I have it dictated as "no added heart sounds"...nm
Posted By: passing thru on 2009-05-15
In Reply to: Phrase - Ceanne
Subject: I have it dictated as "no added heart sounds"...nm
nm
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- Phrase - Ceanne
- I have it dictated as "no added heart sounds"...nm - passing thru
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Pelvic exam - sounds like "no exalative mass" nm
Subject: Pelvic exam - sounds like "no exalative mass" nm
Heart sounds..
Subject: Heart sounds..
"when to" could be S1, S2 if speaking very fast. Droops are probably "rubs."
heart sounds can be tympanitic
Subject: heart sounds can be tympanitic
s/l nuclear heart sounds
Subject: s/l nuclear heart sounds
No JVD or bruits, s/l "nuclear" heart sounds are normal.
Could it be regular heart sounds?
Subject: Could it be regular heart sounds?
"Metallic"?? heart sounds...is that right??
Subject: "Metallic"?? heart sounds...is that right??
Sounds okay. Reagent is a solution added to another solution. nm
Subject: Sounds okay. Reagent is a solution added to another solution. nm
Heart sounds were regular. She has a s/l pector 6 con-vat-um SM
Subject: Heart sounds were regular. She has a s/l pector 6 con-vat-um SM
which is probably somewhat restrictive of pulmonary function.
Distinct or Distant Heart Sounds?
Subject: Distinct or Distant Heart Sounds?
What is more commonly said? Thanks!
No distinct heart sounds. Irregular.
Subject: No distinct heart sounds. Irregular.
Would a doctor ever say "No distinct heart sounds"?
I have always used and seen S1, S2, two separate heart sounds during auscultation......nm
Subject: I have always used and seen S1, S2, two separate heart sounds during auscultation......nm
nm
I have always used and seen S1, S2, two separate heart sounds during auscultation......nm
Subject: I have always used and seen S1, S2, two separate heart sounds during auscultation......nm
nm
Phrase: Heart: No edit sounds
Subject: Phrase: Heart: No edit sounds
Thank you guys!
Heart sounds were normal intensity 1 and 2. *No S3 or S3 heard.* sm
Subject: Heart sounds were normal intensity 1 and 2. *No S3 or S3 heard.* sm
Could one of these S3s be F3? or something with a similar s/l? I can't document F3 though. New doc, but clearly states above.
Thanks for any help.
Heart sounds were normal in intensity, S1 and S2. No S3 or S4 heard.
Subject: Heart sounds were normal in intensity, S1 and S2. No S3 or S4 heard.
believe they mean no clicks, rubs, gallops, etc (heart sounds)
Subject: believe they mean no clicks, rubs, gallops, etc (heart sounds)
n.m
Heart sounds "when to heard" normal
Subject: Heart sounds "when to heard" normal
S/l Pulses are regular; heart sounds "when to" heard normal. No murmurs, "droops" or gallops. "droops is said very unclearly.
Heart sounds: No rubs, gallops, heaves, thrills or *livs*
Subject: Heart sounds: No rubs, gallops, heaves, thrills or *livs*
Just as you have it if that's what was dictated. If "one fourth" was dictated, sm
Subject: Just as you have it if that's what was dictated. If "one fourth" was dictated, sm
it would be 1/4 pill or one fourth of a pill.
Def an 'N' dictated - Diabetes unsure of - no PMH dictated
Subject: Def an 'N' dictated - Diabetes unsure of - no PMH dictated
added?
Subject: added?
should have added...sm
Subject: should have added...sm
parent/child relational problems is a V code, as it does not pertain to any psychological disorder, whereas Posttraumatic Stress Disoder is not a V code because it is considered a mental disorder.
I should have added...
Subject: I should have added...
This lady had this diagnosis for five months before she died. Thanks again.
We type it as dictated, if dictated
Subject: We type it as dictated, if dictated
c spine we transcribe C-spine, if cervical then cervical spine.
Thanks I added that site to my fav. nm
Subject: Thanks I added that site to my fav. nm
x
Thanks -I added that to my "favorites" sm
Subject: Thanks -I added that to my "favorites" sm
It was a stat report so I sent it flagged - didnt see anything resembling "queery" LOL
thank you...added it to my book.
Subject: thank you...added it to my book.
d
oops...added an 'n'
Subject: oops...added an 'n'
sorry should have added sentence..sm
Subject: sorry should have added sentence..sm
There is some hyperlucency noted on the ____ s/l "tricotrim" of the wrist although awaiting radiology report.
Headings are allowed to be added.
Subject: Headings are allowed to be added.
It would look weird without a heading. Thanks.
Should have added patient's other medications
Subject: Should have added patient's other medications
She's on levothyroxine for her thyroid, Lipitor for her cholesterol, verapamil for her hypertension so I'm really confused here.
Thanks again! :-)
No - he spelled it the second time and added a hyphen ...
Subject: No - he spelled it the second time and added a hyphen ...
mega-gastrium. (But we all know how well they spell sometimes.) TGIF!
Got it - hypothenar - doctor added an 'ic'
Subject: Got it - hypothenar - doctor added an 'ic'
Could be abbreviating neutralizer like bicarbonate being added. nm
Subject: Could be abbreviating neutralizer like bicarbonate being added. nm
s
Glad to help. I added the mesh to my list. nm
Subject: Glad to help. I added the mesh to my list. nm
TY! copied and pasted and added to favs...nm
Subject: TY! copied and pasted and added to favs...nm
x
You added "with" after status, not necessarily
Subject: You added "with" after status, not necessarily
x
I'm thinking something like a "neck roll" added to
Subject: I'm thinking something like a "neck roll" added to
bed to elevate her head - just a guess
A/P: s/l morris atherine was added to her reime and she is sent to GI for a screening colon. thank
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Subject: I'm wondering if it's short for preservative free or having no color added,
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That's it! Thanks added it and found this wonderful site for lap instrument searches, see inside.
Subject: That's it! Thanks added it and found this wonderful site for lap instrument searches, see inside.
http://lapsearch.net/
On EKG, is it "No STT changes or ST-T?
Subject: On EKG, is it "No STT changes or ST-T?
This always messes me up.
Thanks.
psyllium is a type of seed husk added to the diet for bulk and fiber. No capital 'p.' nm
Subject: psyllium is a type of seed husk added to the diet for bulk and fiber. No capital 'p.' nm
m
Pt in for a rash. Doc says "no cal-la" ?? TIA
Subject: Pt in for a rash. Doc says "no cal-la" ?? TIA
x
"no atelectasis"
Subject: "no atelectasis"
a guess, after lung bases. Then Bowel loops could be the next sentence.
"no atelectasis"
Subject: "no atelectasis"
a guess, after lung bases. Then Bowel loops could be the next sentence.
"no atelectasis"
Subject: "no atelectasis"
a guess, after lung bases. Then Bowel loops could be the next sentence.
or "no ectopy"
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"no more" Nexium? nm
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"No asymmetries are seen" ??
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could be "no leukocytosis." nm.
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nm
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