She has a history of recurrent silarities and lymphedema. Definitely not abnormalities. please sm
Posted By: nm on 2009-02-19
In Reply to:
Subject: She has a history of recurrent silarities and lymphedema. Definitely not abnormalities. please sm
Doc is from Puerto Rico and has a heavy accent.
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maybe lymphedema
Subject: maybe lymphedema
lymphedema machine??? nm
Subject: lymphedema machine??? nm
f
lymphedema wrap
Subject: lymphedema wrap
and lymphedema garment?
cellulitis maybe? Usually goes along with lymphedema - nm
Subject: cellulitis maybe? Usually goes along with lymphedema - nm
Is it me or my spellchecker. It doesn't like lymphedema.
Subject: Is it me or my spellchecker. It doesn't like lymphedema.
medication - patient with lymphedema
Subject: medication - patient with lymphedema
s/l Aloplex, Iloplex, or Eloplex - could not find - she is also taking Lasix
help again, s/l lymphangetic stringing or lymphedema
Subject: help again, s/l lymphangetic stringing or lymphedema
She does have some erythema on the right tibia. There are no signs of lymphangetic s/l stringing - or lymphedema.
wild guess - lymphedema was seen ? NM
Subject: wild guess - lymphedema was seen ? NM
on ekg s/l repole abnormalities.
Subject: on ekg s/l repole abnormalities.
could be repolarization abnormalities
Subject: could be repolarization abnormalities
Repolarization abnormalities
Subject: Repolarization abnormalities
How about 'no abnormalities'...nm
Subject: How about 'no abnormalities'...nm
s
agree with abnormalities
Subject: agree with abnormalities
x
recurrent pain?
Subject: recurrent pain?
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.
wall motion abnormalities
Subject: wall motion abnormalities
!
QRS prolonged repolarization abnormalities
Subject: QRS prolonged repolarization abnormalities
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
DL branc -recurrent croup
Subject: DL branc -recurrent croup
Pt with recurrent episodic croup "PLAN: s/l "DL branc," rule out anatomical narrowing. Did briefly discuss reflux, but I would like to do a s/l "DL branc" beforehand to make sure there is not an anatomic issue.
The only DL branc that I could find had to do with TB, but this is a pediatric pt with no previous hx of TB etc.
recurrent breast abscess
Subject: recurrent breast abscess
Recurrent laryngeal carcinoma
Subject: Recurrent laryngeal carcinoma
I plan to treat him with a combination of Erbitrux and chemotherapy. I have explained to him that it is experimental therapy. There is no guarantee of success. The turbacent toxicities are substantial and these were discussed with the patient. The patient wishes to proceed and will see me back next week.
This patient has recurrent laryngeal carcinoma. - Thanks so much for helping.
I think it might be that, as she has recurrent rectocele but I am flagging it
Subject: I think it might be that, as she has recurrent rectocele but I am flagging it
for QA anyway. Don't want to put in the wrong thing. Thanks for all your help!!
possibly recurrent atelectasis???
Subject: possibly recurrent atelectasis???
nm
oops - should read "saying abnormalities" NM
Subject: oops - should read "saying abnormalities" NM
x
listen for wall motion abnormalities? nm
Subject: listen for wall motion abnormalities? nm
x
Neonatal circ with recurrent adhesions
Subject: Neonatal circ with recurrent adhesions
This has to be circumcision, right? But he is saying the patient can get beneath the foreskin clean, but blah, blah. But if he was circumcised, he would not have foreskin, right? Or with the adhesions, would there still be some there? I'm confused! TIA
Recurrent ***losis secondary to MRSA.
Subject: Recurrent ***losis secondary to MRSA.
The patient takes tetracycline to treat these areas on her buttocks. TIA!!!
. There are no abnormalities of the paraspinal musculature or the aorta, efuravenacarva or the -sm
Subject: . There are no abnormalities of the paraspinal musculature or the aorta, efuravenacarva or the -sm
kidney. Thanks.
external ear canals were free from s/l toe-fear? and other abnormalities
Subject: external ear canals were free from s/l toe-fear? and other abnormalities
Yes, compression garments and/or wrapping of affected area for treatment of lymphedema.
Subject: Yes, compression garments and/or wrapping of affected area for treatment of lymphedema.
I googled lymphedema wrap.
Patient has recurrent gastric outlet obstruction and ...
Subject: Patient has recurrent gastric outlet obstruction and ...
megagastrium. Cannot find this anywhere! Did he make it up? TIA!!
hx of recurrent UTI - The patient was encouraged not to use a condom Foley and continue 'SIMC.
Subject: hx of recurrent UTI - The patient was encouraged not to use a condom Foley and continue 'SIMC.'
speaking of recurrent thyroid cancer..so in that area the intra-media-sty-num sm
Subject: speaking of recurrent thyroid cancer..so in that area the intra-media-sty-num sm
Interestingly the PET scan revealed minimal FDG uptake in the right thyroid bed consistent with the right anterior tracheal lesion, and also minimal uptake in what is believed to be persistent thymic tissue in the "intra-media-stynum", but nowhere else is it noted. MRI was reviewed as well. This confirms a 1.4 cm enlarged lymph node on the right side at the level of C3......
recurrent bilateral effusions and it was *kylus** and they thought it was due to thoracic duct injur
Subject: recurrent bilateral effusions and it was *kylus** and they thought it was due to thoracic duct injur
history
Subject: history
s/ true, screw, tew.
A 20 gauge____ guide monoptic coaxial system was employed to obtain 2 core biopsies of the lesion
OB history
Subject: OB history
CAMT- In my BOS second edition- page 290: Separate GPS sections by commas:
G4, P3, A1 
History of?
Subject: History of?
Could the dictator be saying "history of" cholecystectomy," instead of "her 'seri' cholecystectomy?
history of **leg TB**? sm
Subject: history of **leg TB**? sm
it's on a numbered list so i really dont have anything else to work on. THANKS!
not sure but her history is.....
Subject: not sure but her history is.....
pt had a surgery recently from a MVA and had several broken bones, also history of hypertension, diabetes and peripheral vascular disease. thanks
??? not sure, not really any history
Subject: ??? not sure, not really any history
sounds just like Caprix
Social history
Subject: Social history
I forget the proper transcription for this regarding numbers--
Occasional tobacco use, 1-2 half-packs per day.
Should 1-2 be spelled out and is half-pack hyphenated? Thanks a lot!
patient history
Subject: patient history
Patient presents with history of ***Lemure*** disease? s/l Lemirro
family history
Subject: family history
7yo girl with pneumonia. no family history of asthma or other chronic lung disease, immune deficiency or decreased sl-fertility.
H & P- history and physical...nm
Subject: H & P- history and physical...nm
m
history of ?ceilingectocies
Subject: history of ?ceilingectocies
Family history
Subject: Family history
Internal Medicine clinic notes:
Family history: S/L Vonastroms with accent on "strums" at the end of the word. Tape cuts out on the first part, but I can hear the strums at the end.
Thanks
s/l atremic history
Subject: s/l atremic history
PATH history
Subject: PATH history
Past history would cover you on all corners. Did the doc dictate any history? Unless she has significant OB/GYN pathology, which the doc would probably make note of, vaginal bleeding and "path" history don't go together. Hope that helped.
HELP-- pt has history of heroin and
Subject: HELP-- pt has history of heroin and
s/l aniculary drug use???????
It may be, but I don't know if she has a history of alcoholism. ..
Subject: It may be, but I don't know if she has a history of alcoholism. ..
I just left it blank for QA. Thanks for the suggestion, though.
Not really. Perhaps just "former history"?? nm
Subject: Not really. Perhaps just "former history"?? nm
x
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