1. Hyponatremia. Rule out subdural hematoma.
Posted By: no message....... on 2006-10-17
In Reply to: Help with IMPRESSION - LG
Subject: 1. Hyponatremia. Rule out subdural hematoma.
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First one - subdural hematoma?
Subject: First one - subdural hematoma?
nm
Subdural hematoma
Subject: Subdural hematoma
CT scan obtained around 9:30 p.m. demonstrates a large right s/l holoconvexity? subdural hematoma.
s/l "skim subdural hematoma" -
Subject: s/l "skim subdural hematoma" -
says this three times in the report and it definitely sounds like "skim." Anyone heard of this? Thanks in advance.
He underwent a sl/verbal craniectomy for a subdural hematoma.
Subject: He underwent a sl/verbal craniectomy for a subdural hematoma.
xx
Large right cerebral convexity subdural hematoma???
Subject: Large right cerebral convexity subdural hematoma???
Helping out.
omeprazole can cause hyponatremia (?) nm
Subject: omeprazole can cause hyponatremia (?) nm
Is it hyposmolar hyponatremia or hypoosmolar ..nm
Subject: Is it hyposmolar hyponatremia or hypoosmolar ..nm
Ever heard of subdural clock sm
Subject: Ever heard of subdural clock sm
the subdural bag was connected to a "bowel" bag. Would this be correct? This is a craniotomy by the way for subdural hematoma.
subdural hemorrhage in the "folix"?
Subject: subdural hemorrhage in the "folix"?
Stroke patient, subdural hemorrhage in the s/l folix, and hemorrhagic contusion, right subgaleal hematoma.
"bilateral frontal subdural hematomas" ?
Subject: "bilateral frontal subdural hematomas" ?
Where is this hematoma? nm
Subject: Where is this hematoma? nm
nm
but he says hee-mar-to-ma, maybe it's hematoma? nm
Subject: but he says hee-mar-to-ma, maybe it's hematoma? nm
hematoma evacuation
Subject: hematoma evacuation
bilateral subdural hematomas for which he underwent burble evacuation Not sure that burble is correct, any opinions?
type of hematoma
Subject: type of hematoma
MRI of the lower extremity. The word sounds like Lickofine hematoma. Any suggestions.
Impression reads: There is also edema of the subcutaneous tissues. This may represent a ____________ hematoma from prior trauma.
tendon hematoma sm
Subject: tendon hematoma sm
Her MRI is reviewed and is found to show a proximal hamstring avulsion from the ischial tuberosity. This is noted to have a s/l tendon hematoma.
could be tender hematoma.
Subject: could be tender hematoma.
s/l right psoas *perirenal* hematoma
Subject: s/l right psoas *perirenal* hematoma
I'm pretty sure he's not saying *peritoneal*.
He also says again in the report, this time as "right _______ psoas hematoma"
Thanks
Procedure for hematoma - need help - sm for context
Subject: Procedure for hematoma - need help - sm for context
After a Betadine prep, the region was anesthetized with 1% lidocaine with epinephrine, 1 mL was used. A 0.5-cm incision was made with a #11 blade. The hematoma was evacuated by providing pressure. It was probed with s/l pick-ups/take-ups.
s/o nasal septal hematoma or nasoseptal? TIA
Subject: s/o nasal septal hematoma or nasoseptal? TIA
xx
hematoma block with (s/l) Biertage technique with 1% Xylocaine.
Subject: hematoma block with (s/l) Biertage technique with 1% Xylocaine.
I found Bier block but the doc is saying what sounds like Bier-tage.
Thanks in advance.
The hot paperclip burns through the nail and releases the hematoma. nm
Subject: The hot paperclip burns through the nail and releases the hematoma. nm
.
Ortho: Soft tissue s/l --position fracture hematoma
Subject: Ortho: Soft tissue s/l --position fracture hematoma
After the soft tissue s/l (muffled)position, fracture hematoma, and comminution were removed, reduction maneuver was performed using a large periarticular clamp.
I am not sure if this is supposed to be part of soft tissue or what...Thanks.
the rule is ....
Subject: the rule is ....
... x2 ....2 times
If the "times" comes before the number use the x (no space). If the "times" comes after use the word.
don't know if there is a rule but....
Subject: don't know if there is a rule but....
I think if you would substitute "bilateral" (mentally) and say "both" you might have a better idea how to say it. Like would it sound better iff you said "both hand" or "both hands." To me bilateral hands sounds better. But again, I don't know if there is actually a rule. I looked for an answer in "style Guide for Medical Transcription" (Tessier and Pitman) and couldn't find an answer.
I think if you wrote what the doctor said ....you can't go wrong there either. Good luck!.
What is the rule now for cc?
Subject: What is the rule now for cc?
should we put mL or what the doc says as cc? I got so beat up over this one time with a different company I worked for; however, I am with a wonderful new company and want to make sure I am typing it correctly.
Thank you
Does anybody know a rule regarding
Subject: Does anybody know a rule regarding
to para or not to para, that is the question..... okay, so that was dumb, but so many words are not actually in the dictionary.... is there a rule regarding when to use peri as opposed to para ??? sometimes I'm confused.
As a rule yes, but not always
Subject: As a rule yes, but not always
I find way too many exceptions to that rule so I always look them all up the first time and add them to my ever-growing list. I wish there was a list out there somewhere with most of them already catagorized for us. 
cannot rule out?
Subject: cannot rule out?
Is this a new rule????
Subject: Is this a new rule????
x
maybe saying rule out again? nm
Subject: maybe saying rule out again? nm
x
I'm all yours - you rule! :) :) :) :) - nm
Subject: I'm all yours - you rule! :) :) :) :) - nm
x
I'm all yours - you rule! :) :) :) :) - nm
Subject: I'm all yours - you rule! :) :) :) :) - nm
x
RULE OF THUMB
Subject: RULE OF THUMB
basic guideline is:
if you have a credible reference, spell it whichever way the reference spells it.
you should never be counted off for it, as long as the reference is credible. if you are, it is a valid challenge to assert.
rule out meds?
Subject: rule out meds?
He will bring all his medications with him so I can review them and rule out all his medications.
The pt is confused about what meds he is taking.
apostrophe AMT rule
Subject: apostrophe AMT rule
Mothers investment in child’s treatment ?{ is apostrophe accepted in this sentence }
HMMMM. Can't rule it out. Tks. nm
Subject: HMMMM. Can't rule it out. Tks. nm
AAMT rule
Subject: AAMT rule
Just getting back into MT after a long hiatus and can't remember the rules when typing numbers. Is it okay to separate number values by commas, such as 1, 2, 3, etc.? (pathetic, I know.) TIA!
I use rule of 2-3 min. per dictated min. (nm)
Subject: I use rule of 2-3 min. per dictated min. (nm)
x
capitalization rule
Subject: capitalization rule
Can someone please tell me why sometimes Microsoft Word capitalizes the first letter after a period and sometimes it doesn't. What can I do to always get a capital letter at the begiining of a new sentence?
capitalization rule
Subject: capitalization rule
Thanks. It works fine with all words and latters, but not numbers, like 4/23/08, how come?
rule question..........sm
Subject: rule question..........sm
is there a rule about numbers at the end of sentences? I can't find one.
I usually use this rule, if "follow up" can
Subject: I usually use this rule, if "follow up" can
be replaced by a noun, in this case you can use exam, then it is followup. If it is used as in The patient will follow up with so and so, then it is 2.
What is correct BOS rule for prn/p.r.n.
no msg
why only 'midline'? On what rule?..nm
Subject: why only 'midline'? On what rule?..nm
nm
MI rule out protocol
Subject: MI rule out protocol
s/l Motibi protocol. I know I have heard it, and it hidden away in my brain somewhere. Thanks for the help!
rule out metastasis, maybe
Subject: rule out metastasis, maybe
nm
PPD placed to rule out S/L "scropella"
Subject: PPD placed to rule out S/L "scropella"
D&C to rule out malignancy or (sl) hyspercussis. Thanks
Subject: D&C to rule out malignancy or (sl) hyspercussis. Thanks
:()
rule out retinopathy of prematurity...sm
Subject: rule out retinopathy of prematurity...sm
Retinal and posterior fundus of poles, both have normal vasculature without evidence of fibrovascular ridge or loss of vascularization to the peripheral cornea.
Is this phase correct? "Retinal and posterior fundus of poles..."
I think AAMT's latest rule is x2, but
Subject: I think AAMT's latest rule is x2, but
in their last book it was x 2, and next year they'll put out another book with some new way that the off-shore people are doing it. So I'd suggest you just do it your employer's way and keep documentation in case they suddenly change THEIR minds and deny they ever told you to do it that way.
;o]
In plan he very plainly says says need to rule out
Subject: In plan he very plainly says says need to rule out
Patient fell and injured right ankle. Sentence in question: She is significantly tender in the s/l coronal ligament s/l and the (or in the) right ankle.
Plan: MRI to rule out coronal ligament tear.
This is very clear - just cannot document it anywhere and don't want to flag it as it's very clear - just unsure and hoping for documentation or someone that has heard it.
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