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Pedestrian hit-and-run. Doc is dictating x-rays and CT scan, then the pt had what s/l IVC soulter

Posted By: I appreciate any help. nm on 2007-09-07
In Reply to:

Subject: Pedestrian hit-and-run. Doc is dictating x-rays and CT scan, then the pt had what s/l IVC soulter

NM


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X-rays of the ankle show a single s/l scan-cella screw in the medial malleolus. TIA nm
Subject: X-rays of the ankle show a single s/l scan-cella screw in the medial malleolus. TIA nm


X-rays: X-rays of the left hip show cemented hip arthroplasty. sm
Subject: X-rays: X-rays of the left hip show cemented hip arthroplasty. sm

There appears to be a nonspecific lesion on the lateral s/l cord-i-se to the femoral component. Thanks!
Also reviewed were bone scan, white cell scan and s/l solfar coag scan. Thanks
Subject: Also reviewed were bone scan, white cell scan and s/l solfar coag scan. Thanks


CT SCAN cannt figure out part of scan Pls see message

Reveals abnormal hypermetabolism in the lymph nodes in the neck, more right than left including ?factitious learning of the thyroid?, in the anterior mediastinum as well large expansile right rib lesion.  Bone scan reveals uptake in the right lateral 7th and 8th ribs. 


...or liver-spleen scan or radionuclide scan. nm
,
liver scan s/l betascab scan
his last s/l betascab scan showe that his liver lesion has decreased in size.
rib x-rays...........that's all.........NM
Subject: rib x-rays...........that's all.........NM

xx
x-rays help
Subject: x-rays help

X-rays today confirm that the wrists remain in a very good s/l- DZ position  (doc is British)
x-rays
Subject: x-rays

X-rays of the knee are taken including s/l graded patella views."
X-rays
Subject: X-rays

X-rays reviewed of the spine which are essentially negative.  There is early s/l "end plate" spondylosis throughout the cervical, thoracic and lumbar spine. 


Thanks for any help. 


rays
Subject: rays


x-rays
Subject: x-rays

How would you type x-rays left knee, "AP lateral sunrise"??  Thanks!
It is plain x-rays.
Subject: It is plain x-rays.


Usually plain x-rays are for example
Subject: Usually plain x-rays are for example

But, there is a such thing as x-rays taken in the frontal plane, for example.  So, I guess it depends on how it is used in a sentence.
There are several x-rays that would show this
Subject: There are several x-rays that would show this

A KUB, and abdomen series, and of course a barium enema (which can be done with air contrast as well). And a CT or MRI of the pelvis, of course.


But it would be unusual to just state "no air in the rectum" unless the doctor is discussing a bowel obstruction or something similar. Can you give us more context?


 


Complete x-rays? nm
Subject: Complete x-rays? nm

s
Ortho help - X-Rays
Subject: Ortho help - X-Rays

Review of the patient’s x-rays today continue to show a Grade II AC joint separation.  There is not complete displacement of the (sounds something like) "clavible on the chromene" No evidence of any fracture or dislocation about that right shoulder.


Have no clue?! Thank you.


Sometimes they do a series of x-rays.
Subject: Sometimes they do a series of x-rays.


pt sprained ankle doing x-rays. sm
Subject: pt sprained ankle doing x-rays. sm

This is an ESL doc.


She says.....Patient has some joint effusion.  Patient has s/l well-"corticated" multiple densities adjacent to tip of lateral malleolus and also over medial malleolus.  Seems to be well-"corticated".  Seems to be from old trauma.  Patient stated he sprained his ankle in past and he had x-ray done. 


x-rays S/L-remedially remarkable?
Subject: x-rays S/L-remedially remarkable?

nm
could you be hearing "x-rays are really unremarkable"
Subject: could you be hearing "x-rays are really unremarkable"


More info, please - what kind of x-rays, what did doc say before & after? nm
Subject: More info, please - what kind of x-rays, what did doc say before & after? nm

.
roentgenography: Photography with the use of x-rays.
Subject: roentgenography: Photography with the use of x-rays.


s/l HCH, pelvic and lateral x-rays of both hips
Subject: s/l HCH, pelvic and lateral x-rays of both hips

HCH??


A place for x-rays s/l 8alanick imaging* in NJ. Thanks. nm
Subject: A place for x-rays s/l 8alanick imaging* in NJ. Thanks. nm


scalloping or scalloped. Hear that a lot on x-rays. sm
Subject: scalloping or scalloped. Hear that a lot on x-rays. sm

scalloping


 



A series of indentations or erosions on a normally smooth margin of a structure.


He was dictating it in the
Subject: He was dictating it in the

medication section of an H&P.  That is all he said, no dosage, nothing to indicate what it was for.  Very strong accent and one of my hardest dictators.  I sent it in with a blank to QA, but am wondering.
Now he's dictating what s/l
Subject: Now he's dictating what s/l

Lowlins: As she lies supine...

Does anyone know of a good resource for infant exam terminology? Thanks!


X-rays reviewed which show a bone abnormality please sm
Subject: X-rays reviewed which show a bone abnormality please sm

in the distal femur laterally, most likely **synofiying** or ossifying fibroma. ?? thanks
Marker used on x-rays to designate left/right is called ????
Subject: Marker used on x-rays to designate left/right is called ????


"This is suspected to be on the left on the basis of the "laterali marker" and on the AP view. However, the oblique views are displayed incorrectly if the "laterali marker" is correct."


 


Mucho gracias comrades!


. X-rays have been taken weekly which show no s/l probligation of the fracture. sm
Subject: . X-rays have been taken weekly which show no s/l probligation of the fracture. sm

Used again in radiographs - Radiographs of the right hip and femur obtained today show no further probligation of the fracture. Thanks for any help
I'm trying to think of a DO dictating joke, but I can't sm
Subject: I'm trying to think of a DO dictating joke, but I can't sm

think of one. I was hoping you had one! "Osteopathic disease" just struck me funny. :)

Student dictating.
Subject: Student dictating.

This is John Doe [s/l PSM or PSU] dictating for Dr. John Doe, M.D.


Does anybody have any ideas what the initials are.  What are the initials for someone dictating for the doctor?


 


Thanks for your help!


MD is dictating the ABG values. sm
Subject: MD is dictating the ABG values. sm
























listen carefully for these:


 


Normal Arterial Values

Range
pH 7.35-7.45
pCO2 35-45
pO2 80-100
O2 Sat. 95-100%
HCO3 22-26
BE +or-2

 




maybe it's 0.5 mg - doctor not dictating the 0
Subject: maybe it's 0.5 mg - doctor not dictating the 0

nm
dictating hospital course says...
Subject: dictating hospital course says...

the patient was admitted to the medical floor, s/l med MPO????? with appropriate studies obtained. 
student dictating
Subject: student dictating

it is a student dictating but she is fairly clear - it sounds just like Vario but I can't find anything like that anywhere.
she was just dictating the height of *157-3/8 cm*
Subject: she was just dictating the height of *157-3/8 cm*

I flagged it and sent it in - let QA figure that one out. but thanks for trying!
dictating warfarin 7.5 mg qiw - - ?
Subject: dictating warfarin 7.5 mg qiw - - ?


I'm going with push-gut; it's what he is dictating.
Subject: I'm going with push-gut; it's what he is dictating.


Dr. says he is dictating a s/l sin-A or Ten-A fluoroscopy *NM*
Subject: Dr. says he is dictating a s/l sin-A or Ten-A fluoroscopy *NM*


Are they dictating "a TSH too is normal? nm
Subject: Are they dictating "a TSH too is normal? nm


He is dictating it as the technique for the MRI.
Subject: He is dictating it as the technique for the MRI.

TECHNIQUE: T2 axial SPUR, T1 sagittal, proton density sagittal SPUR, T2 coronal SPUR, T1 coronal sequences of the left knee without contrast in a 1.5 Tesla magnet.
maybe tech HIDA scan? (technetium HIDA scan) NM
Subject: maybe tech HIDA scan? (technetium HIDA scan) NM


Comfort?? x-rays were performed on nursing home pt after fall
Subject: Comfort?? x-rays were performed on nursing home pt after fall


Pulm. dictating lab values...
Subject: Pulm. dictating lab values...

Doing a pulmonologist's report - he's dictating lab values, this one s/l "b-nitrotic peptide?"   I usually do radiology so this is new territory to me...
Thanks to all of you - she needs to stop snacking while dictating!
Subject: Thanks to all of you - she needs to stop snacking while dictating!


I would change it to allow. What testament is he dictating from? LOL
Subject: I would change it to allow. What testament is he dictating from? LOL


What are we dictating here? Exact phrasing etc?nm
Subject: What are we dictating here? Exact phrasing etc?nm


ESL dictating lab tests.....patient had
Subject: ESL dictating lab tests.....patient had

a TSS or DSS level checked?  TIA!!
that was what I thought but when she kept dictating it decubiti
Subject: that was what I thought but when she kept dictating it decubiti

I thought maybe I was wrong.  Needed a real second opinion - from other than MD.  Thanks