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patient casted for s/l bifibular fractures? nm

Posted By: bonjeanjo on 2008-02-25
In Reply to:

Subject: patient casted for s/l bifibular fractures? nm

nm


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There are spanning frames used for pilon fractures and also hip fractures.
Subject: There are spanning frames used for pilon fractures and also hip fractures.


? 4-1 fractures
Subject: ? 4-1 fractures

The doc states that the maxilla is free floating due to (what s/l) "lymph 4-1" fractures? 
fractures too
Subject: fractures too

Doc is saying TA compression fractures...... cannot find TA compression fractures.
rib fractures through a
Subject: rib fractures through a

preexisting "calacite"???  thanks!
s/l Jodi fractures
Subject: s/l Jodi fractures

sentence: The history for 'jodi' fractures involving her left upper extremity.
jodi fractures
Subject: jodi fractures

Only thing I can think of is Jones fracture or joint fracture
maybe LeFort II five fractures?
Subject: maybe LeFort II five fractures?

what you typed:  LeFort 2.5 fractures and disjunction of the facial bones from the cranium.


since there is an (s) after fracture(s), I believe he meant a LeFort II five fractures.


Also, isn't it dysjunction?  I could be DEAD_WRONG on that one though.  *lol*


Hmm. Usually femoral neck fractures are
Subject: Hmm. Usually femoral neck fractures are

described as Garden fractures, ranging from I through IV.

How does the sentence read and what type of report are you typing?
expanding vertebral fractures
Subject: expanding vertebral fractures

What is the right way to transcribe an L5 compression fracture? or C5-6 herniated nucleus pulposus? Do you just put L5 or fifth lumbar or lumbar 5?


Do you put cervical 5-6 ?  Any help is appreciated. Debbie


Phalanx fractures - word help
Subject: Phalanx fractures - word help

Review of his x-rays today shows that he has some fourth and fifth proximal phalanx fractures of the shaft, just a little oblique in nature.  The s/l 'ulnar-peri' was significantly displaced.


Hx: Fourth and fifth phalanx fractures.


how do you type Salter 1 fractures..
Subject: how do you type Salter 1 fractures..

Sprain of both the metacarpophalangeal joints of her index and long finger, possibly nondisplaced *s/l salter 1 fractures.*? tia.
No step-offs. You will hear that a lot with fractures etc.sm
Subject: No step-offs. You will hear that a lot with fractures etc.sm

as per my old Stedman's Ortho and me, old ortho person here, before so many  hyphens etc. so I have to look things up to get things right for you guys.
oops, I meant LeFort II 5 fractures....
Subject: oops, I meant LeFort II 5 fractures....

sorry for MY error....
grade 4. All grades are arabic. Fractures and
Subject: grade 4. All grades are arabic. Fractures and

stages are Roman numerals.
yes, Garden's classification of femoral neck fractures
Subject: yes, Garden's classification of femoral neck fractures


Rehab hospital........Lisfranc and metatarsal fractures
Subject: Rehab hospital........Lisfranc and metatarsal fractures

nm
I find pilon fractures assoc. with the tibula. I will QA it and see b/c she clearly says fibula. T
Subject: I find pilon fractures assoc. with the tibula. I will QA it and see b/c she clearly says fibula. Thanks.


fractures or osteophytes can cause "tenting" of the skin over the tibial spines sm
Subject: fractures or osteophytes can cause "tenting" of the skin over the tibial spines sm

of course it depends on if it fits the context of the dictation....
Hip fractures comprise two types—femoral neck (cervical or intracapsular)
Subject: Hip fractures comprise two types—femoral neck (cervical or intracapsular)


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


same doc. same patient
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! 


do you have a Dx on this patient, and
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

It is difficult to say whether his shortness of breath is secondary to coronary artery disease.  Ventricular function, underlying pulmonary disease, i.e. s/l a-co-sis, or his weight. 
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.