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s/l patient was pneumatically stable..

Posted By: lessMT on 2008-04-25
In Reply to:

Subject: s/l patient was pneumatically stable..

s/l patient was pneumatically stable (this is a psychiatric discharge summary if that helps). 


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If you hear stable, put stable. sm
Subject: If you hear stable, put stable. sm

They do say loose bodies are stable from previous film etc. Might be simply that. 


 


Best ortho link ever:


 


http://www.wheelessonline.com/ Just click on the joint etc. as below for Baker's cyst.


 


http://www.wheelessonline.com/ortho/knee_joint_menu


stable?
Subject: stable?


stable. nm
Subject: stable. nm

.
Currently appears stable?
Subject: Currently appears stable?

  Where there are no other instructions after that sentence, i.e. ordering a test or medication, the word "stable" comes to my mind.
How about alveoli are stable? (nm)
Subject: How about alveoli are stable? (nm)

.
? stable syrinx?
Subject: ? stable syrinx?


Stable affect maybe?
Subject: Stable affect maybe?

XX
Or...stable or clear gutters? nm
Subject: Or...stable or clear gutters? nm

s
I think that's correct - axillae are stable
Subject: I think that's correct - axillae are stable

RadMT is right.
stable spiculated density
Subject: stable spiculated density

stable spiculated density
stable angina pectoris
Subject: stable angina pectoris

Under FINAL DIAGNOSES he says ASA steva stable angina pectoris. Thanks for any ideas.
stable lung nodule please sm
Subject: stable lung nodule please sm

...stable lung nodule consistent with a s/l hemartoma.


Don't know of this is hamartoma or hematoma? TIA


oops, it has been a long day... Medically stable..
Subject: oops, it has been a long day... Medically stable..


Afebrile, vital signs stable.
Subject: Afebrile, vital signs stable.

Good site for abbreviations.

http://mt911.com/site/search/abbreviation_search.asp
stable fluid? perifacial extension?
Subject: stable fluid? perifacial extension?

There is stable fluid in the semimembranosus medial gastrocnemius bursal space as well as perifacial extension proximally and distally reflecting possibly a ruptured Baker’s cyst.

Are these two words correct? I couldn't find any reference and that is what is clearly being said by the doctor. TIA.
s/l stable to "verrus a vagus" stress
Subject: s/l stable to "verrus a vagus" stress

This is an orthopedic report.  She says "both are stable to verrus a vagus" stress......


 


Thanks,


 


Abby


AVSS: Afebrile, vital signs stable. nm
Subject: AVSS: Afebrile, vital signs stable. nm


I've heard of AFVSS (afebrile, vital signs stable)
Subject: I've heard of AFVSS (afebrile, vital signs stable)

Dunno if that might be what your're hearing or not.    
s/l 'axillae are stable', but his exam is on liver area. Brain freeze here? nm
Subject: s/l 'axillae are stable', but his exam is on liver area. Brain freeze here? nm

..
Chronic unsteady gait with s/l * De Boxy * syndrome. Stable on Dyazide.
Subject: Chronic unsteady gait with s/l * De Boxy * syndrome. Stable on Dyazide.

TIA!


There is no pleural or pericardial effusion and axillae are stable. There is a slight fatty infi
Subject: There is no pleural or pericardial effusion and axillae are stable. There is a slight fatty infi

..
It is appropriate to use the word fixated as in the medical description of "To make fixed, stable
Subject: It is appropriate to use the word fixated as in the medical description of "To make fixed, stable, or stationary."


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.


Is it staple-spiculated density or stable spiculated density? Can't find either. Thanks
Subject: Is it staple-spiculated density or stable spiculated density? Can't find either. Thanks


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..

?