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Any mets in his abdomen and chest (as in metastasis).

Posted By: Spice on 2007-06-28
In Reply to: Word help - TD

Subject: Any mets in his abdomen and chest (as in metastasis).




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Doc says liver 'mets', which I believe means metastasis, and is ok to leave as mets? nm
Subject: Doc says liver 'mets', which I believe means metastasis, and is ok to leave as mets? nm

,,
Chest CT showed (s/l lines,but also s/l starts with m) __________ suspicious for osseous metastasis
Subject: Chest CT showed (s/l lines,but also s/l starts with m) __________ suspicious for osseous metastasis

x
does he have cancer, possibly "mets in his abdomen or chest" .nm
Subject: does he have cancer, possibly "mets in his abdomen or chest" .nm


mets
Subject: mets

Yep...mets it is.
I was told to use METs
Subject: I was told to use METs

MET = maximum exercise tolerance.

Can't really document that at the moment, however...
mets greater than 4?
Subject: mets greater than 4?

The patient has not had any coronary revascularization or evaluation ever.  He does not have any clinical predictors.  He has good s/l  mets?????? greater than 4.  The patient can go to the operating room with minimal cardiac risk.  The doc is spelling the sounds like.  Thanks


mets (as in metastases)???
Subject: mets (as in metastases)???


brain mets? nm
Subject: brain mets? nm


Chest exam on H&P, chest is symmetrical, free of dull s/l dull suspence straight, and without pectus
Subject: Chest exam on H&P, chest is symmetrical, free of dull s/l dull suspence straight, and without pectus

excurvatum.  No sure of "free of dull suspence straight"
so what if it's slang - if the dictator says *mets* - nm
Subject: so what if it's slang - if the dictator says *mets* - nm

.
Found a good ref for METs. sm
Subject: Found a good ref for METs. sm

PPT]

Exercise & Cardiology






File Format: Microsoft Powerpoint - View as HTML
Treadmill exercise stress test initial assessment; Functional capacity assessment; Activity of daily living:. Lying quietly 1.0METS; Sitting: light activity ...
www.hkma.com.hk/english/newsroom/news/20060217_Exercise_and_Medicine.ppt - Similar pages


 


 


 


 



eMJA: The Cardiac Society of Australia and New Zealand, Clinical ...





The major use of exercise testing, however, is as a stress test in patients with ... Vo2 is not usually measured directly; energy expenditure in METS can be ...
www.mja.com.au/public/issues/mar4/freedman/freedman.html - 22k - Cached - Similar pages

drop mets from ependymoma.
Subject: drop mets from ependymoma.

mets as in metastasis.
yep - metastasis...............n/m
Subject: yep - metastasis...............n/m

.
Could it just be metastasis?
Subject: Could it just be metastasis?

As in choroidal metastasis.
RAW metastasis??
Subject: RAW metastasis??


metabolic equivalents (METs). See if you agree. sm
Subject: metabolic equivalents (METs). See if you agree. sm


Energy expenditure, heart rate response, and metabolic equivalents ...





Expired air analysis was used to calculate energy expenditure and metabolic equivalents (METs). Descriptive statistics were calculated along with a ...
www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=15758852&dopt=Abstract - Similar pages

I would type out metastasis
Subject: I would type out metastasis


only expand it out to metastasis if.....sm
Subject: only expand it out to metastasis if.....sm

Client profile dictates whether or not to give this dictator mets or metastasis.....his saying *met* was wrong.  I would've given him *mets* unless the client profile allows expanding of words, and in that case I would've given them *metastasis*
rule out metastasis, maybe
Subject: rule out metastasis, maybe

nm
meds for bony metastasis
Subject: meds for bony metastasis

Bony metastasis treatment:


s/l dometa 4 mg IV piggyback every 4 weeks


metastasis versus metastases
Subject: metastasis versus metastases

Any advice will be appreciated.


In many reports, I have heard doctors dictate "mets," which I would like to expand when necessary but sometimes am just not sure if singular or pleural expansion applies, e.g., "He has mets to the pelvis," (and then later on dictates) "He is thought to have probable liver mets."  So, would each example I gave be expanded as metastasis or metastases, since there's more than one location of spread but each area of the body is dictated separately? 


correct abbreviation for metastasis?
Subject: correct abbreviation for metastasis?

NP states "Mets to brain".  Should this be mets, metz, or should I spell it out?
oops it is metastasis.....not metastases
Subject: oops it is metastasis.....not metastases


Lung cancer, [RAW?] metastasis
Subject: Lung cancer, [RAW?] metastasis


Personally, I would spell out, but the correct abbreviation would be mets (metastases).
Subject: Personally, I would spell out, but the correct abbreviation would be mets (metastases).


Do you hear zoledronate? used for bone mets of solid tumors. nm
Subject: Do you hear zoledronate? used for bone mets of solid tumors. nm

nm
metastatic breast cancer (as in metastasis) nm
Subject: metastatic breast cancer (as in metastasis) nm


s/l ?thalisary or ?salisary brain metastasis
Subject: s/l ?thalisary or ?salisary brain metastasis

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history of colorectal history with metastasis to the liver and lymph nodes
Subject: history of colorectal history with metastasis to the liver and lymph nodes


Abdomen
Subject: Abdomen

Abdomen: There is a well-healed scar in the right lower corner or coron at McBurney's point.


I can't tell specifically he's saying. Which one sounds correct? Thanks as always for the help. You guys are great!


Abdomen
Subject: Abdomen

There is a well-healed scar in the right upper quadrant scar. Sounds like he says scarl, but I don't think that makes sense. Thank you.
If it's a CT of the abdomen sm
Subject: If it's a CT of the abdomen sm

They can see portions of the chest because they start the exam in the lower chest. If the patient had breast cancer, the doctor might mention the axillae.
Probably abdomen. nm
Subject: Probably abdomen. nm


CTA of the abdomen help, please
Subject: CTA of the abdomen help, please

Patient has a stenotic superior mesenteric artery.  Doctor is giving the findings of the CTA and says, with no pauses:  "She has findings suggestive of progression of a high-grade approximately 80-90% stenosis of the proximal 1 cm of the SMA cascade collaterals."  I cannot find "SMA cascade collaterals".  Should there be anything between SMA and cascade collaterals like a comma or something.  (Doc always uses fragments, not complete sentences, so it's not easy to separate things)  Anyone heard of this?  Thanks very much!


She had a s/l doy abdomen
Subject: She had a s/l doy abdomen

This is a death summary. 


Whole sentence: She had s/l doy abdomen,  mild pneumonia, and CAT scan nonspecific from free-air, obvious abdominal catastrophe, but she was treated with Zosyn antibiotics in surgical consultation, as well as respiratory consultations for ventilatory management. This sentence does not make sense!?! 


ct of abdomen
Subject: ct of abdomen

tumor?
Abdomen (sm)
Subject: Abdomen (sm)

Anatomy of the Abdomen and Groin www.medscape.com/viewarticle/420354_2
ABDOMEN
Subject: ABDOMEN

pendulous
Where in the exam are you? Abdomen?
Subject: Where in the exam are you? Abdomen?


under abdomen heading
Subject: under abdomen heading

s/l "the PICC was created" or "the tic was created"


Angie


Is he in the abdomen or some place else? nm
Subject: Is he in the abdomen or some place else? nm

s
Abdomen condition
Subject: Abdomen condition

I can't figure out what he is trying to say.  Any thoughts would be appreciated !!!  There is no masses, distension, apatasclune maglite, fixed hernias.
abdomen exam
Subject: abdomen exam

G tube
what is a virgin abdomen?
Subject: what is a virgin abdomen?


Abdomen: tip of the neck?
Subject: Abdomen: tip of the neck?

ABDOMEN: Normal bowel sounds, soft, nondistended. On the tip of the ___ nontender. Sounds like he is saying tip of the neck. Is that possible?


abdomen exam
Subject: abdomen exam

I am in the abdominal part of the exam.  She says


She has a negative obturator and negative s/l salaside- plus she is coughing through the whole thing.


 


Thanks


 


Could be abdomen scaphoid? nm
Subject: Could be abdomen scaphoid? nm

nm
In the abdomen - borvorignus?
Subject: In the abdomen - borvorignus?

The abdomen has positive bowel sounds in all four quadrants.  No evidence of borvorignus?


It was most always dictated to me under abdomen.
Subject: It was most always dictated to me under abdomen.


CVA test is under abdomen
Subject: CVA test is under abdomen

costovertebral angle tenderness
ORIF in abdomen?
Subject: ORIF in abdomen?

ABDOMEN:  Soft, tender and redness on the left side of the patient's abdominal wall during examination.  The patient expressed feculent material coming from the ORIF incision site, along with air.


I have never heard of ORIF referring to the abdomen.  Any idea what else thise could be