ESL states twice..allergies s/l tetrum toxoid. nm
Posted By: tracy on 2008-10-20
In Reply to:
Subject: ESL states twice..allergies s/l tetrum toxoid. nm
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By the way, also states in AAMT BOS2 that 0 is correct for sutures as per The United States Pharmaco
Subject: By the way, also states in AAMT BOS2 that 0 is correct for sutures as per The United States Pharmacopeia system sizes...
tetanus toxoid....................NM
Subject: tetanus toxoid....................NM
/
YEAH!! Got it...tetanus toxoid. Thanks for your help :)
Subject: YEAH!! Got it...tetanus toxoid. Thanks for your help :)
Just me, but I do not unless the CP states to do so.
Subject: Just me, but I do not unless the CP states to do so.
Allergies
Subject: Allergies
Sounds like she's saying ALLERGIES: QUINN (this is for an ob note)
allergies
Subject: allergies
s/l The patient is allergic to 'cabs', causing swelling. What is the 'cabs' word?
allergies
Subject: allergies
It would make sense to add a comma between lanolin and dyes.
allergies to fat?
Subject: allergies to fat?
He has allergies to s/l fat.
Is this right?
Allergies
Subject: Allergies
If CP does not state whether allergies are all caps or not, should I cap them?
Allergies
Subject: Allergies
Allergies to s/l Ham-a-nop-tra
Allergies
I wonder if anyone out there can answer this? Is thers such a thing as the following:
ALLERGIES: No enteric allergies.
Allergies
Subject: Allergies
s/l guiafenicillin - it definitely sounds like it's ending in *cillin.
Also s/l active-ed.
 Thanks!
Allergies ?
Subject: Allergies ?
Dr dictates: No illnesses, prior surgeries, or known allergies to medications. How would you best transcribe? (At least he wasn't chewing or swallowing in this report!)
Allergies
Subject: Allergies
Thanks for your quick response.
Allergies
Subject: Allergies
Was instructed to always all cap ALLERGIES, but usually not used in the middle of the sentence. Thanks for the replies.
Allergies
Subject: Allergies
I think docs should spell them out but---that will be the day. :-)
New standard states:
Subject: New standard states:
And I quote: "Numerals, or figures, stand out from the surrounding text and serve a functional purpose in medical reports, where they should be used almost exclusively as opposed to spelled-out numbers.
Exceptions: Judgment and discretion are need when deciding but adjacent numbers require one to be spelled out to avoid confusion.
Use a comma to separate adjacent unrelated numerals if neither can be readily expressed in words and the sentence cannot be readily reworded.
Use numerals for fractions.
Spell out numbers that begin a sentence.
Zero is always spelled out when it stands alone.
Spell out numbers used as pronouns.
That should get you started!
ENT always states S/L "verbrossi SM
Subject: ENT always states S/L "verbrossi SM
were clippped." It seems to mean nose hair, except I cannot document verbrossa. I have looked and looked. I could have spelling completely wrong. As stated, ENT doctor, doing sinus/ septal surgery, at the beginning of the report, along with prep and drape.
Thanks for any help.
HELP please!! Dr. states this 3 times
Subject: HELP please!! Dr. states this 3 times
It sounds like "Malin-body 4 airway." Any help would be greatly appreciated. Thanks
s/l anti-ket for bee allergies
Subject: s/l anti-ket for bee allergies
NM
maybe just "nka" for no known allergies
Subject: maybe just "nka" for no known allergies
You should never guess at allergies.
Subject: You should never guess at allergies.
x
List of allergies
Subject: List of allergies
She is stumbling over this word - any help appreciated!
list of allergies:
s/l runtugraphy
diatrizoate, meglumine, IVP dye. This is a 67 yo female with kidney disease
Not sure what doc is using this for, but there is Phenoject which is used for allergies such as hay
Subject: Not sure what doc is using this for, but there is Phenoject which is used for allergies such as hay fever?
There is Calm-X which is used for allergies
Subject: There is Calm-X which is used for allergies
s/l use of hipatholger for allergies...nm
Subject: s/l use of hipatholger for allergies...nm
List of allergies:
Subject: List of allergies:
s/l higrotamines
maybe saying no known drug allergies... NM
Subject: maybe saying no known drug allergies... NM
x
allergies/intolerances
Subject: allergies/intolerances
If the client profile says to capitalize allergies and the doctor lists an "intolerance" under the allergy heading - would you capitalize or not?
list of allergies - need med help please
Subject: list of allergies - need med help please
S/L Rowen genography ?
NEVER EVER guess on allergies. There
Subject: NEVER EVER guess on allergies. There
could be too many consequences if you guess wrong and the person only reads your report and does not refer to the chart.
Allergies to Avolefs?
Subject: Allergies to Avolefs?
Hi there!
I'm having a hard time with this one... sounds like the dictator is saying, "Allergies to Avelefs and Depakote." I'm having trouble with the one that sounds like avolefs or avilefs or avolephs or avilephs????? Any suggestions?
Thank you mucho in advance for any help/suggestions!
Amanda
Only in list of allergies..
Subject: Only in list of allergies..
that's all he gave me.
soful allergies??
Subject: soful allergies??
ALLERGIES
?Solful? which creates hives. ..
i can not find any allergy that sounds like this!
If not sure, DO NOT guess at allergies.
Subject: If not sure, DO NOT guess at allergies.
x
Allergies among other things
Subject: Allergies among other things
When I started in transcription there was a saying my boss would always quote and that was WHEN IN DOUBT, LEAVE IT OUT. It's better to put a blank and have QA figure it out or even have the doctor fix it instead of putting the wrong information.
Pt with Raynaud's...doctor states sm
"without any identifiable primary *s/l pneumatic or pneumonic* disorder". Any one heard of this? TIA
Doc only states what s/l cervitol 15 mg at night...
Subject: Doc only states what s/l cervitol 15 mg at night...
dictates this with about 20 other meds....no mention of any stool issues. If it is sorbitol can it be a 15 mg dose?? May have to leave it blank.
Thanks but no "Trans" just states s/l Varisol..nm
Subject: Thanks but no "Trans" just states s/l Varisol..nm
x
States current medication..
Subject: States current medication..
she is being seen for left arm numbness. Does that help any? Nothing in history.
Not my day. exam of the chest and states (sm)
Subject: Not my day. exam of the chest and states (sm)
the "pox" is 90 and felt 87, and she is on oxygen. This in the exam of the chest. What could "pox" be?
The consult by the neurologist states that sm
Subject: The consult by the neurologist states that sm
the s/l partodyskinesia may be a slow progress. Also later in the diagnosis, doctor states "s/l Partodyskinesia secondary to anticholanergic drugs". Any help would be appreciated. Thanks :)
when doc states g-y-n, are all letters capped or only first? nm Thanks!
Subject: when doc states g-y-n, are all letters capped or only first? nm Thanks!
s/l "multitude" tenaculum - states the
Subject: s/l "multitude" tenaculum - states the
cervix was grasped with a "multitude" tenaculum? TIA
possibly, but its just allergies: s/l lidace
Subject: possibly, but its just allergies: s/l lidace
so who knows.... I left a blank.
NKMA..no known medication allergies??? nm
Subject: NKMA..no known medication allergies??? nm
x
flag it - too important with allergies not to
Subject: flag it - too important with allergies not to
Over the years allergies has evolved (sm)
Subject: Over the years allergies has evolved (sm)
Physicians used to just list the allergy itself, in your case, morphine, but I have found that currently they are listing the reaction to the allergen, which in you case is hives. Another example would be rash. Morphine-hives. Allergies: Morphine causes hives. In my experience anyway... 
Dr spells drug for allergies...
Subject: Dr spells drug for allergies...
he says "Azruis" for allergies. Cannot find anything like this on Google or RX drug list, any ideas?
Under allergies - I assume it's a drug...?
Subject: Under allergies - I assume it's a drug...?
Allergies include S/L: WUH-STEH-FIN and ciprofloxacin.
Any clues?
Thanks!!
loratadine, OTC Claritin for allergies? nm
Subject: loratadine, OTC Claritin for allergies? nm
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