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No history of allergies, bleeding tendencies, s

Posted By: any ideas on 2007-10-11
In Reply to:

Subject: No history of allergies, bleeding tendencies, s

s/l Stragus?  <-phonetically, diabetes, or emboli?  second dictation with the same phrase used


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Possibly BMTT=bilateral myringotomy with tympanic tubes? With a history of allergies, quite SM
Subject: Possibly BMTT=bilateral myringotomy with tympanic tubes? With a history of allergies, quite SM

possibly he has had a problem with recurrent ear infections.
Under past medical history - history of abnormal s/l petatrie functioning. I really cannot make *sm
Subject: Under past medical history - history of abnormal s/l petatrie functioning. I really cannot make *sm

it out.  It is a foreigner.  He is saying it very fast.  History of abnormal petatrie functioning is what is sounds like to me.  I have no clue. 
stigmata of bleeding or stigmata of active bleeding, maybe?
Subject: stigmata of bleeding or stigmata of active bleeding, maybe?


history of colorectal history with metastasis to the liver and lymph nodes
Subject: history of colorectal history with metastasis to the liver and lymph nodes


Could it be *bleeding* ? nm
Subject: Could it be *bleeding* ? nm

x
bleeding?
Subject: bleeding?


Not bleeding. She's definitely saying BD or BV or B something.
Subject: Not bleeding. She's definitely saying BD or BV or B something.


Bleeding diathesis sm
Subject: Bleeding diathesis sm

bleeding diathesis - General Practice Notebook
A bleeding diathesis is a condition in which there is an unusual susceptibility
or predisposition to bleeding. Bleeding diatheses are classified with ...
www.gpnotebook.co.uk/cache/-1013317631.htm - 4k - Cached - Similar pages


no ulcer bleeding?
Subject: no ulcer bleeding?


rongeur does not fit here. S/L may be no other bleeding nm
Subject: rongeur does not fit here. S/L may be no other bleeding nm

x
Ob..she has been bleeding now for a month....
Subject: Ob..she has been bleeding now for a month....

post spontaneous AB.  She says this is as heavy as her period.  I believe at this point she probably has retained s/l blooduxsm?? Will do a D&C.
Bleeding was abated???? nm
Subject: Bleeding was abated???? nm

s
Bleeding scan help (sm)
Subject: Bleeding scan help (sm)

.... showed some activity below the bladder level, but no discrete s/l "poital" flow or active bleeding. 


Was this bleeding during surgery?
Subject: Was this bleeding during surgery?


There is no hx of bleeding s/l dia thysis or thrombophilia.
Subject: There is no hx of bleeding s/l dia thysis or thrombophilia.


Can only think of friable, but probably not if bleeding isn't mentioned. nm
Subject: Can only think of friable, but probably not if bleeding isn't mentioned. nm

s
Gingivitis. Bleeding gums.
Subject: Gingivitis. Bleeding gums.


could it be minimal amount of bleeding?
Subject: could it be minimal amount of bleeding?


If they have a bleeding vessel along the path somewhere, then
Subject: If they have a bleeding vessel along the path somewhere, then

s
? dysfunctional uterine bleeding
Subject: ? dysfunctional uterine bleeding


s/l a let was applied and the bleeding stopped...Thanks..
Subject: s/l a let was applied and the bleeding stopped...Thanks..

also in UA, it sounds like he is saying high land cast  TIA
using s/l algumbin??? to control the bleeding...please help.Thanks
Subject: using s/l algumbin??? to control the bleeding...please help.Thanks


probably "no bleeding or clotting disorders"
Subject: probably "no bleeding or clotting disorders"

x
pulmonary embolism or abnormal bleeding.
Subject: pulmonary embolism or abnormal bleeding.

x
Ever heard of s/l NewNet? Used for bleeding in surgery?
Subject: Ever heard of s/l NewNet? Used for bleeding in surgery?


external hemorrhoids with s/l exstimatic bleeding?
Subject: external hemorrhoids with s/l exstimatic bleeding?

Dictator is ESL -


Patient with external hemorrhoids with s/l exstimatic bleeding from old trauma.


 


Got it -- no discrete point of active bleeding. Thanks!
Subject: Got it -- no discrete point of active bleeding. Thanks!

x
Oh yeh. You've heard of bleeding ulcers.
Subject: Oh yeh. You've heard of bleeding ulcers.

you'll find lots if you google it
Pt with postop bleeding txd with s/l QL and polystyrene mixture. (nm)
Subject: Pt with postop bleeding txd with s/l QL and polystyrene mixture. (nm)

  
Allergies
Subject: Allergies

Sounds like she's saying ALLERGIES: QUINN (this is for an ob note)
allergies
Subject: allergies

s/l The patient is allergic to 'cabs', causing swelling.  What is the 'cabs' word?
allergies
Subject: allergies

It would make sense to add a comma between lanolin and dyes. 
allergies to fat?
Subject: allergies to fat?

He has allergies to s/l fat.

Is this right?
Allergies
Subject: Allergies

If CP does not state whether allergies are all caps or not, should I cap them?
Allergies
Subject: Allergies

Allergies to s/l Ham-a-nop-tra
Allergies

I wonder if anyone out there can answer this?  Is thers such a thing as the following:


ALLERGIES: No enteric allergies.


 


Allergies
Subject: Allergies

s/l guiafenicillin - it definitely sounds like it's ending in *cillin.


Also s/l active-ed.


 Thanks!


Allergies ?
Subject: Allergies ?

Dr dictates: No illnesses, prior surgeries, or known allergies to medications.  How would you best transcribe?  (At least he wasn't chewing or swallowing in this report!)


Allergies
Subject: Allergies

Thanks for your quick response.
Allergies
Subject: Allergies

Was instructed to always all cap ALLERGIES, but usually not used in the middle of the sentence.  Thanks for the replies.
Allergies
Subject: Allergies

I think docs should spell them out but---that will be the day. :-)
Heavy bleeding, she has s/l Marie Knot, in place?
Subject: Heavy bleeding, she has s/l Marie Knot, in place?

nm
hemostasis means the stoppage of bleeding or hemorrhage
Subject: hemostasis means the stoppage of bleeding or hemorrhage

so attained could be correct. either way I would leave what the doctor says (and spells).
I believe you're right. I did a little research and found it's used to stop bleeding.
Subject: I believe you're right. I did a little research and found it's used to stop bleeding.


No the bleeding was as a result of a chin laceration. LET is correct. TIA
Subject: No the bleeding was as a result of a chin laceration. LET is correct. TIA

I googled it and found it using LET applied to the wound site (e.g)...  Thanks... 
Pt w/ epistaxis. s/l topical cocaine was used to control the bleeding.
Subject: Pt w/ epistaxis. s/l topical cocaine was used to control the bleeding.

:-)
s/l anti-ket for bee allergies
Subject: s/l anti-ket for bee allergies

 NM
maybe just "nka" for no known allergies
Subject: maybe just "nka" for no known allergies


You should never guess at allergies.
Subject: You should never guess at allergies.

x
List of allergies
Subject: List of allergies

She is stumbling over this word - any help appreciated!

list of allergies:
s/l runtugraphy
diatrizoate, meglumine, IVP dye. This is a 67 yo female with kidney disease
Not sure what doc is using this for, but there is Phenoject which is used for allergies such as hay
Subject: Not sure what doc is using this for, but there is Phenoject which is used for allergies such as hay fever?