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Pt with closed head injury and seizures, was started on intraveneous s/l phosfenatelen. *sm*

Posted By: joanieb on 2006-04-15
In Reply to:

Subject: Pt with closed head injury and seizures, was started on intraveneous s/l phosfenatelen. *sm*

She also does have a central line and dressings will need to be changed on every Tuesday and Friday.  Also, change her s/l huberneal weekly. 


Thank you so much!!




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pt with closed head injury
Subject: pt with closed head injury

in ER report says . After IV etomidate 20 mg we ?held section? while I examined this patient's ?throat? and she had adequate sedation with etomidate?
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Subject: S/L Conjunctivae are pink and closed - closed?? TIA. NM


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Subject: Ortho shoulder injury s/l petelesen injury. I'm really stuck! Any ideas?


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Subject: Here is one by type of injury, site of injury, brand names that you can look thru.

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Subject: clonic seizures, may even be tonic-clonic seizures, listen close. nm

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Subject: NVM ... this can be deleted or closed

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Subject: s/l closed triangle dissected out...


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Subject: abdomen closed in layers with s/l flowers?-nm

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Just started OB/GYN myself. If you don't have this:
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TIA


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Subject: I mentioned that because when I started out, sm

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Subject: I have been IN this thread since it started--sm

as *nn* as I believe I was the first to comment on this kathie's suggestion for caudal vater syndrome as having nothing to do with the low back. Anyway, then she made the comment about all diabetics having high blood pressure, and it raised the hair on the back of my neck. When I read LOL-sm post, I literally busted up laughing! I thought it was so funny and so FITTING. it put an end to the thread and made every one laugh...good ending to something that was getting ugly and sort of put the QA back a step or two, as well! It was great! Still laughing!
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Subject: THank YOu!!! Just started a new job and am going crazy!!!!

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Subject: No, but I just started doing this a month ago!

Does it show?? I know I ask a lot of questions :)
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Subject: Weird!! we BOTH started it with DU....


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Subject: It really sounded like it started with a "P"

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Subject: When I first started, I was taught to put

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Subject: Seizures, I think?

In the assessment, this doc is saying allergic rhino sinusitis with **seizure nod-ur-ations**. I am not even real sure about the seizure part, and there was never anything said about seizures in the history. This is geriatric medicine visit and the only thing in history is about depression, past medical history of hyperlipidemia and allergic rhino sinusitis.


 


Thanks for any help! I know it's not much to work with.


seizures
Subject: seizures

It's just absence seizures said with an accent.  :)
Seizures
Subject: Seizures

s/l absong seizures
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Subject: Seizures

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seizures. sm
Subject: seizures. sm

Could you be hearing absence (ab-sonz) seizures or they might be pronouncing it absenz seizures?


 


absence seizure



a seizure characterized by impaired awareness of interaction with, or memory of, ongoing events external or internal to the person; may comprise the following elements: mental confusion, diminished awareness of environment, inability to respond to internal or external stimuli, and amnesia. (The term absence was first used by Louis-Florentin Calmeil (1798–1895) to introduce the concept of epileptic absence for the brief loss of consciousness or confusion seen in epileptic patients.)


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Subject: Was he having seizures? If so, it could

be absence seizure.
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Subject: ditto - EXACTLY what I do - I've never started


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Subject: That's what I started doing with my marbled mouth doc!

I figured I was spending way too much time trying to decipher his jumbled mumbled dictation. He can either learn to speak correctly and coherently or spend his time trying to figure out what he was trying to say to fill in the blanks!!!