pro forma history? See ref.
Posted By: Txczech on 2007-10-16
In Reply to: Does this make sense? 'The patient has had a - 'preformal' history of left shoulder pain.
Subject: pro forma history? See ref.
Main Entry:pro for*ma
Pronunciation:(*)pr*-*f*r-m*
Function:adjective
: done or existing as a matter of form
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
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.
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
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
says s/l history of DVD/PE ? - on anticoagulation
Subject: says s/l history of DVD/PE ? - on anticoagulation
Psychiatry - history of s/l TEE-H-SHE (sm)
Subject: Psychiatry - history of s/l TEE-H-SHE (sm)
history of s/l TEE-H-SHE times 2 years, ectasy times 2 years, and significant alcohol use. ??? TIA
Patient with history
of femoropopliteal bypass graft. Pulses palpable at s/l PTTP???? I am brain dead here. TIA
could it be history of hypertension?
Subject: could it be history of hypertension?
nm
history of pneumonia?
Subject: history of pneumonia?
Need help with two words please.
History of pneumonia and s/l bi-e-ma status post s/l e-cor-ti-cation
Bony______ (history)
Subject: Bony______ (history)
Chief complaint: Hit the wall with hand.
maybe infectious history
Subject: maybe infectious history
surgical history s/l all-tee
Subject: surgical history s/l all-tee
Patient is being seen for balance problems. There is a lot of focus in the report on various tests and her previous tethered cord, lumbar stenosis, laminectomy, etc.
Past surgical history includes: "repair of a spinal fluid leak and (s/l all-tee) then the lumbar spine fusion."
Any ideas as to what the all-tee might be? At first I thought it was the doctor stumbling over her words, but upon re-listening, I'm not so sure!
as in he personally has history of.... NM
Subject: as in he personally has history of.... NM
7-year history.....
Subject: 7-year history.....
I get confused, too! well-defined hypen; the hyphen is well defined. That is how I think of the hyphens, but I'm no BOS guru - just been in the biz for a long time.
I do not in surgical history. I only
Subject: I do not in surgical history. I only
expand it if in an op report heading of Procedure Performed:
Surgical History
Subject: Surgical History
"significant for hip replacement, "appy"????
1-year history
Subject: 1-year history
How would you type the patient has a 1-year history of pain....tia.
Pt with history of LGSIL Pap sm
Subject: Pt with history of LGSIL Pap sm
A: History of LGSIL Pap, s/l ***full colpscopy*** with 1 directed biopsy obtained.
I don't have much experience at all in anything related to GYN procedures and not sure if there is a distinction between a colposcopy and a full colposcopy - the only other thing it s/l is ***for colposcopy*** with 1 directed biopsy obtained.
Hope I made sense here. Thanks for any help.
Patient has history of anemia..sm
secondary to s/l "naneocrosis". Any suggestions?
Past medial history
Subject: Past medial history
The patient is admitted from the clinic where CT visuals showed recurrence of the disease.
I'm not sure if that's what the doctor is saying. Does it sound right?
Just says she is on embriol IM weekly for history of RA.
Subject: Just says she is on embriol IM weekly for history of RA.
x
Past social history
Subject: Past social history
When typing amount of cigarettes, is three-quarters a pack a day correct or would you use numerals?
Past medical history
Subject: Past medical history
Under history of present illness he has that the patient has a history of IV drug abuse.
Past medical history: IODINE ALLERGY WITH SHORTNESS OF BREATH AND HIVES FOLLOWING IV SPREE THREE YEARS PTA.
Could that be what he's saying? Thanks.
History significant for "IPP" at age 6?
Subject: History significant for "IPP" at age 6?
I don't see anything in my Abbr. book that might fit this. s/l IPP or IPT. Any ideas anyone? THanks!
under past medical history...
Subject: under past medical history...
Past medical history
Subject: Past medical history
Surgeries: Small bowel obstruction, THA/BA for cholecystectomy.
I'm not sure if he said BA or BA with another letter on the end. Help! Thanks.
history of sl-path pneumonia
Subject: history of sl-path pneumonia
past medical history of sl-path pneumonia in 2002.
B&B in past surgical history
Subject: B&B in past surgical history
Anyone know what that could be?
How about "no history of diabetes", etc. nm
Subject: How about "no history of diabetes", etc. nm
Would that be under past surgical history though as he says it is? nm
Subject: Would that be under past surgical history though as he says it is? nm
nm
past medical history
Subject: past medical history
This is the only information I have and it sounds like **Ba-dex Ex-lo-dian** under past medical history. Thanks for any suggestions!
History of surgery for s/l terigim
Subject: History of surgery for s/l terigim
This is an H&P for a 70yo with afib. Doc is ESL .
Past medical history
Subject: Past medical history
Past medical history: Positive for arthritis, asthma, and "vic-in-plant-ous". She also has a dystonia that has been longstanding. This is on an ortho note, so this is the only thing said about this. Thanks for checking it out!
History and physical word help
Subject: History and physical word help
The doctor say chief complaint, S/l appendidiver HPI... Any suggestions? Thanks for everyone's help..
HTN dictated under past history...
Subject: HTN dictated under past history...
Is it best to leave it as dictated or write out hypertension? Account is not verbatim.
increasing history of cough? nm
Subject: increasing history of cough? nm
s
|
