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Maybe "underlying lung disease." Any hints to dx?

Posted By: Passing through (nm) on 2008-07-25
In Reply to: sounds like "airline" lung disease? Is this correct? - MT Mom

Subject: Maybe "underlying lung disease." Any hints to dx?

dd


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Lung disease
Subject: Lung disease

This is exactly how the Dr. dictated it-- The patient is a plethoric, tremulous, dyspneac looking like a patient with chronic obstructive lung disease or sleep apnea.


Did she mean to leave the a out before plethoric? That would make more sense but I know you guys would no better than I. I'm still in school and learning. Thanks for the help!


Please SM re lung disease
Subject: Please SM re lung disease

Sometimes an "uh" sounds very much like "a."

Here is how I would transcribe it: The patient is plethoric, tremulous, and dyspneic, looking like a patient with chronic obstructive lung disease or sleep apnea.
DuoNeb inhaler for lung disease? nm
Subject: DuoNeb inhaler for lung disease? nm

s
Chronic s/l streptal lung disease.
Subject: Chronic s/l streptal lung disease.

Under her comorbidities, the first listing is Chronis s/l streptal or strepto lung disease.  Any ideas?
sounds like "airline" lung disease? Is this correct?
Subject: sounds like "airline" lung disease? Is this correct?


Yes, it could, underlying airways lung disease is the phrase I believe. (NM)
Subject: Yes, it could, underlying airways lung disease is the phrase I believe. (NM)

dd
S/L 'vaso-thigh-uh-pryn' for interstitial lung disease...
Subject: S/L 'vaso-thigh-uh-pryn' for interstitial lung disease...

Help!  Any ideas?  No dosing given. 
Lung disease secondary to "CCNU' or "CC and U" on VATS biopsy. sm
Subject: Lung disease secondary to "CCNU' or "CC and U" on VATS biopsy. sm

history of interstitial lung disease secondary to CC and U based on VATS biopsy that is improving markedly on steroids.
Lung disease secondary to "CCNU' or "CC and U" on VATS biopsy.
Subject: Lung disease secondary to "CCNU' or "CC and U" on VATS biopsy.

history of interstitial lung disease secondary to CC and U based on VATS biopsy that is improving markedly on steroids.
Anybody heard of canpath? Autoimmune disease resulting from heart/lung transplant. TIA. nm
Subject: Anybody heard of canpath? Autoimmune disease resulting from heart/lung transplant. TIA. nm

nm
hints?
Subject: hints?

any idea on the dosage?


You might find hints in any
Subject: You might find hints in any

medication list that might be dictated or perhaps the dictator will mention how she is doing with symptoms of heartburn or some other clue.


a few hints for you - when doing the objective
Subject: a few hints for you - when doing the objective

findings, when doc says, for instance, "In general, the patient is..." you are putting that under the "general" subheading, so you don't need to repeat the "in general" part - meaning it would just be GENERAL:  The patient is....


same with the skin exam that you have there - if doc is saying "skin is warm and dry," and you are putting it under the "skin" subheading, it should just be "SKIN:  Warm and dry" ...and so on.


also, in the HEENT section, it should be "sclerae" and "conjunctivae" - doc is referring to the plural form here.


Does that make sense?  This is the way it's usually done, but you'll need to follow the instructions you've been given, of course.


Procedure to salvage whatever can be salvaged. Any hints in the rest of your dictation to tell you?
Subject: Procedure to salvage whatever can be salvaged. Any hints in the rest of your dictation to tell you?


Word help s/l clyde vox disease or clydevox disease or klinvox disease???? TIA.
Subject: Word help s/l clyde vox disease or clydevox disease or klinvox disease???? TIA.


Parkinson's disease and Alzheimer's disease. These are named after..
Subject: Parkinson's disease and Alzheimer's disease. These are named after..

Alzheimer's disease

Also known as:
Alzheimer's dementia
Alzheimer's sclerosis
Alzheimer's syndrome
Alzheimer-Perusini disease (misnomer)
Dementia of the Alzheimer type
Senile dementia of the Alzheimer type

Synonyms:
Presenile dementia, senile dementia.

Associated persons:
Alois Alzheimer

James Parkinson

English physician and paleontologist, born April 11, 1755, Hoxton Square, Shoreditch, London; died 1824, London.

Associated eponyms:
Parkinson's crisis
Exaggeration of the characteristics of parkinsonism associated with acute anxiety.

Parkinson's disease
A degenerative disorder of the nervous system characterized by masklike facies, a fine, slowly spreading tremor, cogwheel rigidity, bradykinesia, and postural instability with a peculiar gait.

Parkinson's facies
The immobile, expressionless, masklike facial characteristic of parkinsonism.
probable osteoarthritic disease? osteoporotic disease? nm
Subject: probable osteoarthritic disease? osteoporotic disease? nm


Skin Disease S/L En Saint Reole Disease
Subject: Skin Disease S/L En Saint Reole Disease

Pt has has pink raised ciruclar lesions on trunk and distal extremities. 


Dx is S/L En Saint Reole disease.  Any body know what the heck this is?


Thanks!


s/l skionbarres disease or gyonbarres disease
Subject: s/l skionbarres disease or gyonbarres disease

Doctor says:  She was diagnosed with this disease 1 year ago.  She was wheelchair bound until June. 


 


 


Thank you for any help!


Also, diverticular disease, diverticular modifying type of disease.:-) NM
Subject: Also, diverticular disease, diverticular modifying type of disease.:-) NM

nm
lung CA ? Is this ESL?
Subject: lung CA ? Is this ESL?

x
s/l lopis lung
Subject: s/l lopis lung

pt had a s/l lopis lung removed for scarring related to pneumonia


Thanks for any help


lung exam
Subject: lung exam

On the lung exam, the physician is saying "E to A" changes.  The company I work for does not want any abbreviations.  What would be the best way to transcribe this?   


 


 


 


 


lung exam
Subject: lung exam

sounds like:


Lungs are clear. No wheezing. (S/L) Yulit squeeze.


any ideas???


Thanks.


 


Thanks but no.. not for lung sounds, on x-ray...nm
Subject: Thanks but no.. not for lung sounds, on x-ray...nm

x
lung exam
Subject: lung exam

LUNGS: There are few s/l hypertations____ in the right base.


Thanks,


 


Maybe it's 'angiogram' (of the lung) ?
Subject: Maybe it's 'angiogram' (of the lung) ?


doesn't seem to be associated with the lung though
Subject: doesn't seem to be associated with the lung though

I'm wondering if any experienced MT could tell me if Brugada syndrome is a possibility??  I found it in Stedman's but am having a hard time finding out exactly what it is.  Does seem to be heart related though.


 


lung volumes
Subject: lung volumes

Doctor says lung volumes by s/l plasmography with a TLC of 6.72.
lung exam
Subject: lung exam

On a lung exam it sounds like he is saying no son or soncar basal rales???


lung exam
Subject: lung exam

There is diminished air movement air movement in all fields, but no clear s/l epintious sounds heard.


Lung sounds
Subject: Lung sounds

Lung sounds are somewhat coarse for his s/l "good air icks change" and frank rhonchi.
? tapped lung...see message...
PleurX catheter in manufactured by Denver biomedical. 

Hope this is helpful. 
evaluate lung parychema
Subject: evaluate lung parychema

I think this is an easy one and I'm just tired. I can't verify spelling of parychema.  TIA


parenchyma = lung tissue
Subject: parenchyma = lung tissue

nm
? heart or lung diseases
Subject: ? heart or lung diseases

LOL! Cute the way you typed it phonetically.

s/l Unremarkable for heart or lung diseases.
....a lobe of lung removed? nm
Subject: ....a lobe of lung removed? nm

s
Breathing/lung test
Subject: Breathing/lung test

Sounds like the doctor is saying pulsac


__Pulsac__ is 97 percent of room air.  Peak flow 210, 255


I found a lot of lung functioning tests on webmd but nothing that matched the sound of this.  I must not be close because I'm not bringing anything up on Google either.


S/L ion/Erbitux lung study
Subject: S/L ion/Erbitux lung study

nm


lung exam abbreviations
Subject: lung exam abbreviations

On lung exam is sound like he is saying "BS equals BO" or "PS equals PO."  Anyone have any idea?
Proferlinear scar of lung?
Subject: Proferlinear scar of lung?

right mid lung ______ scar. 


Blank s/l profer linear


s/l icopacity right lung, see mess.
Subject: s/l icopacity right lung, see mess.

Chest x-ray reveals an air fluid level on the right lung with s/l icopacity on the right lung.  This is a workup on chronic alcoholic male. 


it's impression and lung markings....
Subject: it's impression and lung markings....


Atelectic, re: lung collapse.
Subject: Atelectic, re: lung collapse.

.


if patient a lung infection maybe...
Subject: if patient a lung infection maybe...

pulmonary M avium complex (MAC)
related to lung exam - s/l ti-kip-ium
Subject: related to lung exam - s/l ti-kip-ium

She had crackles in the bases of her lungs bilaterally.  No ___ti-kip-ium___.
I know, but he is saying brachycatheters, and it is for a lung tumor.
Subject: I know, but he is saying brachycatheters, and it is for a lung tumor.


YES...brachycatheter for lung tumor
Subject: YES...brachycatheter for lung tumor


meds for lung cancer
Subject: meds for lung cancer

For non-small-cell lung cancer


s/l andamet and andoment and Decadron, Zantac and Benadryl will be given as premedication.


Does the patient have lung problems?
Subject: Does the patient have lung problems?

PPD can mean percussion and postural drainage.  Are you in the plan portion of the report?
lung transplant patient
Subject: lung transplant patient

under the social history: He denies (s/l enurexudin) exposure or exposure to organic dusts or fumes.