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

Posted By: Lisa Meyer on 2009-01-10
In Reply to:

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




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Review of systems: Chills, night sweats,*commerfid*
Subject: Review of systems: Chills, night sweats,*commerfid*

TIA!
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


Oops, long night. this is for a CARDIAC procedure ...
Subject: Oops, long night. this is for a CARDIAC procedure ...

xx
Sweats? NM
Subject: Sweats? NM


Could it be fevers? nm
Subject: Could it be fevers? nm

nm
Primaxin for fevers?
Subject: Primaxin for fevers?

Doctors says the patient has a fever of 103 and WBCs up to 19,000. Then she says he was started on Primaxin?
Boy with fevers and pain (rheum. visit). He does not have any *tempwella* with ... sm
Subject: Boy with fevers and pain (rheum. visit). He does not have any *tempwella* with ... sm

... the fevers or the presumed joint pains. He does not seem to have any morning stiffness.


Thanks.


The symptoms of perimenopause or perimenopausal symptoms. Why not?? nm
Subject: The symptoms of perimenopause or perimenopausal symptoms. Why not?? nm

s
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.


rigors or chills?
Subject: rigors or chills?


fever and chills?
Subject: fever and chills?


?? Eye complaints ?? NM
Subject: ?? Eye complaints ?? NM


Do you know the complaints or anything else?
Subject: Do you know the complaints or anything else?


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


I type it the way you have it..no complaints so far
Subject: I type it the way you have it..no complaints so far

/
how 'bout GI/GU complaints ??? (nm)
Subject: how 'bout GI/GU complaints ??? (nm)


vocal physical complaints?
Subject: vocal physical complaints?

He denies any __________ s/l vocal physical complaints except for some fatigue.


The pt has only complained about stress in life and having trouble sleeping. It sounds like vocal or local.


yes its eye complaints, I am off to bed now LOL!!! thanks a mill but I could just not "hear" t
Subject: yes its eye complaints, I am off to bed now LOL!!! thanks a mill but I could just not "hear" that... I have done too much today! n/m


What is patient's diagnosis or complaints?
Subject: What is patient's diagnosis or complaints?


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

.
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.

n/t
Question "BIA"? "VIA" ??? CNS complaints in patient.
Subject: Question "BIA"? "VIA" ??? CNS complaints in patient.

The patient has CNS complaints (ataxia, weakness) and moderate stenosis in carotid arteries.


Doctor dictates under plan:  Female with question of "BIA", question vascular etiology for her complaints.   


Under VIA or BIA I cannot find anything that might fit.  Any ideas?  Thanks!


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


Medically it would fit, could you give patient's chief complaints and diagnoses? nm
Subject: Medically it would fit, could you give patient's chief complaints and diagnoses? nm

nm
I am unable to definitively diagnose patient's complaints regarding her right palm s/l 3rd ray.
Subject: I am unable to definitively diagnose patient's complaints regarding her right palm s/l 3rd ray.


Pt has some internalizing with anxious, depressed, and somatic complaints on the "ocka bock"
Subject: Pt has some internalizing with anxious, depressed, and somatic complaints on the "ocka bock"


One more and I am done for the night.
Subject: One more and I am done for the night.

Doc says--- Previous MR did show a ..... perisimple...disc herniation.


I swear it sounds like peri or perasimple but I cannot find ANYTHING.. 


Thanks.


This is not my night
Subject: This is not my night

I have another one the patient has some s/l morphea on the lower extremities.


TIA.


 


Not my night for cardio
Subject: Not my night for cardio

Results of an exercise sestamibi stress test.....A long (s/l membrative septum) with attenuation artifact over the apex was appreciated.


You are welcome - we all need help this late at night!!
Subject: You are welcome - we all need help this late at night!!


Thank you and good night! nm
Subject: Thank you and good night! nm

x
she is on 25 mg s/l a-tel in the morning and 12.5 at night.. thanks
Subject: she is on 25 mg s/l a-tel in the morning and 12.5 at night.. thanks


night hawk
Subject: night hawk

The term "night hawk" is a slang in reference to the radiologist covering (fellow/resident) that particular evening. In essence, this CT scan can have a preliminary reading by the patient's surgeon and/or physician, or the covering radiologist (night hawk).
Any night owls
Subject: Any night owls

Small vessel
Night Hawk
Subject: Night Hawk

There is a company that is made up of teleradiologists.  The name of the company is Night Hawk.  i believe it is in Texas.
thank you so very much. have a great night.
Subject: thank you so very much. have a great night.

xx
Thanks! Nighty night
Subject: Thanks! Nighty night


Sorry, wow, it's been a long night
Subject: Sorry, wow, it's been a long night

He says it late on in the report. It's dye study.
Tyrosine??? It is taken at night??
Subject: Tyrosine??? It is taken at night??

Tyrosine required for
The action of this amino acid in brain functions is clear with its link to dopamine as well as norepinephrine, but it is also helpful in suppressing the appetite and reducing body fat, production of skin and hair pigment, the proper functioning of the thyroid as well as the pituitary and adrenal gland.

It is used for stress reduction and may be beneficial in narcolepsy, fatigue, anxiety, depression, allergies, headaches as well as drug withdrawal. In a study, using soldiers, tyrosine proved effective in alleviating stress and keeping them more alert.


Thank you, first night on ortho
Subject: Thank you, first night on ortho


20 mg of s/l Alaboat (at night)
Subject: 20 mg of s/l Alaboat (at night)


Bad Word Night!
Subject: Bad Word Night!

ASIS or ISIS for PMR or PT report.  Not found in my abb. book, either.


And a bar of soap to clean out my mouth wouldn't help, either!



Thanks!!


Thanks so much! Have a good night:) nm
Subject: Thanks so much! Have a good night:) nm

nm

Medication Help - One more for the night
Subject: Medication Help - One more for the night

and then I'm done.  The doctor is saying benzapine.  I've heard of cyclobenzapine, but not benzapine by itself.  It actually sounds like she's saying something like s/l habenzapine, but I think may just have misspoken, but I'm not absolutely sure.


TIA.


I had this same combination last night.
Subject: I had this same combination last night.

It is cisplatin and Navelbine.
thanks so much and have a great night!! nm
Subject: thanks so much and have a great night!! nm


Naw, he was actually behaving himself that night!
Subject: Naw, he was actually behaving himself that night!

:)
Uh, that would be matrixectomy. Sorry, long night. nm
Subject: Uh, that would be matrixectomy. Sorry, long night. nm

:)
night splint - s/l bana
Subject: night splint - s/l bana

The doc is talking about a night splint for plantar fasciitis and says, "such as the (s/l bana)"


I have tried looking up night splints and cannot find any that have a name that sounds like that.


TIA for any help.


Thanks; never got a chance to reply last night.
Subject: Thanks; never got a chance to reply last night.

will put it on my new terms (for me) list. 
Glad to help. Have a nice night. Going now!! nm
Subject: Glad to help. Have a nice night. Going now!! nm