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She does not have an extensive history of travel to suggest “ham et ic” infection. sm

Posted By: tracy on 2008-08-29
In Reply to:

Subject: She does not have an extensive history of travel to suggest “ham et ic” infection. sm

presents for evaluation of chronic cough with peripheral eosinophilia and abnormal CT of the chest, per report (thickening of the bronchial wall).  The constellation of findings is suspicious for chronic eosinophilic pneumonia or allergic bronchopulmonary aspergillosis.  However, the patient does not have a prior history of asthma and per report, the chest x-ray or chest CT did not show any pulmonary infiltrates.  She does not have an extensive history of travel to suggest “ham et ic” infection.  However, she traveled through Brazil many years ago.  The IgE levels are elevated but not the point to suggest allergic bronchopulmonary aspergillosis. 


 




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Nothing about any travel
Subject: Nothing about any travel

and my doc is very thorough about details like that. I really think it is the name of a medication but I can't find anything in my drug book or when I google
Drug for travel s/l "methoklin" sm
Subject: Drug for travel s/l "methoklin" sm

Pt is travelling to Liberia.  I searched the CDC website and drug books but cannot find a drug that s/l Methoklin. 


 


TIA


Lassa fever? Pt live/travel west Africa. sm
Subject: Lassa fever? Pt live/travel west Africa. sm

Maybe is is - trace fever -- as always having low-grade fever maybe
may be "nidus of" infection (i.e. source/focus of infection) .nm
Subject: may be "nidus of" infection (i.e. source/focus of infection) .nm


extrinsic? extensive? nm
Subject: extrinsic? extensive? nm


extensive anterior segment
Subject: extensive anterior segment

nm
I'd use garment, too. Like a wet suit thing. They use them after extensive
Subject: I'd use garment, too. Like a wet suit thing. They use them after extensive

s
s/l laminax?? extensive vulvar condyloma?
Subject: s/l laminax?? extensive vulvar condyloma?


MRI demonstrated extensive bone farts???
Subject: MRI demonstrated extensive bone farts???

He said it, I know he said it, but I don't want to type it.  Any clue??
Type of infection s/l merse infection?
Subject: Type of infection s/l merse infection?

I'm stumped.  New doctor for me and I have never heard anything like this.  Sounds like merse infection?  Any ideas?
Jerovecki infection or Gerovecki infection...see more
Subject: Jerovecki infection or Gerovecki infection...see more

The prophylactic antibiotic that I probably would give her would be something to avoid Pneumocystis corinii "Gerovecki infection" or "Jerovecki infection."
an extensive workup revealed s/l ordernomic dysfunction
Subject: an extensive workup revealed s/l ordernomic dysfunction


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. 
lung cancer PET scan shows extensive metastatic
Subject: lung cancer PET scan shows extensive metastatic

s/l fosi


 


thanks


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


48-hour pH test completed and extensive *physiatry* to view the findings which demonstrated
Subject: 48-hour pH test completed and extensive *physiatry* to view the findings which demonstrated

She states that she is unable to eat, continues to lose weight, and is having bouts of vomiting.  She did have her 48-hour pH test completed and extensive *physiatry* to view the findings which demonstrated that on the first night when she had vomited after her procedure, there were some episodes of breakthrough acid; however, the following day when she was tolerating a diet and had her AcipHex, her pH was well controlled, above a pH of 4, essentially the entire time.  Therefore, I discussed with the patient that her chest burning does not appear to be correlated with breakthrough acid of any significant degree and suggests the possibility that a lot of her chest pain and burning may be related to her anxiety and depression.
You are welcome...........suggest...sm
Subject: You are welcome...........suggest...sm

What I do is I put the little feet up on the keyboard - underneath the keyboard on the underside of keyboard are 2 little feet - to have the keyboard now on a little slant (a regular microsoft keyboard) and I try to remind myself to not strike the spacebar as hard as I used to with my right thumb (am right-hand dominant). 


Hope you feel better soon in those hands (my hands feel like the hands of a REAL old person inside them from pounding on some keyboard for pretty much my entire life, piano first for 14 years, then a typewriter, then 5 years I worked in kitchens pounding it out on butcher blocks with knives, then back to MT work commencing in 1980 - so yeah, my hands, while they look young, feel inside like the hands of someone in their 80s!!). 


well then suggest the BOS *S*....NM
Subject: well then suggest the BOS *S*....NM


They suggest q. 4 (space)h. (nm)
Subject: They suggest q. 4 (space)h. (nm)

x
was just going to suggest D5W shot as well
Subject: was just going to suggest D5W shot as well


I would suggest maybe *sensations*? just a thought. nm
Subject: I would suggest maybe *sensations*? just a thought. nm

nm
Yes, it shows. Suggest helping yourself out sm
Subject: Yes, it shows. Suggest helping yourself out sm

by investing in some MT reference materials. It's much easier (and much, much faster) to look things up that way, and learn as you are researching. Also suggest your getting someone to mentor you 1 on 1. This job is tough enough!!

Are you the same Rebecca who was a surgical tech for 8 years?


I hear ya, there! For starters, may I suggest sm
Subject: I hear ya, there! For starters, may I suggest sm

your first investing in the big Dorland's medical dictionary with definitions (or Stedman's big one--though I've always preferred the Dorland's). That will hold you for quite a while. As a matter of fact, when I started out, that was pretty much the only reference book we had.

Also, a good drug book would help you immensely--suggest Drake & Drake. Since we have the Internet, you can use that, but the book is more helpful.

After you get going, you'll be able to see what specialties you transcribe the most and then can get the word books specific to that specialty. Like I said, though, the big illustrated dictionary will carry you through for a long time.

If you do ops, I highly recommend Stedman's Med/Surg Equipment Words. This is great when looking up instruments, etc. For example, if you needed to look up a certain catheter, you would have 21 pages of alphabetized catheters listed from which to select. Beats jumping around the Internet, chancing the spellings.

The Stedman's Path/Lab book would be another good investment down the road. Those terms are sometimes very difficult to locate and there are lots of helpful tables in the back of the book.

Little by little you can build up your reference library.

BTW, when you get your reference books, you can look up terms by going to the noun. Earlier you had questioned Mallory-Weiss tear. You would find that in the list under "tear."

Good luck to you in your career!

or we suggest taking a basic medical.....sm
Subject: or we suggest taking a basic medical.....sm

The most basic medical terminology course (my first course 27 years ago) teaches all about the *o* use as a connecting letter for words in medical terminology.  If you haven't even learned that yet, how is it exactly that you are an MT?  *very curious*


 



This is very close so I'll suggest it with a marker.
Subject: This is very close so I'll suggest it with a marker.


Good idea. May be suggest to the Administrator. NM
Subject: Good idea. May be suggest to the Administrator. NM


Could it be gout? Anything in lab to suggest excessive uric acid?
Subject: Could it be gout? Anything in lab to suggest excessive uric acid?


If a child or juvenile, would suggest growth to be correct
Subject: If a child or juvenile, would suggest growth to be correct

There are articles about the growth of visual fields.
Was going to suggest same for both, but with addition of the word "thin" before nonpurulent.
Subject: Was going to suggest same for both, but with addition of the word "thin" before nonpurulent.


On fluoroscein staining there was no evidence of s/l streaming to suggest puncture.
Subject: On fluoroscein staining there was no evidence of s/l streaming to suggest puncture.

I know I should know this, but it has been a long day to say the least.  Thanks!!!!
sentence... His ECG does suggest multis criteria for the LVH in the left axis. thank you
Subject: sentence... His ECG does suggest multis criteria for the LVH in the left axis. thank you


No evidence of cramping abdominal pain that would suggest a s/l hydraged obstruction. Help??
Subject: No evidence of cramping abdominal pain that would suggest a s/l hydraged obstruction. Help??


picture. she has no clinical picture to suggest
Subject: picture. she has no clinical picture to suggest

any evidence of ongoing diverticulitis.

in other words, she has no complaints, signs, or symptoms that would suggest that disease process.
infection
s/l soracia.  pt has some type of infection on wrist that was cultured and was given ciprofloxacin.
infection
Subject: infection

deep-seated infection
Sorry: infection
Subject: Sorry: infection


infection?
Subject: infection?

cannot be certain without more information but just seems like it would fit with flexion/reflexion sound.
Infection
Subject: Infection

Patient has a vancomycin resistant s/l Ephysium infection.??  TIA
need name of type of leg infection
Subject: need name of type of leg infection

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Perinecal Infection?
Subject: Perinecal Infection?

There is erythema and swelling at the base of the right index finger nail.  No fluctuance.  No evidence of purulence is seen.  She has good movement of the finger with normal sensation.


 


ASSESSMENT:  _____ infection, right index finger.


 


Blank s/l perinecal?


 


 


Need help. s/l paronychial infection SM
Subject: Need help. s/l paronychial infection SM

Says that the patient has a paronychial infection of his finger and also uses the term paronychial flap. 


My mind is blank, kids are home today, and I have spent way too much time trying to figure this out.


Would paronychial be correct or would parenchymal be correct?  Or are they both wrong?? Thanks so much!!!!


could it be a line infection?
Subject: could it be a line infection?

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Subject: type of infection

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MRSA infection
Subject: MRSA infection

Thank you! Thank you! Thank you! I have been doing MT for almost 3 years and I have never heard that before. (hugs)
an infection, deformity (?)
Subject: an infection, deformity (?)


staph infection in the...
Subject: staph infection in the...

Staphylococcus aureus infection in the s/l eyelet? 
Pseudomonas infection
Subject: Pseudomonas infection

 


Doctor is saying Pseudomonas s/l percephetic knee infection.  TIA.


Patient with ear infection
Subject: Patient with ear infection

I am transcribing a report on a patient with an ear infection.  The doctor states:


No dullness, bulging or loss of s/l lamric of the tympanic membrane. 


Any suggestions?  TIA


 


help with infection terms
Subject: help with infection terms


Dictator says under lab section:


Urinalysis showed trace hemoglobin and occasional bacteria, Streptococcus pyogenes Ag. Throat was presumptive negative. Influenza A Ag was negative.


Am I typing the *Ag* correctly.  What does it mean?  The only thing I can come up with is group A but not convinced on that.  Thanks for any help.


perinicular infection?..sm
Subject: perinicular infection?..sm

the patient has a hook nail deformity over her index finger and the doc states it is likely a "perinicular" infection?  Cannot document perinicular..........


 


thanks!


paronychial infection NM
Subject: paronychial infection NM