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sorry...messed that up....s/l contact "art" assist level for the lower extremities? nm

Posted By: mt on 2006-01-27
In Reply to: rehab d/s...s/l - mt

Subject: sorry...messed that up....s/l contact "art" assist level for the lower extremities? nm

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lower extremities
Subject: lower extremities

Could dictator be saying "gastrocs" for inner gastrocnemius muscles? Let us know, if you find out -- this is a doozy! Rosie

I see. In this pt it's upper & lower extremities [SM]
Subject: I see. In this pt it's upper & lower extremities [SM]


Lower extremities ? - could be pedal OR it
Subject: Lower extremities ? - could be pedal OR it

could just be plain ol' palpable.
lower extremities - might be "peroneal nerve" /nm
Subject: lower extremities - might be "peroneal nerve" /nm

.
Compression stockings over both lower extremities?
Subject: Compression stockings over both lower extremities?

Another stab in the dark...this one's drivin' me nuts for some reason! 
s/l Lateral Lig views of the lower extremities
Subject: s/l Lateral Lig views of the lower extremities

Bilateral Lower Extremities (Test)


Lateral Lig views of the lower extremities


S/L areas of "ka-poor upper/lower extremities?sm
Subject: S/L areas of "ka-poor upper/lower extremities?sm

Or S/L areas that appear upper and lower extremities and some mottling of lower extremities with some cyanosis of digits.


ideas!  Thank you!


Here is a good all around PE link. Click on lower extremities exam. sm
Subject: Here is a good all around PE link. Click on lower extremities exam. sm

http://meded.ucsd.edu/clinicalmed/extremities.htm
Pt has hemosiderin staining of both lower extremities with severe s/l lipodermosclerosis on left.
Subject: Pt has hemosiderin staining of both lower extremities with severe s/l lipodermosclerosis on left.

x
*Par due orange* of the lower extremities secondary to congestive heart failure. - sm
Subject: *Par due orange* of the lower extremities secondary to congestive heart failure. - sm

he spells and says it is three separate words???? Thanks. 
Decreased pinpric sensation to the bilateral lower extremities but areas of s/l passhiveness -sm-
Subject: Decreased pinpric sensation to the bilateral lower extremities but areas of s/l passhiveness -sm-

with increased sensation.  Would passiveness fit here?  Help is appreciated.  Thanks!
"good capillary refill and *brisk distal pulses*?? over both lower extremities" (my 2 cents) n
Subject: "good capillary refill and *brisk distal pulses*?? over both lower extremities" (my 2 cents) nm


Range of motion of his lower extremities was full in range accompanied by mild ____ sign
Subject: Range of motion of his lower extremities was full in range accompanied by mild ____ sign

.


RT might be arterial, slang "art". nm
Subject: RT might be arterial, slang "art". nm

s
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


stupid question is it digi level dig level???
Subject: stupid question is it digi level dig level???


Please assist with OP (s/m)
Subject: Please assist with OP (s/m)

Procedure:  Laparoscopic cholecystectomy


Dictator fast/mumbler.


Dictated:  There was no other obvious pathology on gross inspection of the abdominal cavity with a simple S/L "fly-by" view using the laparoscope.


Thanks for your help!!


Y-assist needle?
Subject: Y-assist needle?

..........19-gauge single "Y-assist needle" was used to enter the right common femoral vein medial to the right common femoral artery........


s/l Y-assist


Thanks!


Should be A/C (assist/control) NM
Subject: Should be A/C (assist/control) NM


wow, that's messed up ---
Subject: wow, that's messed up ---

was trying to do apostrophe as feet and quotation as inches, let's try it again. 


5'


10"


wonder how that's going to appear....


Thanks! I really had that messed up, huh?
Subject: Thanks! I really had that messed up, huh?


I have heard them say minimal assist. sm
Subject: I have heard them say minimal assist. sm

maximum assist when dictating about transfers, especially Rehab Medicine patients.


assist control setting?
Subject: assist control setting?

He is on the ventilator at assist control of 14/500, PEEP of 5, FIO2 of 30%.


 


He says "assist control of fourteen five hundred".  How should this be written?  14/500, 14,500? 


 


Welcome, sorry for the messed up posts!!! NM
Subject: Welcome, sorry for the messed up posts!!! NM

nm
The lower convex curve in the lumbar spine was to the right, and the lower convex thoracic region to
Subject: The lower convex curve in the lumbar spine was to the right, and the lower convex thoracic region to the left

Is how I would do it.
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
I kept thinking the doctor messed up sm
Subject: I kept thinking the doctor messed up sm

mixing the brain in with the knee.  I'm getting a kick out of reading all the follow ups to my question.  Thanks so much Smiley.  This is my first time typing this word and that is EXACTLY what he is saying.  Extremely clear dictator. I love when I get him!!!  Have a nice evening.
I'm really thinking he messed up *ski,* but can't confirm. Thanks though. nm
Subject: I'm really thinking he messed up *ski,* but can't confirm. Thanks though. nm

nm
LVAD=left ventricular assist device ?sm
Subject: LVAD=left ventricular assist device ?sm

perhaps the patient went into heart failure because of the lung disease....
Crap! I messed that up!!!! ROFL Use "are"!!!
Subject: Crap! I messed that up!!!! ROFL Use "are"!!!

Geeeshh, I really screwed it up!!! LOL
Great - 12,068 for platelet count, messed up keyboard......nm
Subject: Great - 12,068 for platelet count, messed up keyboard......nm

nm
arggh! that should read 4 and aft. Put a quotation mark in front the 4 and it messed up.
Subject: arggh! that should read 4 and aft. Put a quotation mark in front the 4 and it messed up.

x
s/l shaf contact
Subject: s/l shaf contact

 Shaf contact treatment with 10% Benzyl peroxide for Acne vulgaris.


 


Is it sub contact?


Contact dermatitis
Subject: Contact dermatitis

s/l Betasone cream for contact dermatitis. Is this correct? Please help. 
Cream for contact dermatitis
Subject: Cream for contact dermatitis

CURRENT MEDICATIONS



  1. Zocor 10 mg nightly.

  2. Advair 500/50 mcg 1 inhalation twice daily.

  3. Albuterol MDI 2 puffs every 4 hours as needed.

  4. Allegra D 1 tablet twice a day.

  5. (s/l flu of senanite cream) as needed for contact dermatitis on the hands.

Any ideas (flu of senanite)?


Appreciate any help.


poison ivy contact dermatitis
Subject: poison ivy contact dermatitis

Anyone ever heard of s/l techno or technoid topical cream for this.  Anyone have a good website for derm medications?
It's often seen in contact lens solutions, too. nm
Subject: It's often seen in contact lens solutions, too. nm

s
word help s/l "sedatable" eye contact
Subject: word help s/l "sedatable" eye contact

He is alert, oriented to time, place, and person, poorly groomed, and poorly dressed.  He is seclusive, and withdrawn.  He looks older on stated age.  s/l "sedatable" eye contact.  He is quite hopeless, helpless, and depressed.
Makes minimal eye contact? nm
Subject: Makes minimal eye contact? nm

s
maybe contact dermatitis, helical. nm
Subject: maybe contact dermatitis, helical. nm

ss
if this is sports related injury may be no contact--sm
Subject: if this is sports related injury may be no contact--sm

as in no contact sports
pt works at airport and comes in contact with lots
Subject: pt works at airport and comes in contact with lots

different possible s/l arosents? 
s/l Contact Q10? - to be taken along with Pravastatin to abate myalgias.
Subject: s/l Contact Q10? - to be taken along with Pravastatin to abate myalgias.


dysphagia level 3 vs. level III?
Subject: dysphagia level 3 vs. level III?

Does anyone know the correct way to type this?  Thanks!
Ophthalmology anyone? wears contact lenses as he is a s/l *fakic* Thanks!! nm
Subject: Ophthalmology anyone? wears contact lenses as he is a s/l *fakic* Thanks!! nm


Patient going into drug rehab. Will contact her s/l NA sponsor
Subject: Patient going into drug rehab. Will contact her s/l NA sponsor


could be rhus dermatitis from plant contact like poison ivy, etc. - nm
Subject: could be rhus dermatitis from plant contact like poison ivy, etc. - nm


thimerosal...the preservative in many "beauty" products, contact lens solution,
Subject: thimerosal...the preservative in many "beauty" products, contact lens solution,

s
? intrascalene block or interscalene block -- please assist/thanks!
Subject: ? intrascalene block or interscalene block -- please assist/thanks!