 3cm red mass just posterior to the arytenoid cartilage at the esophageal inlet  When she swallows this mass disappears into the esophageal inlet and then about 5 seconds later it protrudes back up behind the arytenoid cartilages.  It gives the appearance of an air filled esophageal mucosal sac.  


 


The patient brought with her a lateral x-ray of the neck which shows the s/l prevacubital space is very widened in the retrolaryngeal region. 


 


Any suggestions?


GYN help i'm stumped
Subject: GYN help i'm stumped

Under list of procedure:  Pitocin induction; Foley bulb induction, and s/l "mesial ripening."  Thanks so much. 


I am stumped. Sorry. nm
Subject: I am stumped. Sorry. nm


stumped
Subject: stumped

Moderate ischemic cardiomyopathy. There is no clinical sign of congestive heart failure (CHF); however, on the pacemaker interrogation, s/l optigal or optimal trend is turning outward. Her weight is also the same as last time. Pacemaker interrogation confirmed the patient indeed had recurrent nonsustained VT and appropriate intrinsic VT not due to pacemaker. The (same s/l) trend was also increasing over the threshold.

I hear 3 syllables. Have been trying to get this for about an hour and can't. Any ideas?
stumped
Subject: stumped

Thanks - but this one has me stumped.  It sounds pretty clear.  Only other thing it could be would be "see MR card" but that does not really make sense either?!  Guess I will have to blank it.


stumped -- can you help?
Subject: stumped -- can you help?

No significant s/l "dopping" appreciated at the fracture site.  Any ideas?


I am So stumped!
Subject: I am So stumped!

This is a case of previous tuberculosis, Myco_____genovincie, mycoscrophilasium??? No clue!  Thanks for any help.
Stumped QA
Subject: Stumped QA

For what's it worth, it stumped QA, too. This was a dictator I usually understand very well and it was the only blank so I really wanted to send it through.

Thanks again.. I'll be back!

L
i think that's it... the first one has me stumped though... NM
Subject: i think that's it... the first one has me stumped though... NM

x