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I think you were right, ECG 7-14 was abnormal, today's visit is normal in comparison

Posted By: ltt on 2007-07-23
In Reply to: I have a long question.. of what you would do.. - Deborah

Subject: I think you were right, ECG 7-14 was abnormal, today's visit is normal in comparison




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sorry - it was films including comparison
Subject: sorry - it was films including comparison


spot films and s/l coding comparison
Subject: spot films and s/l coding comparison

His spot films and s/l coding comparison do not show a fracture.
s/l like sulfa or sulca sign with bilateral comparison
Subject: s/l like sulfa or sulca sign with bilateral comparison

Right shoulder pain
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


This was an office visit. Thanks
Subject: This was an office visit. Thanks


Maybe RV for return visit? nm
Subject: Maybe RV for return visit? nm

s
Office visit H&P- Thanks! nm
Subject: Office visit H&P- Thanks! nm


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
Just guessing... RV as in return visit?
Subject: Just guessing... RV as in return visit?


Just in for a neurosurgery visit, but other meds not associated.
Subject: Just in for a neurosurgery visit, but other meds not associated.

Doc tends to slur a lot, so I may have to flag it.
The patient did have a s/l UDM at the last visit that was positive for opiates.
Subject: The patient did have a s/l UDM at the last visit that was positive for opiates.

Is UDM correct?  If so what is spelled out?


Context, please! What are you doing - xray, scan, office visit, etc.?
/
visit this link for options regarding suction cannula
Subject: visit this link for options regarding suction cannula

you can visit this link to see and search for options.


Boy with fevers and pain (rheum. visit). He does not have any *tempwella* with ... sm
Subject: Boy with fevers and pain (rheum. visit). He does not have any *tempwella* with ... sm

... the fevers or the presumed joint pains. He does not seem to have any morning stiffness.


Thanks.


Pediatric rheum visit. Med s/l soyametatine/solumetatine 400 mg daily sm
Subject: Pediatric rheum visit. Med s/l soyametatine/solumetatine 400 mg daily sm

I'm not sure what the med is for, but child has PFAPA syndrome. On my s/l, I hear the end better than the beginning, hence the two different beginnings.


Thanks!


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
Thought it had more to do with her sources of information on the patient prior to initial visit. nm
Subject: Thought it had more to do with her sources of information on the patient prior to initial visit. nm

x
Drain was removed at this first postop visit- discontinued makes the most sense. Thanks!
Subject: Drain was removed at this first postop visit- discontinued makes the most sense. Thanks!


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
abnormal LFT
Subject: abnormal LFT



Abnormal liver function tests. We will check repeat s/l HP LFTs today .


This is under assessment/plan, so I need to spell it out. I am unsure of the HP part. I know its liver function tests.


The pt does have hyperlipidemia. Help!


possibly abnormal? nm
Subject: possibly abnormal? nm

x
abnormal amylase
Subject: abnormal amylase

BUN and serum creatinine
would they say abnormal s/l Total at EKG?
Subject: would they say abnormal s/l Total at EKG?


? Abnormal Pap smears.
Subject: ? Abnormal Pap smears.


Abnormal s/l larges . . .
Subject: Abnormal s/l larges . . .

A CT scan showed an abnormal liver with "larges" of decreased continuation.


Any suggestions please????


 


abnormally/an abnormal
Subject: abnormally/an abnormal

Sudden brain toot..

would it sound better to say " no evidence of an abnormally enhancing mass.'

or "no evidence of an abnormal enhancing mass."


Only thing I can think of is lipase, or abnormal ALT
Subject: Only thing I can think of is lipase, or abnormal ALT

x
says pt had abnormal Pap smear with s/l Askis?
Subject: says pt had abnormal Pap smear with s/l Askis?


abnormal thyroid testing
Subject: abnormal thyroid testing

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Fossae of abnormal signal
Subject: Fossae of abnormal signal

Sl/ foesi (would that be spelled fossae?) of abnormal signal on enhancement?  I know I have heard this before but my brain is just numb today.  Fighting a migraine -- losing the battle and I'm so tired.  Thanks for any help. 
? two foci of abnormal activity
Subject: ? two foci of abnormal activity


Abnormal Protein S, s/l CNN and possible lipid antibody. sm
Subject: Abnormal Protein S, s/l CNN and possible lipid antibody. sm

Doc says, "pt  has hx of abnormal protein S, (s/l) CNN, and possible lipid antibody,  all three.  Hx of DVT in 2001.  She had pulmonary embolus in June at which time she had Factor V difficiency.  She has multiple coagulopathies."   Any help appreciated.Thx. mmw 


Maybe eccentric, grossly abnormal or unusual? nm
Subject: Maybe eccentric, grossly abnormal or unusual? nm

s
Pica. It means an abnormal desire to eat
Subject: Pica. It means an abnormal desire to eat

substances not normally eaten, like chalk, ashes, glue, paper, detergent.

http://www.m-w.com/dictionary/pica
syndrome related to abnormal TFTs.
Subject: syndrome related to abnormal TFTs.

I know, didn't make sense to me either, but it does exist.
pulmonary embolism or abnormal bleeding.
Subject: pulmonary embolism or abnormal bleeding.

x
Abnormal ECT, baseline "wander" in "V 4" or "lead four". ?? nm
Subject: Abnormal ECT, baseline "wander" in "V 4" or "lead four". ?? nm


Eyes: Noted to have abnormal ACE level. sm
Subject: Eyes: Noted to have abnormal ACE level. sm

She has no URI symptoms, but last year she was noted to have on and off SOB with elevated s/l D timer. TIA
Abnormal DTRs can be a sign of being euthyroid.
Subject: Abnormal DTRs can be a sign of being euthyroid.

x
anergia (abnormal lack of energy)
Subject: anergia (abnormal lack of energy)

anergia-abnormal lack of energy
eye exam s/l no abnormal s/l*glossing or nicking
Subject: eye exam s/l no abnormal s/l*glossing or nicking

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Got it, epiphora (abnormal flow of tears). Thanks for your help!
Subject: Got it, epiphora (abnormal flow of tears). Thanks for your help!

..
patient with abnormal parathyroid hormone level
Subject: patient with abnormal parathyroid hormone level

CPEP, IPEP, and ACE levels were ordered. 


I am just wanting to know if I am typing these correctly?  Any light anyone can shed on this would be GREATLY appreciated.  (It's a general surgery consultation.)


Thank you, in advance!!!


 


She had a history of an abnormal Pap smear and has had a _____ done last year.
Subject: She had a history of an abnormal Pap smear and has had a _____ done last year.

x
AIMS test (abnormal involuntary movement scale)
Subject: AIMS test (abnormal involuntary movement scale)


Abnormal CT scan: Lesion that appears to be "an algomized" effusion or soft tissue. sm
Subject: Abnormal CT scan: Lesion that appears to be "an algomized" effusion or soft tissue. sm

She has a pleural-based lesion in the right lower lobe that appears to be either an algomized effusion or soft tissue. She also has multiple pulmonary nodules bilaterally suggestive of either a metastatic neoplastic disease or granulomatis changes.
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