Home     Contact Us    
Main Board Job Seeker's Board Job Wanted Board Resume Bank Company Board Word Help Medquist New MTs Classifieds Offshore Concerns VR/Speech Recognition Tech Help Coding/Medical Billing
Gab Board Politics Comedy Stop Health Issues
ADVERTISEMENT




Serving Over 20,000 US Medical Transcriptionists

patient has Graves hyperthyroidism..he is listing lab values & one the recording because fuzzy..sm

Posted By: minminin on 2007-08-20
In Reply to:

Subject: patient has Graves hyperthyroidism..he is listing lab values & one the recording because fuzzy..sm

Lab tests done at your office on 08/01/07 indicated a free T4 of 4.36 (0.8 to 1.9), T3 was 390 (72 to 170), and a TSH of less than 0.01.  A WBC count was slightly low at 3.5 (3.9 to 11.3), hemoglobin was 12.5, hematocrit 37.6, _____ of 77 (80 to 102). 


The blank sounds like LEV-IN AND CBU of 77.


??? any thoughts on what lab value this could be based on the normal range of 80 to 102?  thanks.




Complete Discussion Below: marks the location of current message within thread

The messages you are viewing are archived/old.
To view latest messages and participate in discussions, select the boards given in left menu


Other related messages found in our database

Patient with hyperthyroidism - "stare sign" ?? Thanks, nm
x
it's Graves' disease, named after Robert James Graves(1796–1853), a British physician
Subject: it's Graves' disease, named after Robert James Graves(1796–1853), a British physician

.
not an ESL, but tape was very fuzzy when he dictated this word
Subject: not an ESL, but tape was very fuzzy when he dictated this word


Cystoscopy; s/l "Perksis" recording device nm
Subject: Cystoscopy; s/l "Perksis" recording device nm

.
It could only be repressed if it was hypERthyroidism nm
Subject: It could only be repressed if it was hypERthyroidism nm

:
Could it be carbimazole - for hyperthyroidism??
Subject: Could it be carbimazole - for hyperthyroidism??


there's a "methimazole" for hyperthyroidism ??
Subject: there's a "methimazole" for hyperthyroidism ??


Do you take Synthroid for hyperthyroidism or just hypothyroidism? thank you
Subject: Do you take Synthroid for hyperthyroidism or just hypothyroidism? thank you


hypo versus hyperthyroidism (sm)
Subject: hypo versus hyperthyroidism (sm)

I got an ESL doc that I cannot differentiate between him saying hypo and hyper. 


He states that the TSH is more than the normal level and then prescribes levothyroxine.  Isn't levothyroxine for hypothyroidism?


 


Thanks. Makes sense, hyperthyroidism. nm
Subject: Thanks. Makes sense, hyperthyroidism. nm

xxxx
Graves' or Graves??
Subject: Graves' or Graves??

Stedman's Radiology Words says Graves and Dorland's Medical Speller says Graves'.   Which is correct?


Chief complaint: s/l Stiler enalrgement with hyperthyroidism. Help???
Subject: Chief complaint: s/l Stiler enalrgement with hyperthyroidism. Help???


Graves as per my Sted's.
Subject: Graves as per my Sted's.


There is Graves ophthalmopathy
Subject: There is Graves ophthalmopathy


The name of the disease is Graves; do not
Subject: The name of the disease is Graves; do not

x
Graves' thyrotoxicosis? NM
Subject: Graves' thyrotoxicosis? NM

nm
Oops - no ' on Graves (nm)
Subject: Oops - no ' on Graves (nm)

s
And it's Graves disease, not Grave's
Subject: And it's Graves disease, not Grave's


Graves' disease drug
Subject: Graves' disease drug

S/L pyrinomycin.


Thanks in advance!!!!


Graves is the name of the disease. It is not possessive.
Subject: Graves is the name of the disease. It is not possessive.

Stedman's has it as Graves disease.
Grave/Graves' optic neuropathy???-nm
Subject: Grave/Graves' optic neuropathy???-nm


Doc is listing lab tests for pt. (nm) TIA
Subject: Doc is listing lab tests for pt. (nm) TIA

x
Just listing her past surgeries?
Subject: Just listing her past surgeries?

If so, probably T&A.
Just listing meds, no dosage. nm
Subject: Just listing meds, no dosage. nm


Listing in meds s/l (x - ear - a), no idea what it's for TIA (nm)
Subject: Listing in meds s/l (x - ear - a), no idea what it's for TIA (nm)

**
just list...as in listing to the side nm
Subject: just list...as in listing to the side nm


I'm not sure...it's in a huge listing of medication
Subject: I'm not sure...it's in a huge listing of medication


Doctor is listing medications and says" 5. Fishal" nm
Subject: Doctor is listing medications and says" 5. Fishal" nm

!
-mycins commonly used when listing allergies. nm
Subject: -mycins commonly used when listing allergies. nm


Listing of generic/Brand names
Subject: Listing of generic/Brand names

Okay, where is the best place on line to find a listing of generic/Brand names for drugs?  It is hard to find a website that lists the proper lower/upper case info.
If he's listing past surgical history then
Subject: If he's listing past surgical history then

I'd put appendectomy, three D&C's, tonsillectomy.

D&C stands for dilation and curettage
Dorlands Medical Dictionary says it's Graves' disease - note the apostrophe after the "s
Subject: Dorlands Medical Dictionary says it's Graves' disease - note the apostrophe after the "s" nm

:
Here is article listing dapsone and colchicine. See link.
Subject: Here is article listing dapsone and colchicine. See link.

http://www.emedicine.com/derm/topic185.htm
Abbreviation listing gives PPSA as Precursor PSA and there is Predicted PSA
Subject: Abbreviation listing gives PPSA as Precursor PSA and there is Predicted PSA


"cc" is a possible future listing in JCAHO "do not use list" sm
Subject: "cc" is a possible future listing in JCAHO "do not use list" sm

JCAHO requires its members to follow an official "do not use list" and "cc" is being considered for possible future inclusion in the JCAHO "do not use list" to be replaced by "mL" because it can be misread as U or unit when poorly WRITTEN...typing it is not as problematic but I go ahead and change it to mL to encourage dictators to make the "mental shift" away from "cc" ...hope that helps! see this link http://en.wikipedia.org/wiki/List_of_medical_abbreviations
Cytoc is a medication used to prevent stomach ulcers. No listing for Cytotech. Any other info?
Subject: Cytoc is a medication used to prevent stomach ulcers. No listing for Cytotech. Any other info?

x
I found Services United for Mothers and Adolescents (SUMA) in a listing for adolescent drug rehab.
Subject: I found Services United for Mothers and Adolescents (SUMA) in a listing for adolescent drug rehab.

I don't know if this is what you are looking for, but it was listed in the Health Foundation of Greater Cincinnati.
lab values
Subject: lab values

dr. dictates white blood cell count is 40.2 thousand.  this is a verbatim account, so how would you transcribe this?
lab values
Subject: lab values

* s/l Ru-Kay was slightly depressed at 3.6


This is a patient with abdominal pain. She is fairly clear in her dictation. Thank you for any help


TEE values sm
Subject: TEE values sm

On transesophageal electrocardiography: Trace mitral regurgitation was present. Proximal isovelocity surface area (PISA) mitral valve area (MVA) was calculated to be 0.9 cm sq with a Vmax of 200, **ADF/AEF/AF/AS** velocity of 16, PISA diameter of 2.3, angle of 60 degrees.

Doc has a thick Japanese accent and I cannot understand the acronym before 'velocity' and do not do a lot of ECG reports. TIA!
What about lab values as 20.0 . ..
Subject: What about lab values as 20.0 . ..

Our QA is saying BOS says to add that trailing zero.  Can you find the text to verify that for me.


Also on platelet count WBC, they say to delete the comma, i.e., 20,000 to 20000.  Need documentation for that, too, if you have it handy. Thanks.


UA lab values
Subject: UA lab values

On a UA, for rbc and wbc should those be in caps or lower case?
lab values
Subject: lab values

Probably 62.9 segs, 50-70 normal, total should be 100.
Help with Lab values please
Subject: Help with Lab values please

1. 'CBC shows a S/L "three piece/b's" of 5.5'

2. 'S/L "P&P" showed normal electrolytes'

THANKS in advance!
Need lab help PT/INR values
Subject: Need lab help PT/INR values

Last PT/INR was 118 08. Is this typed 118/08, or 11808, or how? Thanks
lab values
Subject: lab values

BNP 6223.  Can this be a value for BNP?
values for hyperlipidemia
Subject: values for hyperlipidemia

Hyperlipidemia. We will check a repeat __________ today.


I can hear value. Does this make sense? It does sound like a skip on the recording then value.


MD is dictating the ABG values. sm
Subject: MD is dictating the ABG values. sm
























listen carefully for these:


 


Normal Arterial Values

Range
pH 7.35-7.45
pCO2 35-45
pO2 80-100
O2 Sat. 95-100%
HCO3 22-26
BE +or-2

 




ABG values base x s 1?
Subject: ABG values base x s 1?

PAO2 29, bicarb 27, s/l base X S 1, O2 sat 52% on room air.  I don't know that he is saying after 27.  The base and the 1 are pretty clear.  Thank you for any help you can offer. 


Transcibing values
Subject: Transcibing values

How would I transcribe the following;


One out of twenty nodes positive. 


 


Thanks


Looks like values for pH, pCO2 and pO2...sm
Subject: Looks like values for pH, pCO2 and pO2...sm

looks okay to me, but I don't do a lot of lab values.