Based on the following paragraph written by
Posted By: giddy pc guru on 2008-05-21
In Reply to: s/l corge - Ima Stuck
Subject: Based on the following paragraph written by
Vanderbilt University in relationship to Troubleshooting PICC problems, in particular; "My patient's arm is red, swollen, and/or painful."
A. How does the arm look in comparison to the arm without a PICC line.
B. If redness is involved, is it a red streak up the arm along the vein tract.
C. If swelling is involved, what is the difference in the girth of the two arms.
Your sound-alike brings to my mind: gorge; as engorged. Definition: gorge, glut; especially: to fill with blood to the point of congestion. Just an educated guess though. Good luck.
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- s/l corge - Ima Stuck
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Here's the paragraph................
Subject: Here's the paragraph................
"The rest of his past history, review of systems, and social history is otherwise noncontributory, except that he is status post coronary artery bypass graft surgery and has had a pacemaker and is on Coumadin in conjunction with his cerebral vascular disease. He also takes amiodarone, s/l Trazadec, Toprol, Ambien, Cozaar, and Effexor."
The patient is being evaluated by a neurologist for leg and back pain. Thanks.
does this fit at the end of this paragraph? See msg pls.
Subject: does this fit at the end of this paragraph? See msg pls.
Patient is getting back on his medications and will be following up with his psychiatrist Dr. X. They are due within the next few weeks, he says, to recheck his Depakote levels, (Dr. take a drink and says)S/L hemolith normal. (new paragraph)
not sure, here's the paragraph...
Subject: not sure, here's the paragraph...
Neurologic exam/history and physical exam does reveal the patient with parkinsonian features. We are going to go ahead and change him from Sinemet 25/100 mg to Stalevo 100 mg, one in the morning and one at midday, since he really only takes it twice a day. If this does not help, we may try going back to the Sinemet and then trying Azilect for the freezing. I think that may be of great benefit to him, despite the MALB inhibitor.
Here's the rest of the paragraph. I need someone to look at this.
Subject: Here's the rest of the paragraph. I need someone to look at this.
This is listed under the PMH: Do these numbers look right? My question is really the
"FEF 25 to 75 1.66 (65%). " Does this look right? not sure how to type the 75 1.66. ... MD says it like this:
"FEF 25 to 75 one point six six and parentheseses 65%"
Pulmonary – status post pulmonary embolus, status post a prolonged road trip. Coumadin was discontinued in April and MTHFR Heterozygote with an elevated homocysteine level. She has been maintained on Folate. She has also been treated for asthma. Pulmonary function tests in December of 2002 demonstrated a FEV1 of 1.86 (79%), and FVC of 2.41 (83%) an FEV1 of 77% and FEF 25 to 75 1.66 (65%). In March of 2004, a diagnostic polysomnogram demonstrated obesity, hypoventilation; no evidence of obstructive sleep apnea. She has been maintained on 2 liters q.h.s. A repeat study in June of 2005 confirmed that treatment.
if i give you the paragraph for this ....
Subject: if i give you the paragraph for this ....
could you be able to tell if it were a line infection? I will send what they did. thanks
Paragraph numbering
Subject: Paragraph numbering
1.
a.
b.
c.....etc.
When you get all the way through z, how do you number or letter after z? Thanks so much.
Here's the context paragraph...sm
Subject: Here's the context paragraph...sm
Patient recently had a positive culture infection with group B strep. He was treated with some Cipro and he says he is actually voiding better now than he has for some time. He probably has been having a little small "ring" prostatitis going on.
paragraph punctuation help..please...
Subject: paragraph punctuation help..please...
MRI scan indicates status post patellar tendon, bone, and anterior cruciate ligament construction, cystic degeneration of the graft with little remaining low signal fibers is noted, tendon enlargement in the tibial tunnel with cystic erosion through the anterior cortex medially to the patellar tendon, extension into the anterior subcutaneous fat of the proximal right lower leg.
Note the doctor does say construction, not reconstruction can this also be correct? TIA.
I'd just leave it a paragraph at the end. NM
Subject: I'd just leave it a paragraph at the end. NM
I found one paragraph re patients ...sm
Subject: I found one paragraph re patients ...sm
not sure but I found one paragraph thru google about dacron wool........being used on a patient:
Once cooling to -79 C was complete the patient was lifted out of the Silcool bath, the outer, Silcool wetted plastic bag was stripped off and the patient was placed within a polyester cloth bag which was in turn placed inside a standard aluminum neurocan which had been precooled to -90 and packed with dacron
wool. Temperature probes were left externalized to the neurocan for subsequent cooling to -196 C.
I don't really think this is going to help you though but I tried!! 
your paragraph has many grammatical errors
Subject: your paragraph has many grammatical errors
along with punctuation - not sure if you just typed it fast and are aware or not? If you more help, let me know.
Go to format/paragraph and you'll see it. nm
Subject: Go to format/paragraph and you'll see it. nm
This paragraph shows AZT for baby -see message
Subject: This paragraph shows AZT for baby -see message
If an HIV positive woman is taking AZT then it will probably be recommended that her baby is given AZT (usually as a syrup) for the first six weeks of its life starting 8-12 hours after birth. Alternatively, if the mother has taken AZT and 3TC during labour then an effective regime for the baby would be one week of AZT and 3TC.
If only limited AZT is available then one week of AZT can be given to the baby. If only single dose AZT is available then the baby can have this combined with a single dose of NVP, and if no AZT is available then the baby can have a single dose of NVP to help protect it.
Here is the paragraph for the s/l line infection evaluation..
Subject: Here is the paragraph for the s/l line infection evaluation..
Patient here today for a post-op s/l line infection evaluation. She has been doing daily wet to dry dressing changes and today the wound breadown area is less than a cm across and with probing with a Q-tip will not extend any greater than 2 cm in the area. I do not think that this continues to require any packing. I have recommended that she just keep gauze over the area for the drainage. thank you
Stumped - rheumatology. Please see paragraph for context.
Subject: Stumped - rheumatology. Please see paragraph for context.
Patient is a little girl with an area of atrophic and hyperpigmented skin on her forehead (morphea/linear scleroderma en coup de sabra).
"In addition, there is a secondary area which is approximately 2 cm in diameter and 6 cm in length which is hyperpigmented and lateral to the s/l inituary/immisuary, with again subcutaneous atrophy, but without erythema or adherence."
Totally stumped but hate to give up --- Thanks for any help.
does she want you to put in a heading, or include more in prior paragraph
Subject: does she want you to put in a heading, or include more in prior paragraph
nm
Thx! I made it through a whole paragraph of tests, with this being the last one and couldn't get
Subject: Thx! I made it through a whole paragraph of tests, with this being the last one and couldn't get the last one! :) Thx for your help!
does this paragraph sound right and is it punctuated correctly
Subject: does this paragraph sound right and is it punctuated correctly
There were findings of a posterior horn tear of the medial meniscus, a small chondral injury of the medial tibial plateau, grade 4 out of 4, chondromalacia of the medial femoral condyle, grade 3 out of 4, chondromalacia patella and trochlea notch of the femur, grade 3 out of 4.
The doctor speeds through this paragraph at 75mph..does it make sense and is the punctuation correct? TIA.
s/l linear partial tear also does this paragraph
Subject: s/l linear partial tear also does this paragraph
make sense?
There is a focal tear of the posterior supraspinatus tendon noted. No other tear or retraction evident. There is also S/L linear partial tear of the long head of the biceps tendon noted. Mild degenerative changes to the glenohumeral joint also indicated. TIA.
sorry-don't know any--just happened to know the other based on your s/l - n/m
Subject: sorry-don't know any--just happened to know the other based on your s/l - n/m
How about lingual-based?
Subject: How about lingual-based?
That's the closest I could come to your s/l. There are blast cells, but I couldn't find that combined with anything like muco. There are platinum-based treatments, but I can't tell from your partial sentence whether it could be that.
I got it - narrow-based! nm
Subject: I got it - narrow-based! nm
x
And based on the help she needs, she's going to be a doozy of an MT. NM
Subject: And based on the help she needs, she's going to be a doozy of an MT. NM
based on the sentence.... (sm)
Subject: based on the sentence.... (sm)
I'd say it pretty much has to be L5-S1 facet since that explains exactly where the cystic mass is located.
or glial-based
Subject: or glial-based
glial brain tumors
Based on nothing.....trazodone? N/M
Subject: Based on nothing.....trazodone? N/M
x
It's a company based out of Louisville, KY
Subject: It's a company based out of Louisville, KY
It is individually owned but has been in operation for years. Has contracts all over the US. Is US based. IC. I hesitate to give the name of the company because she is reorganizing under a different name. I looked yesterday on the internet and she does not have a website up and going yet under the new name. Thanks for the good feedback! I like my job and enjoy working for them. Gives me the opportunity to work from home, be a stay-at-home mom and homeschool my two children as well! I think I have the best situation in the world!!!!
yeah, but based on the sentence I don't think
Subject: yeah, but based on the sentence I don't think
the doc is referring to a particular drug, just a class of drug.
I would type as 157-3/8 cm. This is just based on what I've seen.
Subject: I would type as 157-3/8 cm. This is just based on what I've seen.
well...based on the "tipulating" you heard
Subject: well...based on the "tipulating" you heard
it would be the closest...there are just so many joints in the lumbar spine, and none sound close to "tipulating" except articulating. Why do they make our job so hard by talking so fast! Sorry I couldn't help you more
based on other meds named...
Subject: based on other meds named...
It seems likely that the mystery name has something to do with doxorubicin. It will be interesting to see if you get a reply so that we all can learn something new!
possibly glio-based
Subject: possibly glio-based
based on your sounds like, epidural? nm
Subject: based on your sounds like, epidural? nm
Just make it the last paragraph in the report. Does it Have to have a title? Maybe Note, Comment,
Subject: Just make it the last paragraph in the report. Does it Have to have a title? Maybe Note, Comment,
s
hyphens...gait is broad-based?
Subject: hyphens...gait is broad-based?
I am drawing brain farts with hyphens lately. Just looked at Dr. Grammar. Still no help. I know that before a noun, two or more adjectives are hyphenated, as in broad-based gait. But what about gait is broad-based. ? Are there new rules on hyphenation? Do we always hyphenate heel-to-shin and the like?
Just my opinion, but I would type it neuro-based
Subject: Just my opinion, but I would type it neuro-based
First thought based on my experience is Sulamyd. nm
Subject: First thought based on my experience is Sulamyd. nm
SL "a pager based on silding scale"
Subject: SL "a pager based on silding scale"
Thanks!
short stride and wide based gait
Subject: short stride and wide based gait
Based on the value (5.3) and the fact that it is listed with the electrolytes, could be potassium.
Subject: Based on the value (5.3) and the fact that it is listed with the electrolytes, could be potassium.
But that's not close to "moid." I think I would leave a blank.
That is written as kU ...
Subject: That is written as kU ...
lowercase k and uppercase U for kilo units
Fragmin 2.5 kU
In *lew* of? How is that written?
Subject: In *lew* of? How is that written?
TIA!
This device is being used in *lew* of surgical intervention...
Thank you so much, that is getting written down for sure.
Subject: Thank you so much, that is getting written down for sure.
It should be written out because
Subject: It should be written out because
HYD, HC, HCT (all three) are common abbreviations for Hydrocortisone. HCT is also Hydrochlorothiazide.
one third cm written as
Subject: one third cm written as
0.3 cm ? Is this correct?
Not sure how this should be written
Subject: Not sure how this should be written
The doctor is saying: She has had a laminectomy done, L3-L4-L5... I am not sure if there should be - or / between , neither one looks right...TIA
it may be based on how they are counting lines...are they taking out your spaces and returns/stuff l
Subject: it may be based on how they are counting lines...are they taking out your spaces and returns/stuff like that? nm
d
written in my book
Subject: written in my book
Granted I bought this book used, but the last owner wrote in "arcade of Frosche" (tunnel in the arm). I can't find anything on the Henry one though, sorry. I do try to find another reference if they were not written in by me, but I don't have one. :)
also written as torr nm
Subject: also written as torr nm
x
Written test
Subject: Written test
Help New student taking a written test for possible employment. Is " Her dorsalis pedis pulses are 3+" transcribed correctly?
written test
Subject: written test
thank you all
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