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Just listed in med list during breast carcinoma consult, but does have HTN, hypercholesterolemia, &

Posted By: ThankfulMT on 2007-12-11
In Reply to: Is there any sentence with it or diagnosis? - MT50

Subject: Just listed in med list during breast carcinoma consult, but does have HTN, hypercholesterolemia, & depression. Thanks everyone for your ideas.




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Breast carcinoma
Subject: Breast carcinoma

This is pertaining to a breast carcinoma. I know what it means, but am not sure how to write it.  I was wondering if someone could help me with the correct way to type this:


"She is classified as a T2 N3 MX."


Thank you for any help.


D


 


breast carcinoma
Subject: breast carcinoma

grade 2 over 3 breast carcinoma.


I know there are grades 1-4 but 2/3?


Breast carcinoma diagnosis.
Subject: Breast carcinoma diagnosis.

DIAGNOSES: Metastatic breast carcinoma, s/l estra septa positive, s/l heptra positive.

What is the 'estra septa' word
and the
'heptra' word?
grading of breast carcinoma
Subject: grading of breast carcinoma

Stage T2 - Tumor diameter greater than 2 cm but not greater than 5 cm

Stage T3 - Tumor larger than 5 cm
She has ductal carcinoma of the left breast.
Subject: She has ductal carcinoma of the left breast.

Under procedures the doctor says Left breast,sentinel (ohmensted)biopsy. Later the doctor says a blue lymphatic was clipped,ligated and removed. I really appreciate your help.
Thanks.
This was a high-grade intraductal carcinoma of the breast with focal s/l chromenonecrosis.
Subject: This was a high-grade intraductal carcinoma of the breast with focal s/l chromenonecrosis.


Ortho consult for thoracic pain after spontaneous pulmonary embolism. In list of current meds.
Subject: Ortho consult for thoracic pain after spontaneous pulmonary embolism. In list of current meds.


Med help please s/l Basorate 0.85 units per hour--just listed in med list.
Subject: Med help please s/l Basorate 0.85 units per hour--just listed in med list.


posted new message by accident. It is listed in medication list.
Subject: posted new message by accident. It is listed in medication list.


It is listed in the list of medications. Patient has diabetes, hypertension, and heart disease. nm
Subject: It is listed in the list of medications. Patient has diabetes, hypertension, and heart disease. nm


neuro consult, neuroconsult, or neural consult?
Subject: neuro consult, neuroconsult, or neural consult?

Confused about which is correct, whether it should be one word or two. Thanks in advance. "Dr. Shanmugam has seen the patient for neuro consult."
Reason for consult: s/l Managed medical consult
Subject: Reason for consult: s/l Managed medical consult

Does this sound right?  The report didn't really help me much.  The person is there for vent weaning after a fracture. 
Set consult since it's a fracture? Or set up consult? NM
Subject: Set consult since it's a fracture? Or set up consult? NM

nm
If breast, sentinel node breast biopsy.
Subject: If breast, sentinel node breast biopsy.


hypercholesterolemia maybe?? nm
Subject: hypercholesterolemia maybe?? nm

s
Has hypercholesterolemia become
Subject: Has hypercholesterolemia become

nm
hypercholesterolemia
Subject: hypercholesterolemia

that's correct
Hypercholesterolemia - sm
Subject: Hypercholesterolemia - sm

It is under the impression. He states:
1. Hypercholesterolemia. We will trial the patient on ??. I know I hear "asa" at the end. The patient has had trouble with statins, and he says he will wait until a new drug comes around. So I am not sure if this is actually a medication or some kind of supplement.
usually it would be hypercholesterolemia
Subject: usually it would be hypercholesterolemia

but if the doctor dictates "hypercholesterol", then I would type what he says.  They make up words all the time, and I would type it as one word. 
How about TriCor for hypercholesterolemia
Subject: How about TriCor for hypercholesterolemia

??
hypercholesterolemia? guessing here...
Subject: hypercholesterolemia? guessing here...


Drug for hypercholesterolemia
Subject: Drug for hypercholesterolemia

S/L Olvasa, Bulbasa, Vulvasa - Something along that line.  Please help.  Thanks.
Vytorin is for hypercholesterolemia, if that
Subject: Vytorin is for hypercholesterolemia, if that

is not mentioned in the patient history, I don't think I would guess/use that.
Can you hear either hypercholesterolemia or hypertriglyceridemia?
Subject: Can you hear either hypercholesterolemia or hypertriglyceridemia?

Does this patient have high cholesterol?
could the second word be Vytorin? It is for hypercholesterolemia..nm
Subject: could the second word be Vytorin? It is for hypercholesterolemia..nm

s
What is the exact sentence, are you sure it is for hypercholesterolemia?
Subject: What is the exact sentence, are you sure it is for hypercholesterolemia?


Patient with hypertension and hypercholesterolemia is on sm
Subject: Patient with hypertension and hypercholesterolemia is on sm

s/l Tek turna, hydrochlorthiazide, Zocor and s/l ex forge?
History of profound hypercholesterolemia with BALANSTOMAS on her eyelids
Subject: History of profound hypercholesterolemia with BALANSTOMAS on her eyelids

I'm fairly new at this work but I can't make anything of it.  Anyone have any ideas? 


It could be. He's famous for mispronouncing meds - doesn't say she has hypercholesterolemia.
Subject: It could be. He's famous for mispronouncing meds - doesn't say she has hypercholesterolemia.

nm
Pt list of drugs s/l "thy a do laj" 120 micrograms p.o. q.d. Problem list in message. sm
Subject: Pt list of drugs s/l "thy a do laj" 120 micrograms p.o. q.d. Problem list in message. sm

1.                    Dementia of undetermined etiology.


2.                    Hypothyroidism.


3.                    Osteoporosis. 

History of depression. 
Hypercholesterolemia. Reduce animal fat and ___________, increase exercise and weight loss.
Subject: Hypercholesterolemia. Reduce animal fat and ___________, increase exercise and weight loss.

The blank sounds like "courage", lol.  Thanks for any help.


In list of meds...Full bee 1 tab q.a.m. sm for problem list :)
Subject: In list of meds...Full bee 1 tab q.a.m. sm for problem list :)

1.                    Diffuse Lewy body disease mixed with Alzheimer’s disease.


2.                    Generalized anxiety disorder.


3.                    Benign prostatic hypertrophy.

4          Gastroesophageal reflux disease. 
Med list, s/l mylar? drops. No context as in list only. Tx. nm
Subject: Med list, s/l mylar? drops. No context as in list only. Tx. nm

xx
it's a consult
Subject: it's a consult

For GI bleed. Doing the impression, and doc is giving the possibilities.
s/l sep consult
Subject: s/l sep consult

Dr. will do a s/l sep consult for preop clearance


. . . This is for a patient with a hip fracture 


Consult
Subject: Consult

I am working on a consult.  In the impression on the last diagnoses, it sounds like the MD is saying "your diagnosis".  He is a notorious mumbler... Have any of you heard of this before?  Thanks in advance.


GI consult
Subject: GI consult

Could it be C. difficile positive stool or guaiac positive stool?
s/l CDU consult
Subject: s/l CDU consult

This is a header.  s/l CDU CONSULT CONSULTANTS:  Does this make sense being a OB consult?  I've never heard of this but sure sounds like it.
s/l OMS consult
Subject: s/l OMS consult

"Patient has left facial cellulitis, most probably secondary to tooth abscess." What would OMS stand for?
consult please?
Subject: consult please?

I have always done cryo'd but I have always wondered if that is correct!


Thanks!


"MSM consult" - what is MSM?
Subject: "MSM consult" - what is MSM?

x
Podiatry consult.
Subject: Podiatry consult.

Patient has an ingrown toenail.


ASSESSMENT: This is a 75-year-old female with *s/l* onycocryptosis.


I'm lost, please help!


Could he mean separate consult?
Subject: Could he mean separate consult?


s/l help please - oncology consult
Subject: s/l help please - oncology consult

Tru-Cut needle biopsy of the left breast mass, on 11/16/07, showed invasive ductal carcinoma, Nottingham grade 2, ER/PR positive; ER greater than 90%, PR 70%; HER-2/neu 2+ and __________ test is pending.
The blank sounds like "dean an blick sue-cation"...... anyone??


Doc says it again in the IMPRESSION... only this time is sounds different....

Invasive ductal carcinoma, grade II, ER/PR positive. HER-2/neu is still indeterminate and ____________ test is pending.
This time it sounds like "dean ab lou few ation"....
BU/slurry consult
Subject: BU/slurry consult

This is for a patient with an ORIF surgery for a dislocated hip and fracture. The nurse states a BU was placed.  Does anyone know what BU would stand for?  And following surgery the patient had a slurry ? consultation.  Any ideas on that one? 
ID consult question
Subject: ID consult question

Other ros negative for  s/l  "EMNS" criteria.  Very, very poor quality dicktation
Consult - I think you are right! It just sounds weird....TU
Subject: Consult - I think you are right! It just sounds weird....TU


According to my Griffith's 5-minute consult
Subject: According to my Griffith's 5-minute consult

one symptom is listed as purple "striae" on the skin. Since it appears your second word is grouped wiht labs he wants done, some lab tests listed are for urinary cortisol, plasma cortisol, neutrophilia, lymphopenia, hyperglycemia, hyperlipedemia, hypokalemia. Anything there ringing a bell?
GI consult, reason for consultation
Subject: GI consult, reason for consultation

All I know so far is that the patient is being seen in GI consultation and she is combative and age 90+.

REASON FOR CONSULTATION sounds like:
"Aerfo biddy bosdus stil."

I'm thinking

Here for _____ stool.

but still clueless. He is ESL, probably Indian.
No info to tell, just a consult of many things
Subject: No info to tell, just a consult of many things


The consult by the neurologist states that sm
Subject: The consult by the neurologist states that sm

the s/l partodyskinesia may be a slow progress. Also later in the diagnosis, doctor states "s/l Partodyskinesia secondary to anticholanergic drugs".  Any help would be appreciated.  Thanks :)