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s/l serefan 2 twice a day as needed for congestion.

Posted By: Just Looking on 2007-09-25
In Reply to:

Subject: s/l serefan 2 twice a day as needed for congestion.

:-)


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s/l serefan
Subject: s/l serefan

Serevent
don't think its congestion
Subject: don't think its congestion

I don't hear an "s" at all. The pt is being diagnosed for right knee pain secondary to meniscal tear and some degenerative changes. There is no mention of any other illness or symtoms besides knee pain in the report
No TP congestion?
Subject: No TP congestion?

Physical Examination: HEENT: "No TP congestion" Does TP stand for tympanic congestion? TIA.
congestion
Subject: congestion

Maybe venous congestion?
AOA chest congestion?
Subject: AOA chest congestion?


No rales or rhonchi but some upper AOA (or AOH) chest congestion.


the pt has a cold with a dry cough.


bony congestion?
Subject: bony congestion?

Has anyone ever heard of bony congestion?  Sentence is "The heart is upper normal in size without bony (?) congestion."  I cannot find "bony" congestion anywhere and wondered if there is such a thing. Thanks.
S/l phemuous congestion. I have no idea. Help!
Subject: S/l phemuous congestion. I have no idea. Help!

x
s/l chronic renus congestion??
Subject: s/l chronic renus congestion??

He has blue lower extremities from the midcalf down secondary to chronic _____ with evidence of prior cellulitis.


s/l chronic renus congestion
Subject: s/l chronic renus congestion

how about venous congestion?
Duradex treats cough, congestion / sm
Subject: Duradex treats cough, congestion / sm

manufacturer is ProEthics, contains quaifenesin and other stuff...


OTC spray for nasal congestion s/l ___zolamide nm
Subject: OTC spray for nasal congestion s/l ___zolamide nm

.
Then probably C-Phen, as above, for the cough/congestion, if viral...nm
Subject: Then probably C-Phen, as above, for the cough/congestion, if viral...nm

nm


patient with cough congestion med SL vancin XR 1000 mg? nm
Subject: patient with cough congestion med SL vancin XR 1000 mg? nm


fremitus congestion, where it can be felt with palpation? Where in body are you? nm
Subject: fremitus congestion, where it can be felt with palpation? Where in body are you? nm

s
sounds like it could be "upper airway" chest congestion
Subject: sounds like it could be "upper airway" chest congestion


I've heard of "without pulmonary congestion" .nm
Subject: I've heard of "without pulmonary congestion" .nm


There is Ornex, but this is used for sinus congestion, cold symptoms, etc.
Subject: There is Ornex, but this is used for sinus congestion, cold symptoms, etc.


Possible ENT? problem w/sinus congestion: Positive s/l Rivas rollover test (nmsg)
Subject: Possible ENT? problem w/sinus congestion: Positive s/l Rivas rollover test (nmsg)

 
SymTan A is used for relieving symptoms of sinus congestion, runny nose, sneezing, and cough due to
Subject: SymTan A is used for relieving symptoms of sinus congestion, runny nose, sneezing, and cough due to colds, upper respiratory infections, and allergies


more help needed same md sm
Subject: more help needed same md sm

Given the high incidence of MRSA, he was treated with extended CARO Penicillin of Unasyn
Thanks.Had to take a well needed
Subject: Thanks.Had to take a well needed

break and now done for the night.

I do not have that book but will have to invest. I get a lot of those and very confusing on how to write them.
help needed
Subject: help needed

I got cystoproctography, but does cystoproctoscopy exists as i could not find it in  stedman also,


 


 


thank u


james


Thanks, I needed that
Subject: Thanks, I needed that

:-)
Thanks! Exactly what I needed!!
Subject: Thanks! Exactly what I needed!!


Help needed MRI -
Subject: Help needed MRI -

MRI demonstrates marked narrowing of the patellofemoral joint, with subcortical signal s/l ontuation and marginal osteophytes.
Lab help needed
Subject: Lab help needed

Wet prep revealed 0 WBCs, moderate EPIs, no clue cells, slight trace bacteria, 0 yeast, 0 s/l trich.

Is trich correct - or should it be capped? Thanks.
Lab help needed
Subject: Lab help needed

Will send out LFTs, Epstein-Barr acute panel, and s/l CMV or CMB titer - Thanks
EKG help needed
Subject: EKG help needed

EKG showed normal sinus rhythm with a rate of 67. Normal intervals. Normal axis. No ectopy. There is T-wave flattening in s/l one, and T-wave inversion in aVL.

Does one sound correct? Would it be typed as I or 1? Thank you.
thanks - you don't know how much I needed that!
Subject: thanks - you don't know how much I needed that!


Lab help needed
Subject: Lab help needed

CBC reveals white blood cells of 5.1, hemoglobin 12.5, platelets 217. There were some s/l codes on the differential, so that was sent out.

Thanks.
help needed again....
Subject: help needed again....

Most likely, she will need calcaneal osteotomy and ___(FTL/FDL) tendon transfer to restore the alignment of her right foot  ___ (gentle/trying to stay in) place of this disease to degenerative posterior tibial tendon..............does it make sense..................
Thanks! That's what I needed!
Subject: Thanks! That's what I needed!

I really appreciate your help!
could it be p.r.n. (as needed)
Subject: could it be p.r.n. (as needed)

Thanks
Help is desparately needed.
Subject: Help is desparately needed.

How do you type this?  I never did ob/gyn before.  What does miss mean, and how do I format?  Any help is appreciated.  Thank you.


 


PAST MEDICAL HISTORY


1.      Gynecologic – G3, P2, 1 miss.  She had been followed by Dr. XXXXXXXX   Her last Pap smear was approximately two years ago, as was mammogram.  Menses are on a q 28-30 day cycle, but there are periods where she will skip and have a menses q.o. month.


Derm help needed sm
Subject: Derm help needed sm

Need help with words in bold.  Thank you.


 


SKIN:  Lots of seborrheic keratoses.  He does have an elevated 9 mm papule on left side of the face, which has some vascularization and central core.  It almost looks like acanthokeratosis, but basal cell carcinoma cannot be fully ruled out.  No other suspicious lesions.  He does have some miliary rubra on the back. 


Yes, the final s is not needed..sm
Subject: Yes, the final s is not needed..sm

leiomyoma, singular; leiomyomata, pleural. Leiomyomatas is not a word.


Your opinion needed
Subject: Your opinion needed

My doctor keeps saying psoricytic arthritis. I transcribe for him a lot, but this is what he is saying.


I am thinking he means psoriatic arhtritis. What do you think?


um I don't think they needed "grammar help"...nm
Subject: um I don't think they needed "grammar help"...nm


eye surgery help needed....
Subject: eye surgery help needed....

PREOPERATIVE DIAGNOSIS: Superior and temporal visual field loss due to s/l maglacoius, matiglacious, maniglacius?.

Procedure is bilateral blepharoplasty.

TIA.

Thanks! I just needed another opinion. nm
Subject: Thanks! I just needed another opinion. nm

nm
eye surgery help needed....
Subject: eye surgery help needed....

'PREOPERATIVE DIAGNOSIS: Dense nuclear sclerotic cataract with posterior subcapsular cataract right eye with s/l stroke exfoliation syndrome.'

Anyone know if 'stroke exfoliation syndrome' is correct? TIA.
psychiatry help needed....
Subject: psychiatry help needed....

'We put her on lorazepam for elevated SIWAS.'

Doc spells out SIWAS as above but am thinking it should be CIWAs. Please let me know what you think. TIA.
opinion needed....
Subject: opinion needed....

'Potassium chloride 20 mg p.o. every day'

Doc dictates as stated above but think dosage should read 20 mEq but am not sure if mg is also correct for this med. TIA.
Ortho help needed
Subject: Ortho help needed

Doing a rotator cuff tear repair.  two words 


Procedure: 1) Left shoulder arthroscopy, subacromial decompression with MINIMUMFER?  procedure.


the left upper extremity was prepped and draped in the usual sterile manner utliizing 8 pounds of traction in the ARTHREX?? arm holder?


THANKS


ophthalmology help needed....
Subject: ophthalmology help needed....

'Slit lamp examination demonstrates clear anterior segments with 2+ s/l MS in the right and 3+ s/l MS and 4+ PSC in the left.'


This sentence is part of examination. Thanks.
Opinion needed please
Subject: Opinion needed please

This is a 4-year-old with metabolic-type cardiomyopathy who required "Amikin chest tube treatment".


I see that Amikin is an antibiotic, but do not feel comfortable with the references I have found with chest tube and/or cardiomyopathy. I would appreciate any opinions on this. Thanks!


sm, ortho help needed
Subject: sm, ortho help needed

She also describes some vague weakness in the right upper extremity, such that when she was working the upper extremity _____try, she felt a heaviness.

The first part of the word is garbled, ends in "try". Anyone have a guess what might fit?

Drug help needed
Subject: Drug help needed

The past medical history is HIV, hepatitis C, underlying asthma, and gastroesophageal reflux disease.


The drug sounds like cyclobid 1 tablet b.i.d. It is as clear as anything but can't document it anywhere. He kind of botches drug names up sometimes so wondering if this is the case here.


Thanks!


sportsmom91 needed some help
Subject: sportsmom91 needed some help

because she was helping out on a family practice account.   Thank goodness someone could help her with the answers.   


Word help needed
Subject: Word help needed

CT scan of the chest, abdomen and pelvis shows signs of ________ or tumor


S/L emental caking


Thanks


More info needed
Subject: More info needed

What medical problems does the patient have?