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He is reading from a list sm

Posted By: trose on 2007-05-19
In Reply to: Lumigan ? nm - ER MT

Subject: He is reading from a list sm

that the patient wrote so I feel sure that is it. Thanks!


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Bet the doctor is reading off the patient's list that sm
Subject: Bet the doctor is reading off the patient's list that sm

the patient wrote him/herself. When they can't tell what it is, they often spell it the way the patient did. I'd leave a blank and make a note with the doctor's spelling if you've already researched the term and found nothing to verify it. I found nothing in my Drake. I never trust a doc's spelling of ANYTHING!!


reading med list says Toprol, B6?, Protonics..is B6
Subject: reading med list says Toprol, B6?, Protonics..is B6

B6 is okay?
Pt list of drugs s/l "thy a do laj" 120 micrograms p.o. q.d. Problem list in message. sm
Subject: Pt list of drugs s/l "thy a do laj" 120 micrograms p.o. q.d. Problem list in message. sm

1.                    Dementia of undetermined etiology.


2.                    Hypothyroidism.


3.                    Osteoporosis. 

History of depression. 
I think your doc has been reading
Subject: I think your doc has been reading

too much Harry Potter. I think there are Lamentors in there.

No wait, those are Dementors.

Never mind.
reading of an x-ray sm
Subject: reading of an x-ray sm

His zygomatic frontal and zygomatic temporal bones ? are all intact
I bet it is reading! nm
Subject: I bet it is reading! nm

,,
In list of meds...Full bee 1 tab q.a.m. sm for problem list :)
Subject: In list of meds...Full bee 1 tab q.a.m. sm for problem list :)

1.                    Diffuse Lewy body disease mixed with Alzheimer’s disease.


2.                    Generalized anxiety disorder.


3.                    Benign prostatic hypertrophy.

4          Gastroesophageal reflux disease. 
Med list, s/l mylar? drops. No context as in list only. Tx. nm
Subject: Med list, s/l mylar? drops. No context as in list only. Tx. nm

xx
I believe you are reading it wrong sm
Subject: I believe you are reading it wrong sm

There is a comma between tics and the next item so tics and spasm are separate items. 
Reading the article below it seems to dB
Subject: Reading the article below it seems to dB

The relationships among visual acuity (log MAR), diagnostic category, age, the magnitude of a relative afferent pupillary defect (RAPD) in log units, photopic foveal thresholds to white and colored light (dB), and the mean deviation on the Humphrey visual field (dB) were studied in patients with various optic neuropathies. All acuity and dB values were expressed as interocular differences, the majority of cases having normal acuity in the fellow eye. In multiple regression analyses, acuity and RAPD were alternately chosen as the dependent or response variable with all remaining variables serving as the predictors or independent variables. The main finding was that the only significant predictor of a RAPD was the interocular mean deviation difference on the Humphrey field and the only significant predictor of acuity was the foveal threshold to white light. Redundant and insignificant variables were therefore identified with multiple regression analysis. Subsidiary findings include: (a) although diagnostic group was not a significant predictor in the above, simple linear regression line slopes relating RAPD magnitude to the Humphrey mean deviation were significantly different between optic neuritis and compression categories; (b) for a given level of acuity, foveal thresholds were substantially worse in these cases with neuronal damage than in strabismic amblyopia, refractive error, or corneal damage; and (c) sensitivity losses for red vs. blue light were similar...


Perhaps he is reading what the patient
Subject: Perhaps he is reading what the patient

incorrectly wrote down in place of Maxalt.  That's not so uncommon.  I'd leave a blank.
Can a lab reading be "small"??
Subject: Can a lab reading be "small"??

Patient is having high blood sugar and in her labs, dictator says something that s/l "serum acetone small."  Is this right or am I crazy?
Hmm after reading the dictation again, you may be right...sm
Subject: Hmm after reading the dictation again, you may be right...sm

Mohs does make sense, he does say with negative results, and this was done some time after the p63, TTF-1, etc.  THANK YOU for that great point!  My brain is so done today. 


Reading your sentence I would think sm
Subject: Reading your sentence I would think sm

That the EEC is enteropathic E. coli due to the anxiety. 
He may be reading from what the pt wrote
Subject: He may be reading from what the pt wrote

My doctor does that. He reads the drug as it was incorrectly written by the pt or the medical assistant. I have to look at the PMH to figure it out.
cardiology, echo reading
Subject: cardiology, echo reading

The aortic valve appears to be a s/l tri-commish-er valve with fusion of one s/l commish-er and acts as a bicuspid aortic valve.


 


he is pretty clear with both of these, but I cannot verify either one. Thanks!!


How is this being treated or is this an xray reading? nm
Subject: How is this being treated or is this an xray reading? nm

s
Blood Pressure Reading
Subject: Blood Pressure Reading

I had a doctor who did this also, and the person who QA'd my report told me to put it just like you have it except told me to use 120/80 without the "s".
Blood glucose reading, please sm
Subject: Blood glucose reading, please sm

Doc is saying "patient went back on Metaglip and now his sugars are around *100 mg percent*.  I've never heard that, just sugars around 100 or whatever, no "mg percent".  Thanks for any help!
reading that, it sounded rude. sm
Subject: reading that, it sounded rude. sm

I did not mean it that way. Again, just a pet peeve of mine.
Bet the PA is reading the patient's history sheet. sm
Subject: Bet the PA is reading the patient's history sheet. sm

9 times out of 10 it is  arthroscopy and meniscectomy.


Is this a follow up to lab work or reading a film, etc.? nm
Subject: Is this a follow up to lab work or reading a film, etc.? nm

s
I always enjoy reading your replies. Thanks for the info also!
Subject: I always enjoy reading your replies. Thanks for the info also!


He's very clear. I'm thinking he's reading from pt note.
Subject: He's very clear. I'm thinking he's reading from pt note.


Reading comprehension test s/l Wyatt? nm
Subject: Reading comprehension test s/l Wyatt? nm

xx
WAG but maybe she's reading some bad handwriting and could be "and herniation?"-nm
Subject: WAG but maybe she's reading some bad handwriting and could be "and herniation?"-nm


After reading my post, I also need to take a typing class, way to many typos!!!!
Subject: After reading my post, I also need to take a typing class, way to many typos!!!!


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 ??.


She has lost some weight, but she has been reading up on s/l “pekos”, and understands the issue with
Subject: She has lost some weight, but she has been reading up on s/l “pekos”, and understands the issue with


.........insulin resistance and problems with obesity and hyperlipidemia, as well as her elevated blood pressure and so she would like to go over issues with her diet today.


The patient has a diagnosis of polycystic ovarian syndrome with glucose intolerance.  Under the plan the doc again says, reviewed "pekos" in detail......


TIA!!!


Are you reading this off of doc notes or is he/she giving you these single letters in dictation? nm
Subject: Are you reading this off of doc notes or is he/she giving you these single letters in dictation? nm

s
He's probably relying on his poor memory and NOT reading off the package. Use Destination. nm
Subject: He's probably relying on his poor memory and NOT reading off the package. Use Destination. nm

s
When sis comes to visit she always gets good laughs reading the phobia pages in my Dorland's.
Subject: When sis comes to visit she always gets good laughs reading the phobia pages in my Dorland's.

nm
Seems to mein what I am reading that anterior fundoplication is what is performed in terms of achala
Subject: Seems to mein what I am reading that anterior fundoplication is what is performed in terms of achalasia?


Sorry, I made a wrong assumption by not reading your entire question based on the area of fx.
Subject: Sorry, I made a wrong assumption by not reading your entire question based on the area of fx.

x
med list help sm TIA
Subject: med list help sm TIA

px is on garlic daily, Beano daily, vitamin B complex daily, *esphinococklin" daily, and gemfibrozil 600 mg one tablet daily.
Even if it's a list, what comes before and after this? nm
Subject: Even if it's a list, what comes before and after this? nm

x
List
Subject: List

_______________, Tiazac, Synthroid, theophylline, aspirin, iron.


Thanks for the list! nm
Subject: Thanks for the list! nm

x
Rx list
Subject: Rx list

Try these.

(by generic or brand) first one usually has most recent and up to date.

http://www.prescribingreference.com/


http://bestmedvalues.com/drugpage.php?term=utin

http://www.nlm.nih.gov/medlineplus/druginformation.html


Maybe was just a list. Oh well.
Subject: Maybe was just a list. Oh well.

nm
this too is on my WAG list! sm
Subject: this too is on my WAG list! sm

I think I will revisit that one as well. I was blowing a gasket and just had to exit out of that job... got landlocked LOL!

Thanks flybye! I'll take a look at it again with that in mind. I appreciate the help. These always come end of day, don't they.
wow what a list, thanks
Subject: wow what a list, thanks


Duh. Thanks. It is on my list
Subject: Duh. Thanks. It is on my list

I just looked over it. Not having a good day today.
list
Subject: list

She does have asthma
Thanks can you tell I am new!! LOL Thanks for the list
Subject: Thanks can you tell I am new!! LOL Thanks for the list

:0
just a list
Subject: just a list

It was just a drug list - but I think it was Avodart - the dosage matched and the pt had prostate trouble - she kind of stuttered when she pronounced it - sounded like Ablivart. .
It was just in a list. sm.
Subject: It was just in a list. sm.

Sorry, it was just in a list.  Thanks though!
No its just in a list. Sorry ;O(
Subject: No its just in a list. Sorry ;O(


do not use list
Subject: do not use list

cc is not part of the official do not use list by joint commission. It has been reviewed, but not added. Our hospital wants us to transcribe cc when dictated cc. I think it is the provider/facility choice right now.
no, here's a list I use ...
Subject: no, here's a list I use ...

this is from the table of contents of an orthopedic physcial exam book I found on Google-books (so I think it's  fair use) .... I find it very useful -- it won't help you with this, may come in handy in the future.


Section 1: Temporomandibular 1


Chvostek's Sign 2


Loading Test 4


Palpation Test 5


 


Section 2: Cervical Spine 9


Vertebral Artery Test 10


Foraminal Compression Test (Spurling) 12


Foraminal Distraction Test 15


Valsalva's Maneuver 17


Swallowing Test 19


Tinel's Sign 20


 


Section 3: Shoulder 23


Empty Can (Supraspinatus) Test 24


Yergason Test 25


Speed's Test 27


Ludington's Sign 29


Drop Arm Test 30


Lateral Scapular Slide Test (LSST) 32


Apley's Scratch Test 35


Cross-Over Impingement Test 39


Posterior Impingement Test 40


Neer Impingement Test 42


Hawkins-Kennedy Impingement Test 44


Sternoclavicular (SC) Joint Stress Test 46


Acromioclavicular (AC) Joint Distraction Test 47


Acromioclavicular (AC) Joint Compression Test (Shear) 48


Piano Key Sign 50


Apprehension Test (Anterior) 52


Apprehension Test (Posterior) 54


Sulcus Sign 56


Anterior Drawer Test 58


Posterior Drawer Test 60


Jobe Relocation Test 62


Surprise Test (Active Release Test) 64


Feagin Test 66


Load and Shift Test 67


Grind Test 69


Clunk Test 70


Crank Test 72


O'Brien Test (Active Compression) 74


Brachial Plexus Stretch Test 76


Adson's Maneuver 77


Allen's Test 79


Roos Test 81


Military Brace Position 83


Pectoralis Major Contracture Test 84


 


Section 4: Elbow 87


Resistive Tennis Elbow Test (Cozen's Test) 88


Resistive Tennis Elbow Test 90


Passive Tennis Elbow Test 92


Golfer's Elbow Test 94


Hyperextension Test 96


Elbow Flexion Test 97


Varus Stress Test 99


Valgus Stress Test 100


Tinel's Sign 102


Pinch Grip Test 104


 


Section 5: Wrist and Hand 107


Tap or Percussion Test 108


Compression Test 110


Long Finger Flexion Test 111


Finkelstein Test 113


Phalen Test 115


Reverse Phalen Test 117


Tinel's Sign 118


Froment's Sign 120


Wrinkle Test 121


Digital Allen's Test 122


Bunnel Littler Test 125


Murphy's Sign 127


Watson Test 128


Valgus Stress Test 130


Varus Stress Test 132


 


Section 6: Thoracic Spine 135


Kernig/Brudzinski Signs 136


Lateral and Anterior/Posterior Rib Compression Tests 138


Inspiration/Expiration Breathing Test 140


 


Section 7: Lumbar Spine 143


Valsalva's Maneuver 144


Stoop Test 146


Hoover Test 148


Kernig/Brudzinski Signs 150


90-90 Straight Leg Raise Test 152


Bowstring Test (Cram Test) 154


Sitting Root Test 156


Unilateral Straight Leg Raise Test (Lasegue Test) 159


Bilateral Straight Leg Raise Test 161


Well Straight Leg Raise Test 163


Slump Test 165


Thomas Test 170


Spring Test 173


Trendelenburg's Test 175


Stork Standing Test 178


 


Section 8: Sacral Spine 183


Sacroiliac (SI) Joint Fixation Test 184


Gillet Test 191


Sacroiliac (SI) Joint Stress Test 193


Squish Test 197


Yeoman's Test 198


Gaenslen's Test 200


Patrick or FABER Test 201


Long-Sitting Test 203


 


Section 9: Hip 207


Hip Scouring/Quadrant Test 208


Craig's Test 211


90-90 Straight Leg Raise Test 214


Patrick or FABER Test 216


Trendelenburg's Test 218


Ober's Test 221


Piriformis Test 224


Thomas Test 226


True Leg-Length Discrepancy Test 229


Apparent Leg-Length Discrepency Test 230


Ely's Test 232


Femoral Nerve Traction Test 234


 


Section 10: Knee 239


Patella Tendon/Patella Ligament Length Test 240


Patellar Apprehension Test 242


Ballotable Patella or Patella Tap Test 244


Sweep Test (Wipe, Brush, Bulge, or Stroke Test) 245


Q-Angle Test 247


Medial-Lateral Grind Test 249


Bounce Home Test 252


Patellar Grind Test (Clarke's Sign) 255


Renne Test 258


Noble Test 261


Hughston's Plica Test 264


Godfrey 90/90 Test 266


Posterior Sag Test (Gravity Drawer Test) 267


Reverse Pivot Shift (Jakob Test) 269


Anterior Lachman's Test 272


Anterior Drawer Test 274


Slocum Test With Internal Tibial Rotation 276


Slocum Test With External Tibial Rotation 278


Pivot Shift Test 280


Jerk Test 284


Posterior Drawer Test 288


Hughston Posteromedial Drawer Test 290


Hughston Posterolateral Drawer Test 292


Posterior Lachman's Test 294


External Rotation Recurvatum Test 296


Dial Test (Tibial External Rotation Test) 298


Valgus Stress Test 301


Varus Stress Test 304


McMurray Test 307


Apley Compression Test 310


Steinman's Tenderness Displacement Test 312


 


Section 11: Ankle and Foot 317


Homans' Sign 318


Anterior Drawer Test 321


Talar Tilt Test (Inversion) 324


Talar Tilt Test (Eversion) 326


Thompson Test 328


Tap or Percussion Test 330


Feiss Line 331


Interdigital Neuroma Test 333


Compression Test 335


Long Bone Compression Test 336


Swing Test 337


Kleiger's Test 339


Tinel's Sign 342


 


Section 12: Contemporary Special Tests 345


Impingement Reduction Test 346


Walking Arm Stress (WAS) Test 349


Finger Extension Test 351


Flexor Pronator Syndrome Test 353


Tarsal Twist Test 355


 


Index 359


Section 1: Temporomandibular 1


Chvostek's Sign 2


Loading Test 4


Palpation Test 5


 


Section 2: Cervical Spine 9


Vertebral Artery Test 10


Foraminal Compression Test (Spurling) 12


Foraminal Distraction Test 15


Valsalva's Maneuver 17


Swallowing Test 19


Tinel's Sign 20


 


Section 3: Shoulder 23


Empty Can (Supraspinatus) Test 24


Yergason Test 25


Speed's Test 27


Ludington's Sign 29


Drop Arm Test 30


Lateral Scapular Slide Test (LSST) 32


Apley's Scratch Test 35


Cross-Over Impingement Test 39


Posterior Impingement Test 40


Neer Impingement Test 42


Hawkins-Kennedy Impingement Test 44


Sternoclavicular (SC) Joint Stress Test 46


Acromioclavicular (AC) Joint Distraction Test 47


Acromioclavicular (AC) Joint Compression Test (Shear) 48


Piano Key Sign 50


Apprehension Test (Anterior) 52


Apprehension Test (Posterior) 54


Sulcus Sign 56


Anterior Drawer Test 58


Posterior Drawer Test 60


Jobe Relocation Test 62


Surprise Test (Active Release Test) 64


Feagin Test 66


Load and Shift Test 67


Grind Test 69


Clunk Test 70


Crank Test 72


O'Brien Test (Active Compression) 74


Brachial Plexus Stretch Test 76


Adson's Maneuver 77


Allen's Test 79


Roos Test 81


Military Brace Position 83


Pectoralis Major Contracture Test 84


 


Section 4: Elbow 87


Resistive Tennis Elbow Test (Cozen's Test) 88


Resistive Tennis Elbow Test 90


Passive Tennis Elbow Test 92


Golfer's Elbow Test 94


Hyperextension Test 96


Elbow Flexion Test 97


Varus Stress Test 99


Valgus Stress Test 100


Tinel's Sign 102


Pinch Grip Test 104


 


Section 5: Wrist and Hand 107


Tap or Percussion Test 108


Compression Test 110


Long Finger Flexion Test 111


Finkelstein Test 113


Phalen Test 115


Reverse Phalen Test 117


Tinel's Sign 118


Froment's Sign 120


Wrinkle Test 121


Digital Allen's Test 122


Bunnel Littler Test 125


Murphy's Sign 127


Watson Test 128


Valgus Stress Test 130


Varus Stress Test 132


 


Section 6: Thoracic Spine 135


Kernig/Brudzinski Signs 136


Lateral and Anterior/Posterior Rib Compression Tests 138


Inspiration/Expiration Breathing Test 140


 


Section 7: Lumbar Spine 143


Valsalva's Maneuver 144


Stoop Test 146


Hoover Test 148


Kernig/Brudzinski Signs 150


90-90 Straight Leg Raise Test 152


Bowstring Test (Cram Test) 154


Sitting Root Test 156


Unilateral Straight Leg Raise Test (Lasegue Test) 159


Bilateral Straight Leg Raise Test 161


Well Straight Leg Raise Test 163


Slump Test 165


Thomas Test 170


Spring Test 173


Trendelenburg's Test 175


Stork Standing Test 178


 


Section 8: Sacral Spine 183


Sacroiliac (SI) Joint Fixation Test 184


Gillet Test 191


Sacroiliac (SI) Joint Stress Test 193


Squish Test 197


Yeoman's Test 198


Gaenslen's Test 200


Patrick or FABER Test 201


Long-Sitting Test 203


 


Section 9: Hip 207


Hip Scouring/Quadrant Test 208


Craig's Test 211


90-90 Straight Leg Raise Test 214


Patrick or FABER Test 216


Trendelenburg's Test 218


Ober's Test 221


Piriformis Test 224


Thomas Test 226


True Leg-Length Discrepancy Test 229


Apparent Leg-Length Discrepency Test 230


Ely's Test 232


Femoral Nerve Traction Test 234


 


Section 10: Knee 239


Patella Tendon/Patella Ligament Length Test 240


Patellar Apprehension Test 242


Ballotable Patella or Patella Tap Test 244


Sweep Test (Wipe, Brush, Bulge, or Stroke Test) 245


Q-Angle Test 247


Medial-Lateral Grind Test 249


Bounce Home Test 252


Patellar Grind Test (Clarke's Sign) 255


Renne Test 258


Noble Test 261


Hughston's Plica Test 264


Godfrey 90/90 Test 266


Posterior Sag Test (Gravity Drawer Test) 267


Reverse Pivot Shift (Jakob Test) 269


Anterior Lachman's Test 272


Anterior Drawer Test 274


Slocum Test With Internal Tibial Rotation 276


Slocum Test With External Tibial Rotation 278


Pivot Shift Test 280


Jerk Test 284


Posterior Drawer Test 288


Hughston Posteromedial Drawer Test 290


Hughston Posterolateral Drawer Test 292


Posterior Lachman's Test 294


External Rotation Recurvatum Test 296


Dial Test (Tibial External Rotation Test) 298


Valgus Stress Test 301


Varus Stress Test 304


McMurray Test 307


Apley Compression Test 310


Steinman's Tenderness Displacement Test 312


 


Section 11: Ankle and Foot 317


Homans' Sign 318


Anterior Drawer Test 321


Talar Tilt Test (Inversion) 324


Talar Tilt Test (Eversion) 326


Thompson Test 328


Tap or Percussion Test 330


Feiss Line 331


Interdigital Neuroma Test 333


Compression Test 335


Long Bone Compression Test 336


Swing Test 337


Kleiger's Test 339


Tinel's Sign 342


 


Section 12: Contemporary Special Tests 345


Impingement Reduction Test 346


Walking Arm Stress (WAS) Test 349


Finger Extension Test 351


Flexor Pronator Syndrome Test 353


Tarsal Twist Test 355


 


Index 359


 


Unfortunately, it's just a list
Subject: Unfortunately, it's just a list

Further workup significant for type 2 diabetes, dyshyperplasia, obesity, rosacea, and hypertension.