14 point review of systems was done s/l weighted, dated and placed in chart. Is that right?
Posted By: MT mom of 3 on 2008-05-21
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Subject: 14 point review of systems was done s/l weighted, dated and placed in chart. Is that right?
n/t
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It is Review of Systems and not Review of Symptoms.
Subject: It is Review of Systems and not Review of Symptoms.
Thats all in Review of systems.
Subject: Thats all in Review of systems.
Thanks though!
Under review of systems...
Subject: Under review of systems...
Sounds like dictator is saying:
Abdomen: Soft. Flat. Obese. Pressure: Soft. Obese. No point of splenomegaly was noted.
However, it doesn't seem to me that this would fit. He may be saying another heading instead of pressure but it is too jumbled to tell. 
Also this may be: No signs of [something] or splenomegally is noted.
Thanks in advance!
Review of Systems
On Review of Systems, he's saying . . ."@#$#&*&(" : No recent skin rash. and then something else "@#$#$" : No anemia or lymph gland problems. Psychiatric - No recent depression. Can anyone tell me what these headings could possibly be? I can't even get enough to give you a "sounds like".
In Review of Systems
Subject: In Review of Systems
There is no history of diabetes, polyuria, polydipsia, seizure, stroke, TIA, loss of strength or sensation, or DVT s/l pulmonary mesin around level bleeding.
It might be 'pulmonary embolism' but I might just be wanting to hear that, it's kind of a stretch. But the rest...
Any ideas??? Thanks.
Review of systems
Subject: Review of systems
Review of systems include shortness of breath and s/l ricacaria?? Anyone ...help???
Q in Review of Systems
Subject: Q in Review of Systems
When the doc says - Rest of systems: Negative. do we write it that way or list the systems with Negative next to them all?
Do you want to know was ROS is? Review of systems.
Subject: Do you want to know was ROS is? Review of systems.
review of systems twice
Subject: review of systems twice
The doc says his normal ROS. At the end of his thought he pauses for a LONG TIME and then says "ROS, on the line, otherwise negative."
So should I do it like I have below or what are your suggestions?
REVIEW OF SYSTEMS: blah blah blah.
A review of systems is otherwise negative.
In review of systems he says,
Subject: In review of systems he says,
"no fevers, chills or sweat s/l size-or-trizer?
Review of Systems
Subject: Review of Systems
Of course...You are correct. I was typing too fast. :-)
Review of Systems
Subject: Review of Systems
I knew that is what you meant.
Not saying ROS of review of systems is negative? nm
Subject: Not saying ROS of review of systems is negative? nm
Other review of systems showed s/l OS negative
Subject: Other review of systems showed s/l OS negative
Other "review of systems" ____ showed s/l "OS" negative.
Review of systems: See HPI (History of Present Illness.)
Subject: Review of systems: See HPI (History of Present Illness.)
review of systems is "pan positive" with a lot of problems. Is this right? nm
Subject: review of systems is "pan positive" with a lot of problems. Is this right? nm
Is this right "A "ten part" review of systems reveal?
Subject: Is this right "A "ten part" review of systems reveal?
n/t
"Female: Negative" under a male's Review of Systems?
Subject: "Female: Negative" under a male's Review of Systems?
This is the only doc i have ever seen do this... can someone explain? I'm confused.
Review of systems: Chills, night sweats,*commerfid*
Subject: Review of systems: Chills, night sweats,*commerfid*
TIA!
Pt with migraines with aura, in review of systems, episodic visual s/l C D O's. nm
Subject: Pt with migraines with aura, in review of systems, episodic visual s/l C D O's. nm
?break in dictation for MT instruction? i see "add this to review of systems above the extremity
Subject: ?break in dictation for MT instruction? i see "add this to review of systems above the extremity section" in your s/l ?? nm ??
In Review of systems: Hem/Lymph: Has long-term bruising, no s/l atreemia, noncontributory. nm
Subject: In Review of systems: Hem/Lymph: Has long-term bruising, no s/l atreemia, noncontributory. nm
I know, but on head and neck exam in review of systems, it is very usual for Dr. to make mention of
Subject: I know, but on head and neck exam in review of systems, it is very usual for Dr. to make mention of ,,,,
all the usual complaints of the specific region, as in neck, no lyphadenopathy, chest, no rales or wheezes, etc., it is a consult. What does he say about something green on the guy's head????
Kocher's point is a common entry point for an intraventricular catheter to drain cerebral spinal
Subject: Kocher's point is a common entry point for an intraventricular catheter to drain cerebral spinal fluid from the cerebral ventricles.
Bone scan is reviewed dated 03/06/09 which shows increased activity to the pubic bones at the sm
Subject: Bone scan is reviewed dated 03/06/09 which shows increased activity to the pubic bones at the sm
s/l synthesis. Thanks!
T2-weighted (nm)
Subject: T2-weighted (nm)
weighted imaging. sm
Subject: weighted imaging. sm
Here is link from Wheeless with more info on T2 weighted imaging.
MRI: T2 Discussion - Wheeless' Textbook of Orthopaedics
MRI: T2 Discussion ... T2 in milliseconds is the time necessary to reduce transverse
magnetization to 37 % of its original value following the RF pulse; ...
www.wheelessonline.com/ortho/mri_t2_discussion - 27k - Cached - Similar pages
Here is MRI glossary.
http://www.cis.rit.edu/htbooks/mri/gloss.htm
T2 weighted images. n/m
Subject: T2 weighted images. n/m
Always typed end point. My Stedman's has end point.
Subject: Always typed end point. My Stedman's has end point.
Also sometimes hear weighted speculum. nm
Subject: Also sometimes hear weighted speculum. nm
Howdy Doody weighted speculum. nm
Subject: Howdy Doody weighted speculum. nm
is there a s/l Longstiener???? weighted speculum used for a hysterectomy? Thanks
Subject: is there a s/l Longstiener???? weighted speculum used for a hysterectomy? Thanks
PROMPT CHART??
Subject: PROMPT CHART??
New to doing ER reports and Dr. dictates refer to PROMPT chart for rest of patient's records. Is this correct? Thanks in advance.
Chart Note
Subject: Chart Note
On lab work do I put it in right order (i.e. EKG after white count and hemoglobin) or just do as dictated?
I checked wtih the original chart
Subject: I checked wtih the original chart
that I typed where the doctor stated that he was going to do an FNA and it was on the thyroid. I had already sent my charts, but I copied and pasted another with the work spelled colloid and an explanation and then sent that. Thanks so much.
s/l Labo and McCunning correction chart (sm)
Subject: s/l Labo and McCunning correction chart (sm)
Doc says: "I believe [patient] will probably need to have an epiphysiodesis done. I will have to look at 'Labo and McCunning' Correction Chart to decide when it is most appropriate to that."
Pulled chart. Definitely Celexa. Good thinking!
Subject: Pulled chart. Definitely Celexa. Good thinking!
I reviewed each chart in detail as well as completed worksheets Please SM
Subject: I reviewed each chart in detail as well as completed worksheets Please SM
in accordance with 1997 HCFA Guidelines for-new-um documentation. This is a letter sent to a health plan regarding a recent office chart audit. Any help would be appreciated.
Likely face sheet..first page of chart which usually contains known diagnoses. NM
Subject: Likely face sheet..first page of chart which usually contains known diagnoses. NM
s/l "cyberun" Maybe some type of chart record? Dialysis patient sm
Subject: s/l "cyberun" Maybe some type of chart record? Dialysis patient sm
States: "Review of report in ____ suggests..." Again later in dictation: "Although this is not charted in ____. "
? term "cyber" in relation to "computer/electronic chart" documentation. (sm)
Subject: ? term "cyber" in relation to "computer/electronic chart" documentation. (sm)
This is just a guess as I am not "computer savvy" in regards to tech terms.
Here are some of these systems. Will look around more. sm
Subject: Here are some of these systems. Will look around more. sm
Apogee
Vaginal Vault Prolapse Repair System
Perigee
Transobturator Anterior Prolapse Repair
Monarc
Subfacial Hammock
SPARC
Sling System
BioArc SP
Sling System
BioArcTO
Subfascial Hammock
InteDerm
Allograft Dermal Matrix
InteXen
Porcine Dermal Matrix
In-Fast Ultra
Sling System
Straight-In
Sacral Colpopexy System
All other systems are reviewed and are negative
Subject: All other systems are reviewed and are negative
okay i need help. is he saying....."all other systems are reviewed and are negative" or "all of the systems are reviewed and are negative"???????? it is under the heading, REVIEW OF SYSTEMS.
X-Ray Review help
Subject: X-Ray Review help
X-RAYS: Review of her x-rays today show that she has a three-part fracture of her proximal humerus with head rotated and the (something ending with) 'osity' displaced. 
Thanks
Bet they are saying "Review of Systems" negative really fast. nm
Subject: Bet they are saying "Review of Systems" negative really fast. nm
DePuy has several spinal systems with "cat" names
Subject: DePuy has several spinal systems with "cat" names
x
LANX, LLC manufactures spinal fusion systems.
Subject: LANX, LLC manufactures spinal fusion systems.
x
Record Review: S/L
Subject: Record Review: S/L
'gluteus piriformis intentious fascia lata'
Doc doing review. Any ideas? sm
Subject: Doc doing review. Any ideas? sm
Available for review is a s/l fair-row seven page typewritten report.
It is indeed "is"....as review is single.
Subject: It is indeed "is"....as review is single.
 Boy, if that don't make sense, nuthin' does! I fried my brain years ago though...a product called White-Out...hey, it was the 80's and what else was there to do in typin' class?
possibly - I am sending for review
Subject: possibly - I am sending for review
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