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Nephrology consult in pregnancy

Posted By: typo on 2007-12-10
In Reply to:

Subject: Nephrology consult in pregnancy

s/l trochrommina (laboratory testing)


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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. 
Nephrology terms
Subject: Nephrology terms

VAG is vascular access graft. Maybe this helps.
nephrology word S/L C-Barr
Subject: nephrology word S/L C-Barr

Doctor, ESL states she has documented S/L C-Barr or C Bear________ metabolic acidosis.


Thanks for any help. 


I do nephrology work and this is how I write it
Subject: I do nephrology work and this is how I write it

3.0 potassium (K if you can use abbreviations), 2.5 bath (usually sodium goes before the 2.5). Hope this helps.
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
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!


pregnancy ?
Subject: pregnancy ?

She is presenting with  __________ s/l evidenting tri-eed trian pregnancy at 17 weeks 4 days gestation


Pregnancy
Subject: Pregnancy

You type it 40-4/7 weeks. That means 40 weeks, 4 days.


Lilly


Pregnancy
Subject: Pregnancy

her "triple" test was negative??  Thank you
"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

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Subject: ID consult question

Other ros negative for  s/l  "EMNS" criteria.  Very, very poor quality dicktation
Well, this is a new one for me...dip pregnancy test on a man...??sm
Subject: Well, this is a new one for me...dip pregnancy test on a man...??sm

Says they did a dip pregnancy test which was negative, so at least he does not have a high HCG.  Is this something they do to check HCG through the urine or something??
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

intrauterine pregnancy.
Subject: intrauterine pregnancy.

x
Preceded the pregnancy.
Subject: Preceded the pregnancy.


something intrauterine pregnancy ? nm
Subject: something intrauterine pregnancy ? nm

nm
Pregnancy: 40 and 4 weeks??
Subject: Pregnancy: 40 and 4 weeks??

Would it be transcribed as 40 and 4 weeks (as dictated), or changed to 40 and 4/7ths weeks?  As dictated, it looks odd to me.  TIA.
Google di/di pregnancy nm
Subject: Google di/di pregnancy nm

x
AUA? (pregnancy ultrasound)
Subject: AUA? (pregnancy ultrasound)

I've seen adjusted ultrasonic age and actual ultrasonic age, anyone know what this really is?


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 :)


kynephness/hemoccult consult
Subject: kynephness/hemoccult consult

Could you give a little more information?  Where there any other symptoms relative to the stool character?  Any other positive findings in GI tract (ROS, physical exam or lab)?  Diagnosis?  What was the exact content surrounding the patient's "consult"ing the Hemoccult card?  In a long stretch, an MD might "consult" the Hemoccult card by viewing it directly, but the patient is smearing it with stool and submitting it. 
Cardiac consult for nodule
Subject: Cardiac consult for nodule

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Pt undergoing D&C and lap for ectopic pregnancy.
Subject: Pt undergoing D&C and lap for ectopic pregnancy.

The s/l Kroenerk cervical catheter and single-tooth tenaculum were removed.  There was no evidence of active bleeding.



Medication for anemia in pregnancy
Subject: Medication for anemia in pregnancy

s/l Trensicon or tren-zi-con
Pregnancy/childbirth stats (sm)
Subject: Pregnancy/childbirth stats (sm)

I actually have not come across this since my training until just now, and I have forgotten the correct way to transcribe this:  Female is 10 weeks pregnant, G4-P3-A0. Do I use dashes, commas or none of the above? Thanks for any help!
luteal phase pregnancy? (nm)
Subject: luteal phase pregnancy? (nm)

x
she had a tubal pregnancy with a s/l liposcopy..thank you
Subject: she had a tubal pregnancy with a s/l liposcopy..thank you


sorry, that is page 142, not pregnancy which obviously was a macro. nm
Subject: sorry, that is page 142, not pregnancy which obviously was a macro. nm

.
Pregnancy - pyloric stenosis
Subject: Pregnancy - pyloric stenosis

Doctor says patient has had _______lar or ______ ler pregnancy. She has a chld with pyloric stenosis.


Any ideas?


Possibley a molar pregnancy. NM
Subject: Possibley a molar pregnancy. NM

/
A molar pregnancy? It's a malformation. nm
Subject: A molar pregnancy? It's a malformation. nm

s
How would you type- 36 and 4 week pregnancy...
Subject: How would you type- 36 and 4 week pregnancy...

Thanks!
urine pregnancy test?
Subject: urine pregnancy test?

xx
What is considered term pregnancy?
Subject: What is considered term pregnancy?

I have a dictator that said, "The child was born at term.  Mom was 24 weeks' gestation."  I always thought term was somewhere around 36+ weeks.  He went on to say the birth weight was 6 pounds 13 ounces.  Just from experience, I would think a 24-week gestation infant would not weigh that much.


Anyone in OB care to comment?


Beta HCG (pregnancy test)
Subject: Beta HCG (pregnancy test)

nm
surgical consult no "lloyds" see message
Subject: surgical consult no "lloyds" see message

He does not seem to have any pain or fever and no s/l LLoyds.  The Lloyds sounds pretty clear.  Patient has ongoing fever, vague abdominal pain.  Can't find any lloyds test.  Any suggestions?