I doubt highly that a stricture or lesion would
Posted By: arcogal716 on 2006-06-20
In Reply to: make sense? - lola
Subject: I doubt highly that a stricture or lesion would
improve a patient's nutritional status., but rather do the complete opposite. I think the physician meant to dictate "GI" physician since he/she mentioned the dysphagia in the dictation, which is also a common place for strictures or lesions to develop.
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- make sense? - lola
- I doubt highly that a stricture or lesion would - arcogal716
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Doc means that if there is any stricture/lesion, sm
Subject: Doc means that if there is any stricture/lesion, sm
causing difficulty that can be dealt with, then that would improve his nutritional status. This is why AAMT is now advising us to transcribe as dictated. So difficult to interpret these guys sometimes, but we get the gist of what they mean.
Usually it's a GI doc to deal with this, but maybe there is something in the throat of concern, or a swallowing dysfunction. I'd flag it for your QA and say "transcribed as dictated" and let QA handle it.
Good pickup!
I highly recommend Sheila Sloane's
Subject: I highly recommend Sheila Sloane's
Claudia Tessier's surgical word book and Sheila Sloane's medical word book....which also has surgical section in it.
I highly recommend Stedmans "Medical and Surgical sm
Subject: I highly recommend Stedmans "Medical and Surgical sm
Equipment Terms." However, your matchstick bur isn't in there. The surgeon could be referring to the shape of the bur, rather than a trademark name. I'd flag it if no one else comes up with a concrete reference.
Thank you, both. Janette, sounds highly likely! Much appreciated. Any thoughts on "Me-TOK-a"?
Subject: Thank you, both. Janette, sounds highly likely! Much appreciated. Any thoughts on "Me-TOK-a"? Still
It may be some type of stricture(s). nm
Subject: It may be some type of stricture(s). nm
s
esophageal stricture
Subject: esophageal stricture
a possible stricture and has a *stramatocele**
Subject: a possible stricture and has a *stramatocele**
s/l duwadna stricture. TIA
Subject: s/l duwadna stricture. TIA
xx
duodenal stricture
Subject: duodenal stricture
You are right, but a stricture isn't an adhesion.
Subject: You are right, but a stricture isn't an adhesion.
Strictures are usually dilated, not broken up.
left ureteroileal stricture
Subject: left ureteroileal stricture
in the past medical history sound like: "Leptoscopy, levogram" November 2005 revealing possibly a left ureteroileal stricture.
I can definately hear the "scopy" and "gram" but cannot find these words fitting the sentence at all...any ideas on either word...This is the full sentence...
s/l azaphasial stricture.SM for more info
Subject: s/l azaphasial stricture.SM for more info
after initial radiation. She is going to follow up with GI clinic.
This doctor has an Indian accent.
TIA
coarctation == constriction/stricture/stenosis? sm
Subject: coarctation == constriction/stricture/stenosis? sm
PDF]
File Format: PDF/Adobe Acrobat
from the right aortic cusp and coarctation of the aorta (COA). Brief Communications. The Journal of Thoracic and Cardiovascular Surgery ...
jtcs.ctsnetjournals.org/cgi/reprint/131/4/911.pdf - Similar pages |
Figure 1 Aortogram showing single right coronary artery (RCA) from the right aortic cusp and coarctation of the aorta (COA). ...
jtcs.ctsnetjournals.org/cgi/content/full/131/4/911 - Similar pages |
Aortic Coarctation and Bicuspid Aortic Valve ... AC denotes anterior cusp, PC posterior cusp, AA ascending aorta, DA descending aorta, ITA internal thoracic ...
content.nejm.org/cgi/content/full/342/4/249 - Similar pages
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An 8-mm lesion is noted. The lesion is 8 mm.
Subject: An 8-mm lesion is noted. The lesion is 8 mm.
Is the hypen in mm and cm placed when the structure or fluid being measured is mentioned after the size? For instance
an 8-cm lesion
the lesion measures 8 cm.
the lesion measured 3 x 3 x 3 cm
a 3- x 3- x 3-cm mass is noted
Thanks!
Is it a 2-cm lesion or 2 cm lesion, according to AAMT?
Subject: Is it a 2-cm lesion or 2 cm lesion, according to AAMT?
x
Cam lesion or cam lesion? please ASAP
Subject: Cam lesion or cam lesion? please ASAP
or is it CAM lesion- feeling very tired and out of sorts- thanks for the help though, I appreciate it!
doubt
Subject: doubt
_____ (Evos) of a 40-year-old female who comes in to the office for follow up on chronic.....
You are without a doubt - sm
Subject: You are without a doubt - sm
a very unhappy person. I feel very sorry for you.
Any doubt
Subject: Any doubt
on vitals or med doses...ALWAYS A BLANK. :-)
equivocal - no doubt about it.....*LOL*
Subject: equivocal - no doubt about it.....*LOL*
Well, I doubt that would help her diet!!
Subject: Well, I doubt that would help her diet!!
I would - but I doubt they'd listen
Subject: I would - but I doubt they'd listen
If you're QA, though, I can nominate you for QA of the month! You deserve it.
Strongly doubt it
Subject: Strongly doubt it
nm
grammar doubt
Subject: grammar doubt
today for routine (follow up or followup) of hypertension.
grammar doubt
Subject: grammar doubt
follow up
doubt with radiology again
Subject: doubt with radiology again
Bony _____ (s* ---- tion) projects the distal right of the radial styloid process, which does not appear to be posttraumatic.
CT Brain doubt
Subject: CT Brain doubt
A 5-mm-thick _____ obtained through the brain with intravenous administration of contrast.
THANKS-don't you hate it when you doubt yourself?
Subject: THANKS-don't you hate it when you doubt yourself?
In degrees of ROM or in end range or ROM? I doubt sm
Subject: In degrees of ROM or in end range or ROM? I doubt sm
it is Dupuytren etc. nm
Thanks for replying. You confirmed it for me so no doubt now.
Subject: Thanks for replying. You confirmed it for me so no doubt now.
Ct abdomen and pelvis doubt
Subject: Ct abdomen and pelvis doubt
multiloculated or ____ (simi subtrated) cyst in the pancreatic map.
Doubt with cervical myelogram
Subject: Doubt with cervical myelogram
Dictating in 2 position:
1. _____(codstone) bone graft is in excellent position.
2. HIs ____(po*city) of bone formation along the edges of _____(c*stone) graft, which is unexpected in more cortical nature.
No, I doubt it since grip strength was 35/50..
Subject: No, I doubt it since grip strength was 35/50..
something else starting with a T that is only 11-12 pounds.
Using a question mark to indicate doubt or uncertainty sm
BOS says:
Use an ending question mark to indicate doubt or uncertainty.
Sometimes, particularly with diagnoses, a question mark is placed before a
statement in order to indicate uncertainty.
Placement either before or after the questionable material is acceptable, but
do not place the question mark both before and after.
Ex:
His cholesterol levels were high normal (or minimally elevated?).
D: Diagnosis: Angina question mark
T: Diagnosis: Angina?
or Diagnosis: ?Angina.
not Diagnosis: ?Angina?
Note: There is no space after the question mark in ?Angina.
=)
Rennie
www.renesue.com
Client preferences rule here. If in doubt, sm
Subject: Client preferences rule here. If in doubt, sm
here's what I've always done:
He was given a do-not-resuscitate order.
I think my high school English teacher would prefer it thusly;)
He was given a "do-not-resuscitate" order.
Like Txczech said, sometimes these are bolded and capitalized to alert treating physicians of patients' wishes, similar to allergy statements. Client preference, again.
Unless you know for sure that the client does not have a special order called the Do-Not-Resuscitate Order, lowercase it. (I think this is what you might have been considering.)
Yes, you look them up and learn which are band name, which are generic. When in doubt, look up again
Subject: Yes, you look them up and learn which are band name, which are generic. When in doubt, look up again. nm
c
Meds and dosages scare me, so when in doubt...
Subject: Meds and dosages scare me, so when in doubt...
I always blank/flag it. 
Doubt you give 15 refills for narcotics.
Subject: Doubt you give 15 refills for narcotics.
x
Exam is consistent with pancreatitis. I seriously doubt s/l stumpitis
Subject: Exam is consistent with pancreatitis. I seriously doubt s/l stumpitis
I would think it is herald unless he is speaking of a person with the name Herold, which I doubt.
Subject: I would think it is herald unless he is speaking of a person with the name Herold, which I doubt.
Yep...not an easy one. Would doubt it if he hadn't said it so many times. Thinking something lik
Subject: Yep...not an easy one. Would doubt it if he hadn't said it so many times. Thinking something like coronary obstruction artery "something" syndrome...? Just can't get it :( THanx though!
It's too late to tell you to leave a blank. Doubt "os finder." nm
x
I doubt it, as appendiceal is relating to the appendix and cystocele relating to the bladder.
Subject: I doubt it, as appendiceal is relating to the appendix and cystocele relating to the bladder.
could it be...."a 2- to 3-mm lesion" ?? nm
Subject: could it be...."a 2- to 3-mm lesion" ?? nm
lesion
Subject: lesion
This is a 6-month-old male with a lesion in the subcutaneous tissues of the right scalp. The lesion has been growing very slowly since birth. It has **fer-mang-i-ated** and attached to the deeper planes.
This is all the info I have here. He has an accent, so it's possibly something quite simple. Thanks for any help!
LESION
Subject: LESION
syphiloid chancroid?
is there anything more about this particular lesion you can tell us?
Subject: is there anything more about this particular lesion you can tell us?
2-1/2-mm lesion or 2.5-mm lesion??
Subject: 2-1/2-mm lesion or 2.5-mm lesion??
 mental block!
2.5-mm lesion
Subject: 2.5-mm lesion
What's great about the metric system is how everything is by 10s, so 1/2 = 0.5
PSA SCD lesion???
Subject: PSA SCD lesion???
patient has peripheral vascular disease --
CT angiogram findings done today which demonstrated an occluded distal abdominal aorta and bilateral common iliac arteries compatible with a -- s/l PSA SCD lesion.
TIA for help!
s/l STD lesion...
Subject: s/l STD lesion...
-rays updated today indicate continuation of degenerative joint disease of the right knee. The s/l STD lesion apparent on x-ray, but does not appear to be changed in comparison to his last x-ray in 2007. any ideas?
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