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It appears that the (sm)

Posted By: MT on 2008-03-16
In Reply to: lamotrigine level - by

Subject: It appears that the (sm)

measurement for lamotrigine level is mcg/mL.  There is such a measurement as mg%, but I am not sure if that is how lamotrigine is measured.


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Phys exam on 2 yr old - Heart regular rate. ?? s/l vascularity appears intact or back appears int.
Subject: Phys exam on 2 yr old - Heart regular rate. ?? s/l vascularity appears intact or back appears int.


It appears to be a (sm)
Subject: It appears to be a (sm)

term most often used with laparoscopic procedures.  I found several sites mentioning an intraumbilical incision.  Here is an excerpt from a sample report from another MT site: 


OPERATIVE PROCEDURE: LAPAROSCOPIC BLADDER NECK SUSPENSION

Trocar placement may vary according to the preference of the surgeon. Usually, a 10-mm trocar is placed through an intraumbilical incision and another 10-mm trocar is placed suprapubically, followed by two 5-mm trocars placed laterally. Laparoscopes with different viewing angles are available. The selection of a straight or angled optic is the surgeon's personal choice. We prefer the straight, forward optic.


That appears to be a company...
Subject: That appears to be a company...


Had that one wrong it appears (nm)
Subject: Had that one wrong it appears (nm)

x
Currently appears stable?
Subject: Currently appears stable?

  Where there are no other instructions after that sentence, i.e. ordering a test or medication, the word "stable" comes to my mind.
Sorry, appears to be hemoglobin...nm
Subject: Sorry, appears to be hemoglobin...nm

x
It appears that the has now ___ s/l defervesced....Is this right?
Subject: It appears that the has now ___ s/l defervesced....Is this right?

x
the patient has what appears to be a "vertig"
Subject: the patient has what appears to be a "vertig"

fracture of the right eighth rib.
Metabolic: Currently appears _________ -sm
Subject: Metabolic: Currently appears _________ -sm

Listed in the impression of consult by nephrology doctor. Here is what is before and after:

4. DIABETES MELLITUS. Continue insulin.
5. METABOLIC: Currently appears s/l "sensible" or "extensible."
6. ANEMIA MANAGEMENT. We will add Epogen. The patient’s hemoglobin and hematocrit are below goal.

However at this time clinically, she appears....
Subject: However at this time clinically, she appears....

too many commas for me
Did you receive my email containing the link? It appears to
Subject: Did you receive my email containing the link? It appears to

So, sorry. I tried to help you. Guess she felt it wasn't noteworthy.
It appears to be a correct term for a type of MRI
Subject: It appears to be a correct term for a type of MRI

T1W High-Resolution Isotropic Volume Examination
This 4 year, 10-month-old child appears her stated age
Subject: This 4 year, 10-month-old child appears her stated age


PAR-Q appears to be some kind of health history per Google. nm
Subject: PAR-Q appears to be some kind of health history per Google. nm

x
rotator cuff s/l intensity appears normal.
Subject: rotator cuff s/l intensity appears normal.


on exam, pt appears alert and s/l "infantating" (end of sentence)
Subject: on exam, pt appears alert and s/l "infantating" (end of sentence)


I'm sorry, it appears I am a total goober and was hearing heard it all wrong. Thx for your help.
Subject: I'm sorry, it appears I am a total goober and was hearing heard it all wrong. Thx for your help. nm


s/l BTV? status post appendectomy (this appears in a list of diagnoses)
Subject: s/l BTV? status post appendectomy (this appears in a list of diagnoses)


Pleural fluid appears to be s/l ex hit ta tive with an LDH of 589.. see message pleez :)
Subject: Pleural fluid appears to be s/l ex hit ta tive with an LDH of 589.. see message pleez :)

ultra-sound guided thoracentesis was performed in the clinic with the removal of 1.6 liters of serosanguineous pleural fluid.  The fluid appears to be "ex hit a tive" with an LDH of 589, protein of 3.6, pH of 7.8, and glucose of 79.  The pleural fluid cytology is pending at the time of dictation. 
pt with dental pain - on PE, states "...'OROBUCCAL (1 word?) SYMPOSIN' appears to be normal
Subject: pt with dental pain - on PE, states "...'OROBUCCAL (1 word?) SYMPOSIN' appears to be normal"


Phys. Exam on 2 yr - Heart regular rate. s/l vascularity or back appears intact? r
Subject: Phys. Exam on 2 yr - Heart regular rate. s/l vascularity or back appears intact? r


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.