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No fever, chills, loss of vision, tinnitus, ???photoria??, epistaxis or dysphasia.

Posted By: PRiddy on 2008-11-12
In Reply to:

Subject: No fever, chills, loss of vision, tinnitus, ???photoria??, epistaxis or dysphasia.




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fever and chills?
Subject: fever and chills?


return to ER if any fever, chills, or (s/l synthen) - nm
Subject: return to ER if any fever, chills, or (s/l synthen) - nm


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Subject: sweating, wheezing, hemoptysis, fever, chills, or headaches??? nm

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He denies any nausea, vomiting, fever, chills and no recent s/l interim.
Subject: He denies any nausea, vomiting, fever, chills and no recent s/l interim.

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I have the same thing again, s/l epistaxis, sternitis, or hearing loss.
Subject: I have the same thing again, s/l epistaxis, sternitis, or hearing loss.


dysphasia or dysphagia (sm) TIA
Subject: dysphasia or dysphagia (sm) TIA

This is confusing.


Doc is making a referral to a speech therapist because patient is having difficulty with s/l dysphagia/dysphasia with apples and peanut butter.


Dysphagia relates to swallowing and dysphasia relates with speech. 


I think it would be dysphagia as he relates apples and peanut butter.  Does a speech therapist help with swallowing difficulties?


 


 


 


Problem swallowing or talking? Dysphasia or dysphagia?
Subject: Problem swallowing or talking? Dysphasia or dysphagia?


Epistaxis
Subject: Epistaxis

The doctor is referring to placing what sounds like a "Silverlar" pack, I cannot verify....anyone?
Epistaxis, nose bleeds??? NM
Subject: Epistaxis, nose bleeds??? NM

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erythema, epistaxis, petechiae or yeast.
Subject: erythema, epistaxis, petechiae or yeast.


Maybe tinnitus? nm
Subject: Maybe tinnitus? nm


tinnitus?
Subject: tinnitus?


s/l uverous chills
Subject: s/l uverous chills

 The patient has no history of s/l uverous chills.


Any ideas? The patinet suffers from UTI.


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Subject: rigors or chills?


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Subject: Pt w/ epistaxis. s/l topical cocaine was used to control the bleeding.

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no tinnitus? Just a guess. nm
Subject: no tinnitus? Just a guess. nm


Pamelor used for tinnitus?
Subject: Pamelor used for tinnitus?

Patient was prescribed Lyrica and it caused ringing in her ears. Diagnosis is lumbar spondylosis with improvement. Plan is to take s/l Pamelor 25 mg.

Would that be prescribed for tinnitus? Thanks.
s/l alimented tinnitus
Subject: s/l alimented tinnitus

s/l alimented tinnitus with slight otalgia.
tinnitus? hard to know without more info
Subject: tinnitus? hard to know without more info


Found it. It is prescribed for tinnitus. nm
Subject: Found it. It is prescribed for tinnitus. nm

nm
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Subject: tinnitus, dizziness or vertigo?


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Subject: Maybe, tinnitus, dizziness or vertigo.


44 -year-old male with fevers and chills
Subject: 44 -year-old male with fevers and chills

I would have to worry about an IV drug user having problems with a s/l vegetative heart but I do not hear any murmurs.          Is this right?  could not verify


Really? It was an op note referring to severe epistaxis. Neuro patties...who'da thunk it? Thank
Subject: Really? It was an op note referring to severe epistaxis. Neuro patties...who'da thunk it? Thanks!


Only symptoms are low back pain which is improved, and the tinnitus -
Subject: Only symptoms are low back pain which is improved, and the tinnitus -

The back pain has resolved. The patient feels that the Lyrica (prescribed from another doctor) has caused the ringing, so this doc prescribed the s/l Pamelor. Very short report so no other info. Thanks.
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Subject: Review of systems: Chills, night sweats,*commerfid*

TIA!
Vision ring
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trango vision?
Subject: trango vision?

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Subject: maybe congenital poor vision? nm


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Subject: s/l "pressor" vision supplement?

Any ideas?
Pt has no cardiac, pulmonary complaints, s/l (geology) symptoms, chills, fevers, night sweats etc.
Subject: Pt has no cardiac, pulmonary complaints, s/l (geology) symptoms, chills, fevers, night sweats etc.


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Subject: vision is full to threat. Anyone heard this before?


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Subject: I can find DVIU as direct vision internal urethrotomy. nm

s
WILD GUESS maybe decreased vision, sclerotic cataract, although...
Subject: WILD GUESS maybe decreased vision, sclerotic cataract, although...

usually the dictator does not lump these together like this?  Any other words around diagnosis?  This is when I wish we could listen to each other's reports. 
s/l vision flow??? in the anteroir chamber, eye surgery...Please help me ASAP..thanks
Subject: s/l vision flow??? in the anteroir chamber, eye surgery...Please help me ASAP..thanks

thanks
scotopia ? The ability to see in darkness or dim light; dark-adapted vision
Subject: scotopia ? The ability to see in darkness or dim light; dark-adapted vision


DVIOU. I did find DVIU, Direct Vision Internal Urethrotomy
Subject: DVIOU. I did find DVIU, Direct Vision Internal Urethrotomy

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Help -- Patient denies double vision, abdominal pain or ???distortia??
Subject: Help -- Patient denies double vision, abdominal pain or ???distortia??


No, used it for fever blisters! Ugh. sm
Subject: No, used it for fever blisters! Ugh. sm

We also used it for acne etc. I see it now comes in a gel. That and Mexasana powder were what we used for sores, rashes etc.
valley fever
Subject: valley fever

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http://www.emedicine.com/med/topic539.htm

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If the patient is doing better, (i.e. fever has gone away) yep it is right.
Subject: If the patient is doing better, (i.e. fever has gone away) yep it is right.


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Subject: ? Valley fever ?

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Subject: What is Valley Fever??


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Subject: "lace" fever lymphadenopathy

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if talking about fever - its "defervesced." /nm
Subject: if talking about fever - its "defervesced." /nm


Vally Fever...is this correct?
Subject: Vally Fever...is this correct?

thanks