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she has had pain over her skin above s/l the level of T8 with hypoesthesias. patient has MS TIA!

Posted By: Kada on 2005-11-07
In Reply to:

Subject: she has had pain over her skin above s/l the level of T8 with hypoesthesias. patient has MS TIA!




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s/l the level of T8 with hypoesthesias
Subject: s/l the level of T8 with hypoesthesias

x
Not subcuticular? Heard often for the skin level. nm
Subject: Not subcuticular? Heard often for the skin level. nm

s
If you're at the skin level, it could be 5-0 Prolene in subcuticular fashion.
Subject: If you're at the skin level, it could be 5-0 Prolene in subcuticular fashion.

s
level of pain
Subject: level of pain

Can you hear average level of pain?
backup level of pain
Subject: backup level of pain

She describes her (s/l backup) level of pain as roughly 4/10, but it can rise a bit higher with overhead work use.

I don't really think backup works here. The doctor says it really fast.

Do you have any suggestions of what it could be instead?
I would say skin as pain does not show up usually on a scan
Subject: I would say skin as pain does not show up usually on a scan


patient with abnormal parathyroid hormone level
Subject: patient with abnormal parathyroid hormone level

CPEP, IPEP, and ACE levels were ordered. 


I am just wanting to know if I am typing these correctly?  Any light anyone can shed on this would be GREATLY appreciated.  (It's a general surgery consultation.)


Thank you, in advance!!!


 


Patient with skin lesions please sm
Subject: Patient with skin lesions please sm

Skin lesions consistent with actinic keratoses. Discussed cryotherapy versus ablation use of s/l aldira.
Patient has warts ..... Skin is *zerotic*....TIA
Subject: Patient has warts ..... Skin is *zerotic*....TIA

xxx
The patient has decreased skin s/l tuther. Help???
Subject: The patient has decreased skin s/l tuther. Help???


would doc say skin with good s/l rigidity??? and turgor for elderly patient?
Subject: would doc say skin with good s/l rigidity??? and turgor for elderly patient?


patient with hep C and skin lesions felt to have mixed *kryoemia*??? nm
Subject: patient with hep C and skin lesions felt to have mixed *kryoemia*??? nm

nm


The patient has polycythemia vera. She has a right s/l * acolus * regional skin ulcer
Subject: The patient has polycythemia vera. She has a right s/l * acolus * regional skin ulcer

and left foot ulcer following s/l bone-ee-atomy.  Also has leukocytosis and thrombocytosis and is getting a phlebotomy.  This is an ESL, so not sure I'm hearing right.  Thanks for any ideas!
patient with breast cancer. skin reveals no evidence of *poterauge*??? thanks. nm
Subject: patient with breast cancer. skin reveals no evidence of *poterauge*??? thanks. nm

nm
If the patient has pain down near the coccyx, it's a sm
Subject: If the patient has pain down near the coccyx, it's a sm

coccygeal fracture. It's difficult to tell your S/L without context.
Patient has abdominal pain
Subject: Patient has abdominal pain

The patient underwent a nuclear hepatobiliary scan and this revealed a gallbladder ejection fraction of 41.6%, severe pain during CHOLECYSTIC KININ??? adminstration.


Any clues.  I know I have heard this, just can't grasp it this morning.  Thanks


Patient has low back pain
Subject: Patient has low back pain

She has normal lumbar lordosis with tenderness at right PSI? and sacral sciatic notch?
Patient with foot pain. Please sm
Subject: Patient with foot pain. Please sm

Exam shows the foot to be clinically well aligned. Tenderness about the s/l ray of the 4th metatarsal. TIA
Patient with low back pain. She is on ....sm
Subject: Patient with low back pain. She is on ....sm

She is on s/l oral phenadrin/fenadrine (may be saying orphenadrine) and Cataflam for this.
Patient in mid back pain
Subject: Patient in mid back pain

Bowel sounds are normal. No organomegaly. She does have some epigastric tenderness. She also has some left flank tenderness, but there is no s/l spleen dent or dip noted. Thanks!
patient is given med for abdominal pain s/l DICLOSAMINE?
Subject: patient is given med for abdominal pain s/l DICLOSAMINE?


the patient actually is in for shoulder pain. This is just part of the PE and that's all he says
Subject: the patient actually is in for shoulder pain. This is just part of the PE and that's all he says.


Patient was given s/l *sweeties* for pain control. sm
Subject: Patient was given s/l *sweeties* for pain control. sm

This is a 15-day-old baby, and ER doc is describing the LP being done.  He says:  The pt was given s/l *sweeties* for pain control. 


Can't find anything in my Stedman's neonatology, abbrev., or with Google. 


Anyone?!


Patient is having pain up to the s/l reed of his neck??
Subject: Patient is having pain up to the s/l reed of his neck??


Thanks for your help. The UBE makes sense as far as patient's pain.
Subject: Thanks for your help. The UBE makes sense as far as patient's pain.

nm
Patient has neck stiffness and pain ....
Subject: Patient has neck stiffness and pain ....

beginning in the s/l sero cervical aspect of the neck
patient with chronic back pain on SENTINEL 75 every third day.
Subject: patient with chronic back pain on SENTINEL 75 every third day.

The patient has chronic back pain and has been in a detox program recently.  The medication S/L SENTINEL 75 - any help?? 


 


 


.75 mg per day / patient suffers from depression, Epigastric pain...
Subject: .75 mg per day / patient suffers from depression, Epigastric pain...

This patient is also on Cymbalta, Prevacid, simvastatin, metoprolol and Coumadin.  This is really all I have.  Thanks!


Patient complains of s/l Theater sign with left hip pain. Thanks! nm
Subject: Patient complains of s/l Theater sign with left hip pain. Thanks! nm


patient with back pain, s/l policing eight paucet tumor??? nm
Subject: patient with back pain, s/l policing eight paucet tumor??? nm

nm
Epigastric/right upper quadrant pain. give the patient some pam-e-am 5 mg twice a day. nm
Subject: Epigastric/right upper quadrant pain. give the patient some pam-e-am 5 mg twice a day. nm

thanks
Ortho - patient has chronic cervical pain, numbness. sm
Subject: Ortho - patient has chronic cervical pain, numbness. sm

His position s/l shunts of the great toes is poor on the right and fair to good on the left. Just can't get it. I appreciate your help.

Labs - patient with abdominal pain. When seen earlier in the week - sm
Subject: Labs - patient with abdominal pain. When seen earlier in the week - sm

We obtained s/l acetive toxin and stool culture, which is still pending.
patient with back pain. s/l lichen does help but it makes him drowsy. Thanks. nm
Subject: patient with back pain. s/l lichen does help but it makes him drowsy. Thanks. nm

nm
In labs, digoxin level and s/l pernesil level. Don't think I have heard of that before. TIA!
Subject: In labs, digoxin level and s/l pernesil level. Don't think I have heard of that before. TIA!

nm
okay trying this again. it ate my post s/l multiple level or mobile level spout
Subject: okay trying this again. it ate my post s/l multiple level or mobile level spout

He is listing past surgeries.. first time sounded like mobile level spout in 1960 while in the military.. then it sounded like multiple level spout, anyone have a clue?  tia.. Gina


s/l berra trauma left ear? (Patient has URI, ear pain from blowing nose) TIA
Subject: s/l berra trauma left ear? (Patient has URI, ear pain from blowing nose) TIA


patient has shoulder pain. On exam no cerva-chromal crepitus. nm
Subject: patient has shoulder pain. On exam no cerva-chromal crepitus. nm

thanks.
the patient stated he has had a s/l ??PARTNESS?? over the anterior chest with incredible pain
Subject: the patient stated he has had a s/l ??PARTNESS?? over the anterior chest with incredible pain

NM
s/l Tiazine 2 mg at night. Patient with nack and back pain history
Subject: s/l Tiazine 2 mg at night. Patient with nack and back pain history

thank you
Help -- Patient denies double vision, abdominal pain or ???distortia??
Subject: Help -- Patient denies double vision, abdominal pain or ???distortia??


Patient presents with a several year history of pain and this is s/l dedscious referable to the left
Subject: Patient presents with a several year history of pain and this is s/l dedscious referable to the left


Patient states the pain is located in the posterior lower back or **box** region. This is a new PA
Subject: Patient states the pain is located in the posterior lower back or **box** region. This is a new PA

student dictating but I have never heard this term used. Any help would be appreciated.  Thxs
stupid question is it digi level dig level???
Subject: stupid question is it digi level dig level???


There is hesitancy in range of motion due to pain and guarding on the patient’s para-articular flexi
Subject: There is hesitancy in range of motion due to pain and guarding on the patient’s para-articular flexion, extension and supination.


Pt has low back pain. Patient exhibits no signs of "caudo-aquino syndrom"? I have no clue!!
Subject: Pt has low back pain. Patient exhibits no signs of "caudo-aquino syndrom"? I have no clue!! nm


sl delpricate level and dench level
Subject: sl delpricate level and dench level

These are tests for a patient will all types of cardiac and pulmonary problems and osteoporosis.


CBC, CMP, TSH, fasting lipid profile, ____ level, magnesium level and ____ level in 1 week.


Sounds like delpricate level and dench level.


Thanks!


Depakote level and dig (digoxin) level.
Subject: Depakote level and dig (digoxin) level.

xx
Hyaloronic acid, humectant found in healthy skin....also used as injectible for skin wrinkles, defor
Subject: Hyaloronic acid, humectant found in healthy skin....also used as injectible for skin wrinkles, deformities, etc?

nm
"she has s/l keltic skin. -- I just so want to write in "hell thick skin"
Subject: "she has s/l keltic skin. -- I just so want to write in "hell thick skin"


pre-skin cancer - as in common skin lesions caused by sun exposure.
Subject: pre-skin cancer - as in common skin lesions caused by sun exposure.