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I am unable to definitively diagnose patient's complaints regarding her right palm s/l 3rd ray.

Posted By: jen on 2009-05-17
In Reply to:

Subject: I am unable to definitively diagnose patient's complaints regarding her right palm s/l 3rd ray.




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What is patient's diagnosis or complaints?
Subject: What is patient's diagnosis or complaints?


Question "BIA"? "VIA" ??? CNS complaints in patient.
Subject: Question "BIA"? "VIA" ??? CNS complaints in patient.

The patient has CNS complaints (ataxia, weakness) and moderate stenosis in carotid arteries.


Doctor dictates under plan:  Female with question of "BIA", question vascular etiology for her complaints.   


Under VIA or BIA I cannot find anything that might fit.  Any ideas?  Thanks!


Medically it would fit, could you give patient's chief complaints and diagnoses? nm
Subject: Medically it would fit, could you give patient's chief complaints and diagnoses? nm

nm
The patient had problems with RUMITING on many things and unable to slow his mind down in his though
Subject: The patient had problems with RUMITING on many things and unable to slow his mind down in his though


Patient with severe COPD was unable to *apiliprate*? on nitrogen washout for lung volumes.Any ideas?
Subject: Patient with severe COPD was unable to *apiliprate*? on nitrogen washout for lung volumes.Any ideas?


Strangely, I cannot definitively document MU other than...sm
Subject: Strangely, I cannot definitively document MU other than...sm

in Stedman's Abbrev book (2003) for million units. Milliunit is listed as mU.  So how about this:  To avoid confusion, type it out as million units.  Plus more letters equals more lines.   


Palm fronds
Subject: Palm fronds


Palm Fronds -- thanks!
Subject: Palm Fronds -- thanks!

Thank you!!!!
I would spell it palm arthrorheumatosis nm
Subject: I would spell it palm arthrorheumatosis nm

.
S/L Grit & Grain scars of palm sm
Subject: S/L Grit & Grain scars of palm sm

Patient also has a palmar neuroma.  Dr. says this four times and it still sounds like grit&grain.
I found Morikami in Palm Beach.
Subject: I found Morikami in Palm Beach.


Excuse me, Palm Beach district, the city is
Subject: Excuse me, Palm Beach district, the city is

Delray Beach. 


?? Eye complaints ?? NM
Subject: ?? Eye complaints ?? NM


Do you know the complaints or anything else?
Subject: Do you know the complaints or anything else?


I type it the way you have it..no complaints so far
Subject: I type it the way you have it..no complaints so far

/
how 'bout GI/GU complaints ??? (nm)
Subject: how 'bout GI/GU complaints ??? (nm)


vocal physical complaints?
Subject: vocal physical complaints?

He denies any __________ s/l vocal physical complaints except for some fatigue.


The pt has only complained about stress in life and having trouble sleeping. It sounds like vocal or local.


yes its eye complaints, I am off to bed now LOL!!! thanks a mill but I could just not "hear" t
Subject: yes its eye complaints, I am off to bed now LOL!!! thanks a mill but I could just not "hear" that... I have done too much today! n/m


On neuro exam, s/l "Lure EE ah" triangle, squares, and fist edge palm were intact. nm
Subject: On neuro exam, s/l "Lure EE ah" triangle, squares, and fist edge palm were intact. nm


Please help. Sorry but unable to .sm

to post on the word board.  States error and upon sending error notice to the server page requests it only comes back undeliverable. 


I need help with a type of depression.  S/l dictator is saying "stewed" depression.  Patient had a recent suicide attempt and diagnosed with depression and bipolar.


Any help would be appreciated. 


Again sorry I posted here but I cant get on the word board and need help.


Thanks


 


 


S/L "stewed depression" ? ...nm


Sorry but unable to come up with any "s/l"- sm
Subject: Sorry but unable to come up with any "s/l"- sm

Doctor with heavy Indian accent - I will send in a draft but I thank you for trying
unable to post on word help

has anyone heard of dope and dobutamine for pressor support?  Is the dope I hear (LOL, not referring to the dictator of course) dopamine?


 


Thanks any and everyone!


Pt has some internalizing with anxious, depressed, and somatic complaints on the "ocka bock"
Subject: Pt has some internalizing with anxious, depressed, and somatic complaints on the "ocka bock"


New to me, unable to locate, what is Astra 8 (at least that's what it sounds like) (nm)
..
Unable to locate...doc spelling a drug ?
Subject: Unable to locate...doc spelling a drug ?

She was found to have a pseudomonas and Citrobacter positive sputum cultures.  She had a PICC line and was treated with ____ (doc is spelling ceftaziotine) ? 



  


Lumiform splint ? ....unable to find..nm
Subject: Lumiform splint ? ....unable to find..nm

x
Medication s/l 'Lotrin' I am unable to reference.
Subject: Medication s/l 'Lotrin' I am unable to reference.


Marilyn retractors? Unable to verify
Subject: Marilyn retractors? Unable to verify

');>
Re: new H2 blocker...s/l Kederac ?...unable to find anything...nm
Subject: Re: new H2 blocker...s/l Kederac ?...unable to find anything...nm

x
Since I am unable to type today, here is the OB/GYN abbrev list for you. sm
Subject: Since I am unable to type today, here is the OB/GYN abbrev list for you. sm

http://www.healthsystem.virginia.edu/internet/obgyn-clerkship/UVA/Abbreviations.cfm
S/L glasco, scomo, and comoscale?? unable to assess...tia
Subject: S/L glasco, scomo, and comoscale?? unable to assess...tia


Pt has no cardiac, pulmonary complaints, s/l (geology) symptoms, chills, fevers, night sweats etc.
Subject: Pt has no cardiac, pulmonary complaints, s/l (geology) symptoms, chills, fevers, night sweats etc.


Ortho - Has anyone heard of Marshall / or Martial brace? Unable to document this but is very clear.
Subject: Ortho - Has anyone heard of Marshall / or Martial brace? Unable to document this but is very clear.

nm
Vivonex: Enteral nutrition formulas are used as nutritional replacements for patients who are unable
Subject: Vivonex: Enteral nutrition formulas are used as nutritional replacements for patients who are unable to get enough nutrients in their diet


There are no complaints but Mr. Cornelius's son is somewhat concerned. Does Mr. Cornelius's s
Subject: There are no complaints but Mr. Cornelius's son is somewhat concerned. Does Mr. Cornelius's son sm

look right with the hyphen? I always get this mixed up and it's just too early

Help with word; unable to post on word board

Anyone heard of osseous cartilagenous OSCAL benign biopsy? 


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


Unable to examine left AKA stump because he forgot his s/l sink sock. Could it be stump sock?
Subject: Unable to examine left AKA stump because he forgot his s/l sink sock. Could it be stump sock?


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.


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
Patient given PPD - sm pls
Subject: Patient given PPD - sm pls

Patient given PPD S/L "agreed" or "read" within the next 72 hours.
Patient does have a UTI but would it
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.


Thanks for any/all help! 


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.