Can you hear Chief Complaint in there? nm
Posted By: Txczech on 2007-09-18
In Reply to: help with progress note - agrahammt
Subject: Can you hear Chief Complaint in there? nm
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chief complaint
Subject: chief complaint
H & P~the doctor says chief complaint:?? sounds like a-pen-ded di-ver (crazy, I know)
The patient awakened that morning with right upper quadrant pain, nausea, fever. The patient has colonic cancer? thanks for any help
Chief Complaint
Subject: Chief Complaint
Chief complaint right foot right shin pain. Fell and went to emergency room and had s/l radiax of her ankle,shin, elbow and wrist on the right side. Nothing about her head. :-(
It's a chief complaint. Just put it in quotes and you're done.
Subject: It's a chief complaint. Just put it in quotes and you're done.
(like you have it)
A little crazy is okay if it's in quotes, LOL.
:oD
QA ended up changing it to "right" in chief complaint
Subject: QA ended up changing it to "right" in chief complaint
No dx? No chief complaint? No planned tx? Give us a clue here! nm
Subject: No dx? No chief complaint? No planned tx? Give us a clue here! nm
s
any more info? Type of exam, chief complaint, anything at all.
Subject: any more info? Type of exam, chief complaint, anything at all.
dd
Chief complaint: s/l Stiler enalrgement with hyperthyroidism. Help???
Subject: Chief complaint: s/l Stiler enalrgement with hyperthyroidism. Help???
what is the name of a third complaint? S/L thirsory complaint Thanks!
Subject: what is the name of a third complaint? S/L thirsory complaint Thanks!
Well, it is neurology with a chief
Subject: Well, it is neurology with a chief
complaint of unsteadiness of gait. she has a lot of problems, but he says "past medical history: Medical Illnesses: FBS 110. Would you think that would fall under medical illnesses? I'm pretty sure that is what he is saying, though
Medically it would fit, could you give patient's chief complaints and diagnoses? nm
Subject: Medically it would fit, could you give patient's chief complaints and diagnoses? nm
nm
what is the patient's condition/complaint? nm
Subject: what is the patient's condition/complaint? nm
can you give more? Diagnosis? Complaint?
Subject: can you give more? Diagnosis? Complaint?
x
maybe "tertiary" complaint (nomsg)
Subject: maybe "tertiary" complaint (nomsg)
x
Give us the line and context it is used, what is the complaint.
Subject: Give us the line and context it is used, what is the complaint.
Word help s/l glener nerve complaint
Subject: Word help s/l glener nerve complaint
He has not had numbness or tingling in his hands, trouble with walking, s/l glener nerve complaint
Can you give us some info about the patient, i.e. past history, current complaint, etc?
Subject: Can you give us some info about the patient, i.e. past history, current complaint, etc?
There are no palpable cords or calf tenderness, despite the patient’s complaint of diffuse body ache
Subject: There are no palpable cords or calf tenderness, despite the patient’s complaint of diffuse body ache
Can you hear bunion for the first word? And the second can you hear symptomatic or sensory pain?
Subject: Can you hear bunion for the first word? And the second can you hear symptomatic or sensory pain?
Cannot hear adenopathy. Clearly hear *pology. Thank you, though.
Subject: Cannot hear adenopathy. Clearly hear *pology. Thank you, though.
Can you hear "mild". Hear that a lot. nm
Subject: Can you hear "mild". Hear that a lot. nm
I do not hear that
Subject: I do not hear that
but I believe you are correct, there is mention of exposed cartilage. Thank you very much.
or can you hear..................nm
Subject: or can you hear..................nm
can you hear VRE - this has been associated
Subject: can you hear VRE - this has been associated
with C. difficile colitis as well - CD/VRE...also, resolved to the NVRA just doesn't make grammatical sense - you sure it's not "The C. difficile was treated with Flagyl, but resulted in VRE, then treated with Zyvox?" GOOD LUCK!
can you hear?
Subject: can you hear?
guaifenesin and Tessalon Perles
can you hear
Subject: can you hear
,,,
That's it. Can hear it clearly. Thanks so much!
Subject: That's it. Can hear it clearly. Thanks so much!
Thank you. I really could not hear...
Subject: Thank you. I really could not hear...
cortical; he was not an ESL and said it 5 or 6 times in the report.
Thanks for trying.
Usually hear this
Subject: Usually hear this
nerve root impingement
Used to hear that a lot. sm
Subject: Used to hear that a lot. sm
back in the day they said leukouria a lot, not so much today. I just typed it like that. I think it may have been in one of those old Dorland's from the 70s.
can you hear...
Subject: can you hear...
suggested etiology or suggest ... or maybe assess etiology. Sorry, just making some guesses without knowing what's right before and after.
I'd like to hear more about this:...(sm).
Subject: I'd like to hear more about this:...(sm).
 hysterical anesthesia
Bodily anesthesia occurring in hysteria
Can you hear
Subject: Can you hear
Byetta?
Can you hear
Subject: Can you hear
Easy? That makes the most sense.
Can you hear
Subject: Can you hear
Harmonic scalpel?
Thanks. Now I hear it.
Subject: Thanks. Now I hear it.
can you hear
Subject: can you hear
transverse?
I hear ya
Subject: I hear ya
Since there are so many different transcription platforms, you can't always program in the 1/2 symbol and typing it like that - 1/2 - is clumsy and can be unclear when read. The guidelines at my last in-house job were to convert it to decimal if possible.
Can you hear something like sm
Subject: Can you hear something like sm
ACBE or air contrast barium enema???
sorry I would have to actually hear that one I think. nm
Subject: sorry I would have to actually hear that one I think. nm
.
This is not it either, I def hear a 'D' before
Subject: This is not it either, I def hear a 'D' before
Not sure about that one as I do not hear a 'y' or 'x ' in
Subject: Not sure about that one as I do not hear a 'y' or 'x ' in
Need to hear what comes before and after this. nm
Subject: Need to hear what comes before and after this. nm
s
can hear...
Subject: can hear...
I can only hear s/l a enroom taking out of his right third webspace.
I think synergetic pain is correct but I can't hear bunion at all.
thank you, I tried to hear it, but could not.
Subject: thank you, I tried to hear it, but could not.
No, can't hear that.
Subject: No, can't hear that.
Can you hear
Subject: Can you hear
nm
Could you hear
Subject: Could you hear
medial partial or one-third facetectomy? Not sure about the thoraco part since he's talking about L4-L5, lumbar not T-spine. Not a neurosurgery expert, just some ideas...
can you hear
Subject: can you hear
itraconazole? see link
Do you maybe hear GC-MS? See msg
Subject: Do you maybe hear GC-MS? See msg
GC-MS stands for gas chromatography-mass spectometry. I looked this up on Google and did find it is used to test for opiates. Hope it maybe helps.
Can u hear BUN?... nm
Subject: Can u hear BUN?... nm
x
Yes, I can hear that.
Subject: Yes, I can hear that.
nm
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