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Doc doing review. Any ideas? sm

Posted By: MSteph on 2008-12-21
In Reply to:

Subject: Doc doing review. Any ideas? sm

Available for review is a s/l “fair-row” seven page typewritten report.


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doc reviewing a record. Any ideas? Available for review is a s/l “fair-row” seven page typewritten

It is Review of Systems and not Review of Symptoms.
Subject: It is Review of Systems and not Review of Symptoms.


X-Ray Review help
Subject: X-Ray Review help

X-RAYS:  Review of her x-rays today show that she has a three-part fracture of her proximal humerus with head rotated and the (something ending with) 'osity' displaced. 


 


Thanks


Thats all in Review of systems.
Subject: Thats all in Review of systems.

Thanks though!
Under review of systems...
Subject: Under review of systems...

Sounds like dictator is saying:


Abdomen:  Soft. Flat. Obese.  Pressure: Soft. Obese.  No point of splenomegaly was noted.


However, it doesn't seem to me that this would fit.  He may be saying another heading instead of pressure but it is too jumbled to tell. 


Also this may be: No signs of [something] or splenomegally is noted.


 


Thanks in advance!


Review of Systems
On Review of Systems, he's saying . . ."@#$#&*&(" : No recent skin rash.  and then something else "@#$#$" : No anemia or lymph gland problems.  Psychiatric - No recent depression.    Can anyone tell me what these headings could possibly be?   I can't even get enough to give you a "sounds like".
In Review of Systems
Subject: In Review of Systems

There is no history of diabetes, polyuria, polydipsia, seizure, stroke, TIA, loss of strength or sensation, or DVT s/l pulmonary mesin around level bleeding. 


It might be 'pulmonary embolism' but I might just be wanting to hear that, it's kind of a stretch.  But the rest...


Any ideas??? Thanks.


Record Review: S/L
Subject: Record Review: S/L

'gluteus piriformis intentious fascia lata' 
Review of systems
Subject: Review of systems

Review of systems include shortness of breath and s/l ricacaria?? Anyone ...help???
Q in Review of Systems
Subject: Q in Review of Systems

When the doc says - Rest of systems: Negative.  do we write it that way or list the systems with Negative next to them all?


Do you want to know was ROS is? Review of systems.
Subject: Do you want to know was ROS is? Review of systems.


review of systems twice
Subject: review of systems twice

The doc says his normal ROS. At the end of his thought he pauses for a LONG TIME and then says "ROS, on the line, otherwise negative."
So should I do it like I have below or what are your suggestions?

REVIEW OF SYSTEMS: blah blah blah.
A review of systems is otherwise negative.


In review of systems he says,
Subject: In review of systems he says,

"no fevers, chills or sweat s/l size-or-trizer?
Review of Systems
Subject: Review of Systems

Of course...You are correct. I was typing too fast. :-)
Review of Systems
Subject: Review of Systems

I knew that is what you meant.
It is indeed "is"....as review is single.
Subject: It is indeed "is"....as review is single.

Boy, if that don't make sense, nuthin' does!  I fried my brain years ago though...a product called White-Out...hey, it was the 80's and what else was there to do in typin' class?
possibly - I am sending for review
Subject: possibly - I am sending for review


Ever heard of this? Xray review
Subject: Ever heard of this? Xray review

Review of his x-rays today show no evidence of any s/l 'ab-lateral compartmental arthritis.


wasn't sure if this was an actual word (short for something) or if he possibly tumbled over his words and just meant to say lateral compartmental . . .


thanks for the help.


Disregard - I marked for QA to review.
Subject: Disregard - I marked for QA to review.


Disregard - I am sending for review
Subject: Disregard - I am sending for review


Not saying ROS of review of systems is negative? nm
Subject: Not saying ROS of review of systems is negative? nm


s/l taw-tur-tile CRP. Lipid lab review.
Subject: s/l taw-tur-tile CRP. Lipid lab review.

 One of those days when I can't understand anyone!


Other review of systems showed s/l OS negative
Subject: Other review of systems showed s/l OS negative

Other "review of systems" ____ showed s/l "OS"  negative. 
Review of systems: See HPI (History of Present Illness.)
Subject: Review of systems: See HPI (History of Present Illness.)


Good post for newbies and a review for us oldies who have sm
Subject: Good post for newbies and a review for us oldies who have sm

been transcribing these studies since they were first initiated years ago.
review of systems is "pan positive" with a lot of problems. Is this right? nm
Subject: review of systems is "pan positive" with a lot of problems. Is this right? nm


Is this right "A "ten part" review of systems reveal?
Subject: Is this right "A "ten part" review of systems reveal?

n/t
"Female: Negative" under a male's Review of Systems?
Subject: "Female: Negative" under a male's Review of Systems?

This is the only doc i have ever seen do this... can someone explain?  I'm confused.
Psychiatry. Pt with depression and positive s/l "Siggy Capps" review. nm TIA.
Subject: Psychiatry. Pt with depression and positive s/l "Siggy Capps" review. nm TIA.

nm
Review of systems: Chills, night sweats,*commerfid*
Subject: Review of systems: Chills, night sweats,*commerfid*

TIA!
Thanks everyone. I ended up going with edematous paretic, but flagged for review just in case...
Subject: Thanks everyone. I ended up going with edematous paretic, but flagged for review just in case...

nm
14 point review of systems was done s/l weighted, dated and placed in chart. Is that right?
Subject: 14 point review of systems was done s/l weighted, dated and placed in chart. Is that right?

n/t
Pt with migraines with aura, in review of systems, episodic visual s/l C D O's. nm
Subject: Pt with migraines with aura, in review of systems, episodic visual s/l C D O's. nm


Review of MRI shows some mild edema within the pubic s/l syn-th-o-ceel region.
Subject: Review of MRI shows some mild edema within the pubic s/l syn-th-o-ceel region.

Thanks so much!!!
Review of x-rays show a s/l web-a-ray nondisplaced fracture of the lateral malleolus.
Subject: Review of x-rays show a s/l web-a-ray nondisplaced fracture of the lateral malleolus.

TIA :-)
?break in dictation for MT instruction? i see "add this to review of systems above the extremity
Subject: ?break in dictation for MT instruction? i see "add this to review of systems above the extremity section" in your s/l ?? nm ??


In Review of systems: Hem/Lymph: Has long-term bruising, no s/l atreemia, noncontributory. nm
Subject: In Review of systems: Hem/Lymph: Has long-term bruising, no s/l atreemia, noncontributory. nm


I know, but on head and neck exam in review of systems, it is very usual for Dr. to make mention of
Subject: I know, but on head and neck exam in review of systems, it is very usual for Dr. to make mention of ,,,,

all the usual complaints of the specific region, as in neck, no lyphadenopathy, chest, no rales or wheezes, etc., it is a consult. What does he say about something green on the guy's head????
Thanks though. Anyone else have ideas?
Subject: Thanks though. Anyone else have ideas?

Thanks.
for the ideas!
Subject: for the ideas!

.
Other ideas?
Subject: Other ideas?

Was TRYING to hear Seldinger but, no, it's definitely SANDWICH (thinking perhaps it has to do with the approach used for the vein/artery?
any ideas?
Subject: any ideas?

s/l cortex


Diastat cortex AV fisture..


any ideas


Anyone else with ideas? sm
Subject: Anyone else with ideas? sm


any ideas what the s/l is?? sm
Subject: any ideas what the s/l is?? sm

"proximal femoral ____ of the hip prosthesis"  sounds like malliety-


Any ideas of what this could be?
Subject: Any ideas of what this could be?

Psych eval on a boy with ADHD and disorder of central nervous system - this is just under general discussion:


 


He has had no aggression.  His mother still has not noted any abnormal, involuntary movements.  His S/L: AGE today remains 0.


 


Any ideas??  TIA


Hmm, sorry, no ideas here - hopefully someone else can help. nm
Subject: Hmm, sorry, no ideas here - hopefully someone else can help. nm


Does anyone have any ideas what this could be?
Subject: Does anyone have any ideas what this could be?

He talks so fast, and his voice is so low, slowing it down makes it worse!


"Past psychiatric history:  None other than therapy with her, S/L: TRIBES approximately 1 year."


Thanks for any ideas!


So any other ideas??
Subject: So any other ideas??


Some ideas
Subject: Some ideas

traditional esophagectomy, invasive or minimally invasive esophagectomy and also, curative esophagectomy
Some ideas ...
Subject: Some ideas ...

Go to google.com and type in "suntuf." You will get 8900 hits. See if any of those look like a medical word to you.

If not, then you have almost done your due diligence in terms of searching on your own.

Now, open up your reference books (of which you should have several), and pour through them, looking for something that makes sense in the context of the patient's visit and history. If you find nothing, then you have almost completed the due diligence for which you're responsible before you ask for help.

Now, go to Google and type in all of the words you think it sounds like. If none of those come up as medical terms (on reputable sites) that make sense in the patient's history and reason for visit, and sound exactly like what the doctor is saying, you have completed the due diligence you're responsible for in order to post here with your question.

Please, only post your question once. You may follow up to replies on that one post, but do not continue to post the same question as separate threads. If no one answers your question to your liking, it is time to either ask your supervisor or leave a blank. Repeating the same question over and over will not lead to an answer - it will lead to the frustration of people trying to help you.

If this is a term the doctor says repeatedly, you need to ask your supervisor for examples of that doctor's report. In it, you will most likely find exactly what you're looking for, and you will also have samples for further questions you may have.

If not, leave a blank and ask whomever QAs your work for the answer to your blank.

The word help board is not here to type your reports for you. It is here after you have exhausted all other means of finding an answer. Otherwise, it not only appears as if you're taking the help of others for granted, you're expecting someone else to do your work for you.

Good luck finding the words you're looking for. I'm sure we're all curious to hear what the real phrase was, once you are given the answer to your blank. Please keep us updated.

Thanks!
I'm sorry..it's 6 mg not 60 mg...any ideas?
Subject: I'm sorry..it's 6 mg not 60 mg...any ideas?