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could be if patient has prolapse etc. sm

Posted By: Txczech on 2008-09-15
In Reply to: SM - urology question

Subject: could be if patient has prolapse etc. sm

Predictive value of prolapse symptoms: a large database study
questions on urinary splinting, digital assistance for ... digitally reduce their prolapse (urinary splinting) to aid. with voiding. ...
www.springerlink.com/index/WRU3CPEH0YHEA189.pdf - Similar pages
by JS Tan - 2005 - Cited by 11 - Related articles - All 2 versions



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patient w severe metatarsal prolapse please sm
Subject: patient w severe metatarsal prolapse please sm

The conservative means of therapy in this case would be orthotic devices with a deep s/l-rale- for the lesser metatarsal heads and support of the metatarsal necks. 
I wish, it is a 52-year-old patient and that is all he mentions she had uterine prolapse too
Subject: I wish, it is a 52-year-old patient and that is all he mentions she had uterine prolapse too


OB/GYN prolapse 1,2,1 or 1 to 1
Subject: OB/GYN prolapse 1,2,1 or 1 to 1


cystocele was 2 cm above the hymenal ring and her rectocele was 2 cm above the hymenal ring, ie, the patient's prolapse is ^ <INC 00:11:06> s/l "1, 2, 1,/ 1 to 1." 


Help - doctor with a very, very, very, very strong accent.  I am pulling my hair out.  I think I am just frustrated and tired!!!!


Prolapse
Subject: Prolapse

A patient can have either a rectovaginal prolapse or a urethrovaginal prolapse, so perhaps dictator is referring to 2 different areas as having different stages of prolapse?
Rosie

or are they saying vault prolapse?
Subject: or are they saying vault prolapse?


mitral valve prolapse (MVP) ? Sm
Subject: mitral valve prolapse (MVP) ? Sm

mitral valve prolapse



excessive retrograde movement of one or both mitral valve leaflets into the left atrium during left ventricular systole, often allowing mitral regurgitation; responsible for the click-murmur of Barlow syndrome, and rarely may be due to rheumatic carditis, a connective tissue disorder such as Marfan syndrome, or ruptured chorda tendinea ("flail mitral leaflet").


MVP is mitral valve prolapse, if that is of any help
Subject: MVP is mitral valve prolapse, if that is of any help


PPH (Procedure for Prolapse and Hemorrhoids)
Subject: PPH (Procedure for Prolapse and Hemorrhoids)


Cold cord prolapse?
Subject: Cold cord prolapse?

Thought that too, but sounds pretty clear....   Thanks.  I'm waiting to hear from QA if they've heard it before.  :)
Occult cord prolapse
Subject: Occult cord prolapse

I've heard the term occult cord prolapse. I believe that's it.

TEE shows mitral valve prolapse and ... sm
Subject: TEE shows mitral valve prolapse and ... sm

s/l cardi redundancy


Also says "redundancy of the mitral valve and (s/l cardi) leaflet prolapse.


TIA!


microvalve prolapse? Sound right? Or would it be mitral?
Subject: microvalve prolapse? Sound right? Or would it be mitral?

Thanks!
Stage 2 s/l and 3 pelvic organ prolapse
Subject: Stage 2 s/l and 3 pelvic organ prolapse

n/t
I've heard of valve prolapse, as in mitral
Subject: I've heard of valve prolapse, as in mitral

valve prolapse. 
history of rectal prolapse, underwent an "alt-mar" procedure. Thanks for any help. (nm)
Subject: history of rectal prolapse, underwent an "alt-mar" procedure. Thanks for any help. (nm)

*
doc dictates "the patient has 120 pack year smoking history", patient is 75...is that right???
Subject: doc dictates "the patient has 120 pack year smoking history", patient is 75...is that right???? NM


Patient is here for an s/l eflex injection. Patient previously had Orthovisc.
Subject: Patient is here for an s/l eflex injection. Patient previously had Orthovisc.

nm
OB patient - s/l The patient has a 'null' sign.
Subject: OB patient - s/l The patient has a 'null' sign.


A1c; patient is to follow up in 2 weeks; patient has a followup in 2 weeks.
Subject: A1c; patient is to follow up in 2 weeks; patient has a followup in 2 weeks.

nm
Patient given PPD - sm pls
Subject: Patient given PPD - sm pls

Patient given PPD S/L "agreed" or "read" within the next 72 hours.
Patient does have a UTI but would it
Subject: Patient does have a UTI but would it


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Subject: same doc. same patient

the lesion was vascular in natureand most likely _____ malformation.


S/L avio-lymphatic


HIV patient. Please sm.
Subject: HIV patient. Please sm.

Doc is dictating a test in relationship to patient's HIV.  He states s/l "firal row"is negative and T-cell count has actually risen since last visit.


Thanks for any/all help! 


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Subject: do you have a Dx on this patient, and

if not, what is the chief complaint?
new patient
Subject: new patient

On a new patient is this how it should be put?  the doctor says it with chief complaint~~~~CHIEF COMPLAINT:  New patient, arm pain.
OD q.d.? Is it for the patient's eye? nm
Subject: OD q.d.? Is it for the patient's eye? nm

x
cc: the patient
Subject: cc: the patient

then he said, note to the transcriptionist, make sure that a copy of the mri scan results is sent to the patient with this letter.

What is the patient's dx? nm
Subject: What is the patient's dx? nm


Are you sure the patient isn't
Subject: Are you sure the patient isn't

very spiritual, and is hoping for healing through a prayer line? Many churches do have prayer lines and pray for sick people. Usually they don't intend that the person shouldn't seek medical help like it sounds like this patient would be talking about.
How old is this patient?
Subject: How old is this patient?


The patient has a ... (sm)
Subject: The patient has a ... (sm)

. . . distal radius fracture. It s/l the doctor dictates *there is a cast and flink* to right arm.  I thought it might be *splint*, but it really does not sound like that. Any idea?


Thanks, Melissa


Patient is p.o.ing well??????
Subject: Patient is p.o.ing well??????

POing??? or just change to eating?  It's a 3-month-old baby girl.
What is the patient
Subject: What is the patient

in the hospital for? Main symptoms? Specialist seeing the patient?


Is patient ill otherwise? sm
Subject: Is patient ill otherwise? sm

I know you say it is not positive exudate but if the patient is ill or has upper respiratory symptoms, positive could actually be right.
Doc is saying the patient is this PDI-3 or
Subject: Doc is saying the patient is this PDI-3 or

Peduli-3? Never heard of a patient being that, but I have heard of a resident doctor being a PGY-3 after their name. Otherwise, I have no idea. Sorry.
The patient has both, so you must be...
Subject: The patient has both, so you must be...

correct!!!  THANK YOU!!!!!!
but patient has URI, not UTI, yes? (nm)
Subject: but patient has URI, not UTI, yes? (nm)

nm
Patient with AML,
Subject: Patient with AML,

Sentence reads:  We have been watching her counts closely due to the fact that she has blood antibodies and requires s/l "spark of platelets" OR "sparkle platelets".  Any ideas?  TIA.
Thank you but the patient..sm
Subject: Thank you but the patient..sm

only came in for refill of birth control. She was out of insurance for a time period. No infections or anything.

Thank you for trying though. I do appreciate it. This dictator loves to ramble and sometimes not very clear.
The patient is on s/l T P.
Subject: The patient is on s/l T P.

It is definitely some sort of ventilator.
patient
Subject: patient

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What is patient seen for?
Subject: What is patient seen for?


Perhaps it has to do with what he is seeing the patient for..
Subject: Perhaps it has to do with what he is seeing the patient for..

?
Patient on s/l flo-air
Subject: Patient on s/l flo-air


could he mean the patient
Subject: could he mean the patient

can CONTINUE routine regimen of Prelief with these other meds?
is this patient HIV?
Subject: is this patient HIV?

Sustiva and Epizicom are given in conjunction for HIV
Patient has hep C
Subject: Patient has hep C

treated with s/l pegasus and ribaviran. These are not listed in my drug book, nor the one online. Not sure of spelling or whether capped. Thank you for your help.
No, the patient is in her 40s.
Subject: No, the patient is in her 40s.

:-)
Patient needs I&D - please sm for s/l
Subject: Patient needs I&D - please sm for s/l

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This is a patient whom/who I have been seeing??? nm
Subject: This is a patient whom/who I have been seeing??? nm

nm
Per patient, he has not been... (nm)
Subject: Per patient, he has not been... (nm)

nm