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How about "..with report of normal per patient"? nm

Posted By: Becky on 2007-09-30
In Reply to: for PMH doc says cardiac cath...with report of a normal s/l Propation??? Any ideas? - catherization help

Subject: How about "..with report of normal per patient"? nm

nm


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for PMH doc says cardiac cath...with report of a normal s/l Propation??? Any ideas?
Subject: for PMH doc says cardiac cath...with report of a normal s/l Propation??? Any ideas?


JUDE or JUTE exam. Patient has normal genitalia.
Subject: JUDE or JUTE exam. Patient has normal genitalia.

I've been listening and searching on this one - it's probably something simple.... Hope someone can help me - thanks in advance. 
Psych report - said patient was 302'd...sm
Subject: Psych report - said patient was 302'd...sm

Should that be recast, such as patient was admitted as a 302?  I've had this doctor about a million times and he has never said 302'd before.


"Euadrenal is the term used to describe a patient's hormonal status which is grossly normal in
Subject: "Euadrenal is the term used to describe a patient's hormonal status which is grossly normal in the clinical and biochemical sense of global adrenal secretion..."


For vertigo - says patient has normal Rinne, ______ and Weber testing. Sounded like Rumaud?
Subject: For vertigo - says patient has normal Rinne, ______ and Weber testing. Sounded like Rumaud?

/
Two questions on lung cancer patient report
Subject: Two questions on lung cancer patient report

My questions are in two sentences one after the other.  Sometimes he says period but then really continues on with the same sentence, so I'm not sure if the first sentence is really a complete sentence or not, so the sentence before basically said a PET scan revealed an increase in the size of the hypermetabolic subcarinal lymph node, consistent with subcarinal metastases. 


1.  "Stable [s/l lock laid right] pleural fluid thickening, but the associated hypermetabolism has resolved."  This could maybe be "stable likely right pleural," but I'm not sure if that makes sense and I think I'm hearing a "d" at the end.


2.  "There was a small right level 2 node that has become [s/l non rye valk] consistent with an evolving inflammatory process." 


Anywhere in the report does it state that the patient had an "implant" instead of the sound of
Subject: Anywhere in the report does it state that the patient had an "implant" instead of the sound of "pack"?


This is a radiology report. Patient has hist. of multiple myeloma.......
Subject: This is a radiology report. Patient has hist. of multiple myeloma.......

Some carotid artery calcifications in the left carotid area are apparent. Degenerative changes in the thoracic spine and lumbar spine. There is disk space narrowing involving the L2-L3, L3-L4, L4-L5, L5-S1 levels. I do not appreciate any obvious s/l levique changes in the cervical, thoracic or lumbar spine.
Hi - thanks for trying. I was lucky and found a previous report for patient and it is TBSO.
Subject: Hi - thanks for trying. I was lucky and found a previous report for patient and it is TBSO.

nm
Ortho report, patient underwent s/l cementa stabilization due to a pathologic fracture of lumbar spi
Subject: Ortho report, patient underwent s/l cementa stabilization due to a pathologic fracture of lumbar spi


no dont think so, the two line prior are LFTS normal and Chem-7 was normal
Subject: no dont think so, the two line prior are LFTS normal and Chem-7 was normal


I would use saline since it's the solution he's changing from half-normal to normal, not the
Subject: I would use saline since it's the solution he's changing from half-normal to normal, not the

s
normal Pap smear in there anywhere? Normal Pap in 2006?nm
Subject: normal Pap smear in there anywhere? Normal Pap in 2006?nm


normal motility? normal motilities? nm
Subject: normal motility? normal motilities? nm


You are probably hearing normal BUS or normal BUSV. sm
Subject: You are probably hearing normal BUS or normal BUSV. sm

BUS                                       Bartholins/Urethra/Skene’s


 


BUSV                                     Bartholins/Urethra/Skene’s/vagina.


 


Here is abbrev link for you.       


 


http://www.healthsystem.virginia.edu/internet/obgyn-clerkship/UVA/Abbreviations.cfm                         


In LD says UA normal and then what sounds like C-MENT T is normal (maybe CMT)? nm
Subject: In LD says UA normal and then what sounds like C-MENT T is normal (maybe CMT)? nm


may be normal values or normal range? nm
Subject: may be normal values or normal range? nm

nm
limit of normal. sometimes hear "upper limit of normal", or "lower limit..." n/m
Subject: limit of normal. sometimes hear "upper limit of normal", or "lower limit..." n/m


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
OB patient - s/l The patient has a 'null' sign.
Subject: OB patient - s/l The patient has a 'null' sign.


Yes, a normal way they
Subject: Yes, a normal way they

Perhaps meaning borderline enlarged, but not to that point yet.
S1 and S2 normal, no S3, no S4
Subject: S1 and S2 normal, no S3, no S4

this is what they usually say - might say S3 split or S3 or S4 blowing systolic murmur
Normal?
Subject: Normal?

Best to give sentence here, but could he be saying normal rectal exam.
Could it be normal?
Subject: Could it be normal?

as in soft options of a normal diet, or even maybe 'normal or soft'
AST, ALT, GGT normal. sm
Subject: AST, ALT, GGT normal. sm

s/l alkalne isophosphatase enzymes have not been done. TIA
Normal GI -----? nm
Subject: Normal GI -----? nm


Yes, it's normal, I think :-) nm
Subject: Yes, it's normal, I think :-) nm


CVA is normal?
Subject: CVA is normal?

This is in regards to an elevated hematocrit. The doctor states there is no sign of bleeding and then says what sounds like the "CVA" or something DA -all I can tell is that it seems to end in D, KCDA?  Is normal, so that is encouraging as well. There is page turning going on that makes it impossible to hear properly! 


ESR can be 0-30 to be normal. nm
Subject: ESR can be 0-30 to be normal. nm


Actually, a 38 would be more normal on my research. nm
Subject: Actually, a 38 would be more normal on my research. nm

s
ESL~~~S/L left t's were normal
Subject: ESL~~~S/L left t's were normal

Her electrolytes showed that she was hypokalemia with potassium of 3.3, and her sugar was 40. *** were normal~~~I just can't make it out.  S/L left t's were normal any suggestions?  thank you all!!


Could be CPK and isoenzymes were normal. nm
Subject: Could be CPK and isoenzymes were normal. nm


Neither. I take it, and all my lab work is normal.
Subject: Neither. I take it, and all my lab work is normal.

I am taking it to shrink my thyroid which is enlarged.
normal lab values
Subject: normal lab values

That's really nice that you took time to list several options for me!  Thanks!
situation normal, all ------ up
Subject: situation normal, all ------ up


lipase normal? nm
Subject: lipase normal? nm


normal fimbria seen
Subject: normal fimbria seen


CPH MB normal values: less than 3%-5%
Subject: CPH MB normal values: less than 3%-5%


Normal AST and ALT levels.........
Subject: Normal AST and ALT levels.........

From Google:

What are normal levels of AST and ALT?

The normal range of values for ALT (SGPT) is from 7 to 56 units per liter of serum.

The normal range of values for AST (SGOT) is from 5 to 40 units per liter of serum (the liquid part of the blood).




Normal 10-66 but could be elevated in CKD.nm
Subject: Normal 10-66 but could be elevated in CKD.nm

nm
phallus normal? nm
Subject: phallus normal? nm

xxx
possibly..."(the) normal"..??
Subject: possibly..."(the) normal"..??

.
MM normal phenotype?
Subject: MM normal phenotype?

Does anyone know what this refers to? Is it MM or MN? 
would assume not normal
Subject: would assume not normal

not chronic for him, or something he doesn't normally show on his EKG. Sorry, probably has an accent, I assume.
Normal levels of CPK
Subject: Normal levels of CPK

are 38-174 units/L, so probably would be 13.91.
s/l GU: normal micterishid?
Subject: s/l GU: normal micterishid?

In the review of systems, the doc says "GU: normal micterishid? Has not noted any lumps in testicles..........."


Does this sound like anything real?


Thanks,


Abby


EKG sl normal brain?
Subject: EKG sl normal brain?

Her repeat EKG showed some atrial flutter.  She had small vessel ischemic changes, significant atrophy but the normal brain otherwise without mass, acute infarct or hemorrhage.


Any ideas?


Are they dictating "a TSH too is normal? nm
Subject: Are they dictating "a TSH too is normal? nm


probably normal LV function
Subject: probably normal LV function

meaning left ventricular
normal A and BUAs
Subject: normal A and BUAs

On examination of the neck, dictator says what s/l "Normal A and BUAs are present in the supine position."  Any ideas?