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It is a 65-year-old female being seen by a cardiologist for palpitations. See description...

Posted By: mt12 on 2008-02-11
In Reply to: Age, male or female, problem? - MT50

Subject: It is a 65-year-old female being seen by a cardiologist for palpitations. See description...

She has a history of an ovarian cyst removed, bunion surgery, appendectomy, pulmonary micronodules and varicose veins.


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dr says: 26-year-old G4 P 0 to 1 SAB 3 female.sm.
Subject: dr says: 26-year-old G4 P 0 to 1 SAB 3 female.sm.

What is the correct way to transcribe this?


G4 P-0-1 SAB3


G4 P-0-1 sab3


Thank you so much in advance!


72-year-old female - see message
Subject: 72-year-old female - see message

Has had a hysterectomy for benign reasons.

She has a history of intermittent s/l BV or BD previously treated by her OB/GYN.
Yes. I transcribe for a cardiologist who always dictates
Subject: Yes. I transcribe for a cardiologist who always dictates


s/l female female thromboembolic disease
Subject: s/l female female thromboembolic disease

but not female, as it is family hx with father. 
She had no s/l precipitory chest pain or palpitations
Subject: She had no s/l precipitory chest pain or palpitations

or loss of consciousness.. TIA
Pt with palpitations...not taking any s/l alth or alse agonists sm
Subject: Pt with palpitations...not taking any s/l alth or alse agonists sm

He is not taking any _____agonists, decongestants, or herbal supplements. 


 


s/l alse or alth agonists


patient also has had some problems with s/l rahpy tachy palpitations
Subject: patient also has had some problems with s/l rahpy tachy palpitations

nt
More description
Subject: More description

It definately has 3 syllables.  I think it might be for cerebral palsy, but not sure.


Thanks for the idea!


Abby


More description
Subject: More description

It definately has 3 syllables.  I think it might be for cerebral palsy.  Thanks for trying to help me!!! 


Abby


HEENT unchanged x1 year (been the same since year ago)
Subject: HEENT unchanged x1 year (been the same since year ago)


25-pack/year would mean 25 packs per year, but
Subject: 25-pack/year would mean 25 packs per year, but

25-pack-year is the amount equal to packs smoked per day x number of years smoking, as per BOS and Vera Pyle.


Help please - skin description
Subject: Help please - skin description

Skin of his left foot, as compared to the right, does seem somewhat ______.  (sounds like pletheracally decongested).  He also says The venous filling of his left foot seems somewhat stagnant as compared to the right (if that helps).  Thanks.
Pain description
Subject: Pain description

Probably saying "acute and chronic pain".

Description of throat as
Subject: Description of throat as

s/l "malenpotty"
Excellent description. Thank you. nm
Subject: Excellent description. Thank you. nm

.
noninvasive s/l protropert description
Subject: noninvasive s/l protropert description

Hmm, I'm stuck on this.  The patient is going to have a dental procedure done.  "However, prior to the aforementioned dental procedure, which should be a noninvasive [s/l protropert description or maybe prescription] by her dentist, she should hold the Fragmin one day prior."  He does talk fast and mumble a bit, so I may be off on my s/l.  Any ideas?
You're welcome. lengthy description, but --sm
Subject: You're welcome. lengthy description, but --sm

someone was finally kind enough to give me the solution to that problem, as well. guess it was time for me to pass it on. at least it works.
It is appropriate to use the word fixated as in the medical description of "To make fixed, stable
Subject: It is appropriate to use the word fixated as in the medical description of "To make fixed, stable, or stationary."


Is year old still hyphenated as in 74-year-old? nm
Subject: Is year old still hyphenated as in 74-year-old? nm


2 years' time because years is plural. One year's time because it is singular, only one year.
Subject: 2 years' time because years is plural. One year's time because it is singular, only one year.


yes! that's got to be it! px is female. =)
Subject: yes! that's got to be it! px is female. =)

x
Yes she is female!
Subject: Yes she is female!

Thank you!!
Female...sm
Subject: Female...sm

She was worried about cancer. Wanted a PET scan but doc ordered the blood tests I listed. I cannot find this anywhere. S/l Ulasa or Alasa ?
Unfortunately - female - but thank you
Subject: Unfortunately - female - but thank you

.
She's a 70 yr old female..
Subject: She's a 70 yr old female..

would she still have an LH level??
Female
Subject: Female

A 70-year-old female in for cataract surgery.

Thanks!

No...not coal tar. It is for a female..sm
Subject: No...not coal tar. It is for a female..sm

I have found this cream once before. She is saying Coltz (s)but unsure of the spelling. Found it on some pharm site a long time ago. It is over the counter. But now I cannot find it.

Thanks anyway.
No, female patient. Thank you!
Subject: No, female patient. Thank you!

x
Is this a female for pregnancy? sm
Subject: Is this a female for pregnancy? sm








What is beta hCG?
Beta HCG "the pregnancy hormone" is produced by the cells of the implanting egg and can be produced in the absence of an embryo. Beta hCG can be detected in ...
http://www.obfocus.com/questions/qanda7.htm   - 11k  -  Cached  -  Similar pages

male or female?
Subject: male or female?


male or female?
Subject: male or female?

?
female patient?
Subject: female patient?

ECC probably endocervical curettage.

EOU, no clue, but checked medilexicon and found:

EOU
Epidemic Observation Unit,
Experimental Oral Ulcerations

which makes no sense so far in this case.

Patient is Female
Subject: Patient is Female

Female
s/l female sounds.
Subject: s/l female sounds.

Full sentence is


A flexible cystoscopy was initially tried but there is severe urethral stenosis so I had to first dilate the urethra with "s/l female sounds" from French #18 up to French #30.


Thanks in advance.


this may help for pundendal SEP (female), sm
Subject: this may help for pundendal SEP (female), sm

http://www.scielo.br/pdf/ibju/v33n6/v33n6a10.pdf
female surgeries
Subject: female surgeries

Give dates of any of the following female surgeries you have had performed:

Tubal ligation (tubes tied to prevent pregnancy)

Hysterectomy (removal of the uterus) Yes No

Abdominal or Vaginal

Removal of ovary (ies) Right Left Both Don’t know

Laparoscopy

Bladder surgery

Rectal Surgery

Cryotherapy (freezing) of the cervix

LEEP

Other female surgery

Give dates of any of the following female surgeries you have had performed:

Tubal ligation (tubes tied to prevent pregnancy)

Hysterectomy (removal of the uterus) Yes No

Abdominal or Vaginal

Removal of ovary (ies) Right Left Both Don’t know

Laparoscopy

Bladder surgery

Rectal Surgery

Cryotherapy (freezing) of the cervix

LEEP

Other female surgery

Give dates of any of the following female surgeries you have had performed:

Tubal ligation (tubes tied to prevent pregnancy)

Hysterectomy (removal of the uterus) Yes No

Abdominal or Vaginal

Removal of ovary (ies) Right Left Both Don’t know

Laparoscopy

Bladder surgery

Rectal Surgery

Cryotherapy (freezing) of the cervix

LEEP

Other female surgery

Part of Health Questionnaire on website:  Have you had any female surgeries?


Tubal ligation (tubes tied to prevent pregnancy)


Hysterectomy (removal of the uterus) Yes No


Abdominal or Vaginal


Removal of ovary (ies) Right Left Both Don’t know


Laparoscopy


Bladder surgery


Rectal Surgery


Cryotherapy (freezing) of the cervix


LEEP


Other female surgery


Male or female pt? What else are they taking? nm
Subject: Male or female pt? What else are they taking? nm

s
Male or female? What are they working them up for? nm
Subject: Male or female? What are they working them up for? nm

s
Or even Vagifem if patient is female? nm
Subject: Or even Vagifem if patient is female? nm

s
male or female exam? nm
Subject: male or female exam? nm


P.S. If it makes any difference, pt is female
Subject: P.S. If it makes any difference, pt is female

nm
female patient? Could be EstroGel. nm
Subject: female patient? Could be EstroGel. nm

x
Male or female? How about a whole sentence? nm
Subject: Male or female? How about a whole sentence? nm

s
female-in for abdomina pressure
Subject: female-in for abdomina pressure


is this a female and are you in past history?
Subject: is this a female and are you in past history?

if it is a youngish woman..........??  Just guessing here, don't know where you are in report......but if in past medical history and there is even more, it's possible, and just use a comma to separate........


....shingles on bridge of nose and some in-vitro problems...



male or female patient? . some
Subject: male or female patient? . some

choices - digital rectal, colorectal, vaginorectal ?
Age, male or female, problem?
Subject: Age, male or female, problem?


If female, then possibly *FSH* but not for hematuria. (no msg)
Subject: If female, then possibly *FSH* but not for hematuria. (no msg)

x
hmm. . . not sure. She has said this same thing for 4 pts. in a row, some male and some female. nm
Subject: hmm. . . not sure. She has said this same thing for 4 pts. in a row, some male and some female. nm


s/l normal female ascusion?
Subject: s/l normal female ascusion?

talking about a pelvic exam.
Is patient male or female? (nm)
Subject: Is patient male or female? (nm)

nm