GOT IT!!! EDG patient has choking sensation when swallowing.
Posted By: newbie2 on 2007-12-27
In Reply to: I hope this helps...... - newbie2
Subject: GOT IT!!! EDG patient has choking sensation when swallowing.
Thanks.
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patient had a ***clupping*** sensation in the chest SM
Subject: patient had a ***clupping*** sensation in the chest SM
he has been diagnosed with atrial fibrillation in the past and presents with palpitations.
dysphagia is all I can think of, prob w/swallowing
Subject: dysphagia is all I can think of, prob w/swallowing
PEDIATRIC SWALLOWING STUDY S/L OX SWALLOW
Subject: PEDIATRIC SWALLOWING STUDY S/L OX SWALLOW
Yes they do. Son had swallowing difficulties and speech therapy was given
Subject: Yes they do. Son had swallowing difficulties and speech therapy was given
fiberoptic endoscopic evaluation of swallowing ?
Subject: fiberoptic endoscopic evaluation of swallowing ?
Problem swallowing or talking? Dysphasia or dysphagia?
Subject: Problem swallowing or talking? Dysphasia or dysphagia?
Sensation ?
Subject: Sensation ?
? sensation
Subject: ? sensation
? sensation
Subject: ? sensation
pin prick sensation.
Subject: pin prick sensation.
We also checked 2 point and 1 point pin sensation discrimination and this was intact. (I am questioning discrimination have not heard it this way before I may be hearing discrimination incorrectly, any tips?)
Usually a *fluttering* sensation. (nm)
Subject: Usually a *fluttering* sensation. (nm)
x
discomfortable sensation?
Subject: discomfortable sensation?
xx
gross sensation? sm
Subject: gross sensation? sm
PDF]
File Format: PDF/Adobe Acrobat - View as HTMLNext, test gross sensation of Cranial Nerve V. Tell the patient to close their .... locations bilaterally to test for temperature sensation. Light touch ...
gas/gaseous sensation?
Subject: gas/gaseous sensation?
.
ahh-voo-cartic sensation??sm
Subject: ahh-voo-cartic sensation??sm
s/l "ah-voo-cartic" sensation is intact bilateral lower extremities, retrograde sensation for sharp, dull, vibratory and proprioception."
Strength is 5/5 throughout. Sensation is intact.
Subject: Strength is 5/5 throughout. Sensation is intact.
is how I would do it.
pinprick sensation #1...patchiness #2....
Subject: pinprick sensation #1...patchiness #2....
but it's pinprick sensation (with a k)....*S*
not passiveness - rather patchiness.....
so...dull, aching sensation... but your QA may
Subject: so...dull, aching sensation... but your QA may
s
hypesthesia (loss of sensation)?
Subject: hypesthesia (loss of sensation)?
sensation and strength intact. (nm)
Subject: sensation and strength intact. (nm)
.
dr says s/l "grass" sensation while yawning
Subject: dr says s/l "grass" sensation while yawning
The working diagnosis at this point in time is paresthesias of the right thigh.
There is a s/l grass or glass sensation to light touch on the anterior and anteromedial aspect of the right thigh from the suprapatellar region to the proximal thigh region.
You're right, it's sensation. Thanks sooooo much!!!
Subject: You're right, it's sensation. Thanks sooooo much!!!
Maybe an anesthetic reaction? Dulling of sensation? nm
Subject: Maybe an anesthetic reaction? Dulling of sensation? nm
s
neuro exam - says intact sensation, "V-one, V-two,
Subject: neuro exam - says intact sensation, "V-one, V-two,
and V-three" - would that be VI, VII, VIII or V1, V2, V3 ??
Neuro - not sure if I have this right - sensation testing of diabetic sm
Subject: Neuro - not sure if I have this right - sensation testing of diabetic sm
Usually this doc says something along the lines of monofilament testing is intact, which is also how the other docs have dictated it to one degree or another.
However, this time he says, "a nylon string test reveals s/l 5 point of sensation on both feet."
Don't know if it should be 5 points of sensation, 5-point sensation, or if it's simply 5.0 sensation. Is anyone aware of how to type this?
Thanks for any help with this.
Neuro - not sure if I have this right - sensation testing of diabetic sm
Subject: Neuro - not sure if I have this right - sensation testing of diabetic sm
Usually this doc says something along the lines of monofilament testing is intact, which is also how the other docs have dictated it to one degree or another.
However, this time he says, "a nylon string test reveals s/l 5 point of sensation on both feet."
Don't know if it should be 5 points of sensation, 5-point sensation, or if it's simply 5.0 sensation.
Is anyone aware of how to type this?
Thanks for any help with this.
Neurological: Moving all 4 extremities and s/l withdrawing to sensation.
Found it! LOPS (loss of protective sensation). TXS! NM
Subject: Found it! LOPS (loss of protective sensation). TXS! NM
loss of protective sensation (LOPS)
She has poor facial sensation bilaterally in "VI, II, and III". Is this right?
Subject: She has poor facial sensation bilaterally in "VI, II, and III". Is this right?
There is insensate meanng devoid of sensation or feeling.
Subject: There is insensate meanng devoid of sensation or feeling.
Neuro help please... gross 'epocrate' sensation is intact. Thanks! nm
Subject: Neuro help please... gross 'epocrate' sensation is intact. Thanks! nm
x
After reading all of it, would change my answer to distally going with sensation. Not sure about th
Subject: After reading all of it, would change my answer to distally going with sensation. Not sure about the second ??.
No melena, hematochezia, heartburn, “or rerlash gorba sensation’ or dysphagia.
Subject: No melena, hematochezia, heartburn, “or rerlash gorba sensation’ or dysphagia.
If someone gets this...you get a gold star!
Decreased pinpric sensation to the bilateral lower extremities but areas of s/l passhiveness -sm-
Subject: Decreased pinpric sensation to the bilateral lower extremities but areas of s/l passhiveness -sm-
with increased sensation. Would passiveness fit here? Help is appreciated. Thanks!
doc dictates "the patient has 120 pack year smoking history", patient is 75...is that right???
Subject: doc dictates "the patient has 120 pack year smoking history", patient is 75...is that right???? NM
Patient is here for an s/l eflex injection. Patient previously had Orthovisc.
Subject: Patient is here for an s/l eflex injection. Patient previously had Orthovisc.
nm
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A1c; patient is to follow up in 2 weeks; patient has a followup in 2 weeks.
Subject: A1c; patient is to follow up in 2 weeks; patient has a followup in 2 weeks.
nm
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Subject: Patient given PPD - sm pls
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Subject: Patient does have a UTI but would it
same doc. same patient
Subject: same doc. same patient
the lesion was vascular in natureand most likely _____ malformation.
S/L avio-lymphatic
HIV patient. Please sm.
Subject: HIV patient. Please sm.
Doc is dictating a test in relationship to patient's HIV. He states s/l "firal row"is negative and T-cell count has actually risen since last visit.
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do you have a Dx on this patient, and
Subject: do you have a Dx on this patient, and
if not, what is the chief complaint?
new patient
Subject: new patient
 On a new patient is this how it should be put? the doctor says it with chief complaint~~~~CHIEF COMPLAINT: New patient, arm pain.
OD q.d.? Is it for the patient's eye? nm
Subject: OD q.d.? Is it for the patient's eye? nm
x
cc: the patient
Subject: cc: the patient
then he said, note to the transcriptionist, make sure that a copy of the mri scan results is sent to the patient with this letter.
What is the patient's dx? nm
Subject: What is the patient's dx? nm
Are you sure the patient isn't
Subject: Are you sure the patient isn't
very spiritual, and is hoping for healing through a prayer line? Many churches do have prayer lines and pray for sick people. Usually they don't intend that the person shouldn't seek medical help like it sounds like this patient would be talking about.
How old is this patient?
Subject: How old is this patient?
The patient has a ... (sm)
Subject: The patient has a ... (sm)
. . . distal radius fracture. It s/l the doctor dictates *there is a cast and flink* to right arm. I thought it might be *splint*, but it really does not sound like that. Any idea?
Thanks, Melissa
Patient is p.o.ing well??????
Subject: Patient is p.o.ing well??????
POing??? or just change to eating? It's a 3-month-old baby girl.
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