BPS comes to mind (biophysical profile score). Was there some sort of value dictated? SM
Posted By: RockinMT on 2008-11-04
In Reply to: C-section with s/l DPS? - jss
Subject: BPS comes to mind (biophysical profile score). Was there some sort of value dictated? SM
i.e. BPS of 1?
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- C-section with s/l DPS? - jss
- BPS comes to mind (biophysical profile score). Was there some sort of value dictated? SM - RockinMT
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BPP (biophysical profile) nm
Subject: BPP (biophysical profile) nm
x
fetal biophysical profile? nm
Subject: fetal biophysical profile? nm
s
never mind, its Beighton score
Subject: never mind, its Beighton score
x
MELD score (Mayo end-stage liver disease score)
Subject: MELD score (Mayo end-stage liver disease score)
how about, "MIDAS score and prior HAMD score is 6..." ? sm
Subject: how about, "MIDAS score and prior HAMD score is 6..." ? sm
HAMD=Hamilton rating scale for depression
CHADS2 score or CHADS-II score?
Subject: CHADS2 score or CHADS-II score?
Which is correct? Thanks!
Just as you have it if that's what was dictated. If "one fourth" was dictated, sm
Subject: Just as you have it if that's what was dictated. If "one fourth" was dictated, sm
it would be 1/4 pill or one fourth of a pill.
Def an 'N' dictated - Diabetes unsure of - no PMH dictated
Subject: Def an 'N' dictated - Diabetes unsure of - no PMH dictated
We type it as dictated, if dictated
Subject: We type it as dictated, if dictated
c spine we transcribe C-spine, if cervical then cervical spine.
Thank you, that was it. He just sort of
Subject: Thank you, that was it. He just sort of
mumbled through it.
I'd let him sort it out himself.
Subject: I'd let him sort it out himself.
Now if you had the chart in your hand, might be easy to figure out what he means, but we can't read minds. I know you'd love to fix it though.
Unless there has been some sort of
Subject: Unless there has been some sort of
trauma to the lung, it is probably not hematoma.
Sort of...
Subject: Sort of...
Untreated, chronic GERD can lead to Barrett esophagus, and that can progress on to esophageal cancer.
DM profile?
Subject: DM profile?
DM profile
Diabetes mellitus profile. this is ordered with labs. Not sure what this consists of. The pt has type-2 diabetes.
I wonder if it's some sort of abbreviation
Subject: I wonder if it's some sort of abbreviation
for 24-hour urine total protein test.
Yep - but at least we get a few laughs while we try and sort it all out with each other!
Subject: Yep - but at least we get a few laughs while we try and sort it all out with each other!
Word help -- sort of
Subject: Word help -- sort of
I have a doc stumbling over a blood pressure reading. He states 1, uh, uh, 205. Now, does he mean 125 or 205? 205 is extremely high, but he does state later in the report that the patient should follow up with his primary doc due to high blood pressure. Any help would be appreciated. TIA.
Some sort of aystole
Subject: Some sort of aystole
Acute coronary syndrome with "s/e teruclary" aystole.
Thanks!
L
lab test of some sort
Subject: lab test of some sort
Here is the paragraph...any ideas for what the "fineroller" might be???
She has a normal CBC, normal platelet count. Platelet function studies are all normal. In fact, she has normal protime and PTT. Factor eight activity levels are normal. She has no evidence of reduced "fineroller", and she has no evidence of a coagulation inhibitor.
Thanks!
vaccine of some sort
Subject: vaccine of some sort
a vaccine called something like "myovax"???
"Treated with myovax vaccine on clinical trial"
Thanks!
? maybe correlation profile ?
Subject: ? maybe correlation profile ?
nm
hypercoagulation profile
Subject: hypercoagulation profile
It's not that this word sounds too crazy, I am just too green to know what it is!
"We will check a hypercoagulable profile, antiphospholipid antibody and *S/L* sector five liden.
Thanks in advance!
I have a client profile that says DO NOT add...
Subject: I have a client profile that says DO NOT add...
paragraphs and I don't add them in those notes. Otherwise, I have never heard of a rule not to. QS may have client profiles confused.
chem profile, perhaps
Subject: chem profile, perhaps
nm
s/l hyperal profile s/m
Subject: s/l hyperal profile s/m
Patient with hyperchloremic metabolic acidosis. Checking sodium, potassium etc.
Also ______lo testing for RTA evaluation. TIA
diurnal profile?
Subject: diurnal profile?
Whole clonine? profile
Subject: Whole clonine? profile
Is there a lab test/profile that is something like clonine? S/L it is pronounced KLAH-NEEN. Any ideas? He doesn't dictate all the specific findings of the test/s, but just mentioned the name so I don't have much to go on.
invalid profile?
Subject: invalid profile?
Can someone tell me why I am getting this "Invalid Profile ID" sticker next to my posts?
Unless it is in the client profile to do such, I would not (sm)
Subject: Unless it is in the client profile to do such, I would not (sm)
If it states the specific hospital or institution, i.e. General Hospital Diabetes Education Team, then capitalize it. They way you have it would be NOT capitalized. Hope that makes sense (no coffee yet).
if client profile does not specify,
Subject: if client profile does not specify,
either way is acceptable. Personally, I would separate.
It turned out to be some sort of walker but thanks anyway : ))
Subject: It turned out to be some sort of walker but thanks anyway : ))
xxx
some sort of alcoholic drink?
Subject: some sort of alcoholic drink?
In the social history of this consult, the dictator states the patient drinks a glass of wine daily and an occasional s/l Bailey's with her coffee? No idea what this could be, and my Google search has proved fruitless thus far!
Guess he could say antibiose, just sort
Subject: Guess he could say antibiose, just sort
of a backwards way of saying that he was using a cephalexin to kill microorganisms. I googled it and it means "inhibits or kills" microorganisms. Just a funny way of saying it he is using that particular antibiotic???
? some sort of sump drain
Subject: ? some sort of sump drain
Okay, this surgeon is dealing with a very purulent abdomen and kind of said this in a weird way, like he was going to sneeze or cough when he said ?shriv? then port then sump drain. "Drains placed: ?Shriv? ?port? sump drain placed through the left abdominal wall into the liver abscess all the way to the base and sutured up against the diaphragm to secure its position with a Vicryl suture."
Would you provide some sort of context, please? nm
Subject: Would you provide some sort of context, please? nm
nm
actually, SL leukial ariosis (sort of) tks.
Subject: actually, SL leukial ariosis (sort of) tks.
22
This is some sort of a patch for nausea....nm
Subject: This is some sort of a patch for nausea....nm
x
I have an ESL who dictates a lipid profile
Subject: I have an ESL who dictates a lipid profile
and then says "lipid profile comment NIHN." What in the world does that mean?
depends on client profile...sm
Subject: depends on client profile...sm
Rule of thumb is verbatim........
Coalition profile lab test?
Subject: Coalition profile lab test?
s/l coalition profile was negative under lab section in with bilirubin values. Thanks.
just a guess... porphyrin profile? nm
Subject: just a guess... porphyrin profile? nm
x
oops - could be profile and/or panel too....
Subject: oops - could be profile and/or panel too....
probably the BMP basic metabolic profile
Subject: probably the BMP basic metabolic profile
Sodium, potassium, etc.
Basic metabolic profile (BMP)
Subject: Basic metabolic profile (BMP)
BMP for basic metabolic profile? nm
Subject: BMP for basic metabolic profile? nm
comprehensive metabolic profile (CMP). ? nm
Subject: comprehensive metabolic profile (CMP). ? nm
Depends on client profile...
Subject: Depends on client profile...
If you have a verbatim account I would type as is. If not vertabim I would change it to gastroenterology. Really I think it depends on what your QA would say. Mine would do as above.
check your client profile sm
Subject: check your client profile sm
and follow any instructions you find there, and if it says to follow BOS guidelines, then you should probably type "3."
Some sort of orthopedic drill guide
Subject: Some sort of orthopedic drill guide
This is dictated in an op note on a right knee arthroscopy and partial meniscectomy. The doc says a s/l Poodoo drill guide was inserted and the tibial tunnel placed in an anatomic position. I've tried various spellings on Google, including Peaudeau, Pudeau, Pudu, etc., and I'm not having any luck finding this. Any ideas, anyone?
Could it be a ___ % of some sort or a really butchered job on 'preservative free?' nm
Subject: Could it be a ___ % of some sort or a really butchered job on 'preservative free?' nm
s
sort of makes sense-close enough SM
Subject: sort of makes sense-close enough SM
It is redundant since it means "echocardiogram done by transesophageal echocardiogram route..."
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