CT SCAN help - cannot figure out what Dr is saying
Posted By: mariedev on 2008-06-18
In Reply to:
Subject: CT SCAN help - cannot figure out what Dr is saying
Reveals abnormal hypermetabolism in the lymph nodes in the neck, more right than left including ??factitious learning of the thyroid??, in the anterior mediastinum as well large expansile right rib lesion. Bone scan reveals uptake in the right lateral 7th and 8th ribs.
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CT SCAN cannt figure out part of scan Pls see message
Reveals abnormal hypermetabolism in the lymph nodes in the neck, more right than left including ?factitious learning of the thyroid?, in the anterior mediastinum as well large expansile right rib lesion. Bone scan reveals uptake in the right lateral 7th and 8th ribs.
Also reviewed were bone scan, white cell scan and s/l solfar coag scan. Thanks
Subject: Also reviewed were bone scan, white cell scan and s/l solfar coag scan. Thanks
...or liver-spleen scan or radionuclide scan. nm
,
liver scan s/l betascab scan
his last s/l betascab scan showe that his liver lesion has decreased in size.
maybe tech HIDA scan? (technetium HIDA scan) NM
Subject: maybe tech HIDA scan? (technetium HIDA scan) NM
trying to figure it out. sorry nm
Subject: trying to figure it out. sorry nm
s
If you figure out what this is....
Subject: If you figure out what this is....
Please let me know. I've done a lot of duplex ultrasounds over the past 5-6 years but I am very "aural" when it comes to dictation - once I see "increment" and have that in my mind, I can't think of anything else.  Anyway, I would like to know what it is in case I run across it.
Thanks! 
Thanks for trying anyway. I did figure it out though.
Subject: Thanks for trying anyway. I did figure it out though.
I had to copy the entire document into a new document and save it as a new document.
I believe she's saying figure-of-four but .... sm
Subject: I believe she's saying figure-of-four but .... sm
not sure if it fits with context. Can someone help? Here's more:
S: Low back pain. No radiation to lower extremities. No foot drop.
O: SLRs are essentially negative. She has full range of motion with negative (figure-of-four). No tenderness noted to palpation of spine. There are palpable spasms on both the right and left low back region.
A: Musculoskeletal low back pain with spasm.
P: Treat with Skelaxin 800 mg, Lodine 400 mg. Pt could also take Vicodin.
No, sorry. Maybe QA can figure it out. sm
Subject: No, sorry. Maybe QA can figure it out. sm
I've spent too much time on it as it is. I'm overly tired and grumpy anyway from getting up to pee every hour for the last several nights from my own urinary issues. The NP said I'd have relief today. What an a**hole. I'm in so much pain. He insists it could not be a kidney stone yet I'm peeing massive amounts of blood and blood clots. I've had a hyster so I know it's not coming from there. I don't usually wish things on people but I'm so grumpy from lack of sleep and in so much pain right now, I hope he gets one this bad. Curses! 
Tried and tried, but cannot figure out what she's saying. Please help..sm
Subject: Tried and tried, but cannot figure out what she's saying. Please help..sm
A 77-year-old - history of diabetes mellitus and hypertension - in a wheelchair. No obvious distress when first presents.
While being x-rayed, she complained of weakness, dizziness and extreme nausea. She became somewhat s/l obtended and her blood pressure rose to 180/102.
Needed more urgent evaluation and was sent to the ER.
DX: DJD and sudden change in mental status with elevation of BP.
can't figure this out, but could doc be saying
Subject: can't figure this out, but could doc be saying
"notable" for something??
sorry, I will figure this out one of these days
Subject: sorry, I will figure this out one of these days
but the previous link works at least!
If anyone can figure this out I will be so grateful!
Subject: If anyone can figure this out I will be so grateful!
She says: Upper extremity, right, and rigidity with bright red ***ek-I-nas-ia**.
This is in PE, and she is usually quick with this section and doesn't explain much, so I have nothing else to go off of. This is a geriatric medicine note. Also, it's pretty much verbatim, so this is what is said.
Thanks!
Help trying to figure out this term..
Subject: Help trying to figure out this term..
Sounds like "tick del-a-ro?" Docs gives an "unsure" spelling of d-o-l-e-r-a-u. Is anyone familiar with this term? Thanks!!!!
I figure cc is used in a syringe sm
Subject: I figure cc is used in a syringe sm
and mL is liquid can be given through a syringe minus the needle orally. You will also see this on the measuring cup on top of cough medicine. cc and mL are measurements equal in quantity. 5 mL = 1 tsp or 5 cc = 1 tsp. I think the dangerous abbreviations are more for handwritten notes as opposed to transcription. JMO.
Need a "sounds like" to help figure it out. nm
Subject: Need a "sounds like" to help figure it out. nm
x
It is also hard to figure out ...
Subject: It is also hard to figure out ...
... because they put this patient on 1 baby aspirin a day, which I thought was to thin the blood. I actually ended up asking a doc at the hospital where I work, and he seemed to indicate that there wasn't really any "hypocoagulable workup" -- it was more like "bleeding studies." There is a "hypercoagulable workup" which is extensively discussed on the net, but this patient with the bleeding may be more a candidate for the bleeding studies. However, from what I have read on the net, the tests that are done for a "hypercoagulable workup" are the ones which are being ordered for this patient. Sigh. I'm going to change it to hypercoagulable, and mark it just in case. Thanks for your input.
Oh, gee, we can't extrapolate from that and figure
Subject: Oh, gee, we can't extrapolate from that and figure
There are typists and there are transcriptionists. Guess you're a typist.
Can anyone figure out what this doctor was saying sm?
Subject: Can anyone figure out what this doctor was saying sm?
I had this one time. It sounded just like this.
The patient has refreybrindriss
It is actually in the dictionary, go figure...
Subject: It is actually in the dictionary, go figure...
a·hold /əˈhoʊld/ Pronunciation Key - Show Spelled Pronunciation[uh-hohld] Pronunciation Key - Show IPA Pronunciation
–noun 1. Informal. a hold or grasp (often fol. by of): He took ahold of my arm. Grab ahold!
–adverb 2. Nautical Archaic. close to the wind and on a single tack: to keep a vessel ahold.
—Idiom3. get ahold of, Informal. hold (def. 51
Sjogren (wow twice in one day - go figure)
Subject: Sjogren (wow twice in one day - go figure)
would you mind to tell us what it was, I could not figure it out...Thanks..nm
Subject: would you mind to tell us what it was, I could not figure it out...Thanks..nm
x
S/l help needed. Can't figure it out.
Subject: S/l help needed. Can't figure it out.
Seen for preop pain medicine consult. The patient has some s/l per-jita or prah-jeeta concerns regarding the use of benzodiazepines and Versed.
ESL doc and I cannot figure this word out. sm
Subject: ESL doc and I cannot figure this word out. sm
2 day echocardiograph done which was reported to have normal ___ systolic function.
Yes I am a new MT.
Thanks in advance!!!
i got the first one - gliosis... cant figure out the second one... NM
Subject: i got the first one - gliosis... cant figure out the second one... NM
x
thanks for the info, was trying to figure that one out too. (nm)
Subject: thanks for the info, was trying to figure that one out too. (nm)
Yes, you are absolutely right! How did you figure that out??
Subject: Yes, you are absolutely right! How did you figure that out??
figure skatinng
Subject: figure skatinng
lower back paind due to s/l fitsakting right figure skatinng
great thank you, now all I have to figure out is
Subject: great thank you, now all I have to figure out is
if there is such a thing as stable fluid... :-) thank you for your help.
Huh? I can't figure out what he meant to say. NM
Subject: Huh? I can't figure out what he meant to say. NM
a medication i can't figure out!
Subject: a medication i can't figure out!
Hi,
My doc says the medication is pronounced "Zenolac" and then spells "Zenolix" neither of these is correct. i can't figure out what he might mean...any thoughts?
Th patient has polycystic kidney disease, hypertension, acid reflux and pain...Thanks!!!
I couldn't figure that out either...characters and????...nm
,
welcome; got it from my docs that dictate it as i never could figure them all out either, lol. nm
;
help! tired and can't figure this...s/l endricose
Subject: help! tired and can't figure this...s/l endricose
Status post-echo, revealing LVH and mild mitral s/l endricose regurgitation.
Was able to figure out it was 'calf pains'.. nm
Subject: Was able to figure out it was 'calf pains'.. nm
Does anybody know how they figure pack years?
I've always wondered this...When they say pt has a 40-pack-year hx of smoking, how do they compute that? Anybody know? Just curious.
Thank you. I knew I heard before it but could not figure it out...
Subject: Thank you. I knew I heard before it but could not figure it out...
Thanks I appreciate it.
Had to make a table to figure it out.
Subject: Had to make a table to figure it out.
It's correct.
P2. She had 2 pregnancies resulting in live births.
G11 (2-0-8-2).
11 pregnancies including current one.
2 live births
0 preterm births
8 abortion/miscarriage
2 living children
The first and last 2 in (2-0-8-2) are the same children, plus 8 miscarriages/AB equal 10 pregnancies. If patient is currently pregnant that makes 11 pregnancies, thus G11.
Thanks. Just have to figure out Chlamydia probe.
Subject: Thanks. Just have to figure out Chlamydia probe.
nm
Thank you. I have it in my shortcuts and still couldn't figure it out.
Subject: Thank you. I have it in my shortcuts and still couldn't figure it out.
If you post more text, we can probably figure it out.
Subject: If you post more text, we can probably figure it out.
x
I love it when I finally figure it out.
Subject: I love it when I finally figure it out.
Either this word was a new one on me or I just have not typed it in ages. The doctor was ESL so he was hard to understand.
Word for the day?
Refractoloxanticomb (brain) though it won't come up in Google unless you separate the refract and xanticomb.
I think, if they truly do take an English 101 course, they must also take a "made up medical terminology class". LOL.
My money is on 0.25%. Couldn't figure out what BOS said, so....
Subject: My money is on 0.25%. Couldn't figure out what BOS said, so....
I would type it 0.25%. The BOS said something about making percentages a fraction of one. So that would make your 25% injection 0.25%.
Helminthosporium, not sure of other but posted some of ours in message to see if you can figure it o
form didn't paste right.....
Allergen PercutaneousW IntradermalW Allergen
Grasses Animals
2. Timothy 32. Cat
3. Orchard 33. Dog
4. Bermuda 34. Horse
5. June/Kentucky Blue Mold
7. Bahia 35. Alternaria
8. Johnson 36. Aspergillus
9. Perennial Rye 37. Hormodendrum/Cladosporium
10. Meadow Fescue 38. Penicillium
11. Sweet Vernal 39. Helminthosporium
Trees 40. Epicoccum Nigrum
12. Birch
13. Oak Other
14. Maple/Box Elder
15. Sycamore
16. Elm
17. Cottonwood
18. Ash
19. Mountain Cedar
20. Pine Mix
21. Black Walnut
Weeds
22. Short Ragweed
23. English Plantain
24. Lamb’s Quarter
25. Pigweed
26. Russian Thistle
27. Sage Brush/Mugwort
28. Dock/Sorrel Controls
Dust Mites/Cockroach Percutaneous
29. D. Farinae 1. Negative
30. D. Pteronyssinus 6. Positive
31. Cockroach Intradermal
Negative
Positive
Is Snuff capilized? I can't figure out if it is the BRAND or not.
Subject: Is Snuff capilized? I can't figure out if it is the BRAND or not.
embrocated with interrupted figure-of-8 sutures
Subject: embrocated with interrupted figure-of-8 sutures
If you read the sentence you should be able to figure that one out, not hard. nm
Subject: If you read the sentence you should be able to figure that one out, not hard. nm
x
If you dictate the full sentence I could probably help you figure it out. nm
Subject: If you dictate the full sentence I could probably help you figure it out. nm
And yet it would be wrong in the rest of the world. Go figure.
Subject: And yet it would be wrong in the rest of the world. Go figure.
.
Thanks, the "amp of" in front of it was hard to figure
Subject: Thanks, the "amp of" in front of it was hard to figure
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