Context, please! What are you doing - xray, scan, office visit, etc.?
Posted By: Trying to help on 2005-07-24
In Reply to: help - tsmom
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- help - tsmom
- Context, please! What are you doing - xray, scan, office visit, etc.? - Trying to help
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This was an office visit. Thanks
Subject: This was an office visit. Thanks
Office visit H&P- Thanks! nm
Subject: Office visit H&P- Thanks! nm
Maybe 'hold, on call' to hold the patient in the office for the on call xray? nm
Subject: Maybe 'hold, on call' to hold the patient in the office for the on call xray? nm
s
Yes, is this an xray or a scan? An exam? Neuro testing? nm
Subject: Yes, is this an xray or a scan? An exam? Neuro testing? nm
s
Would depend on the context. In the office setting, it could be. I don't
Subject: Would depend on the context. In the office setting, it could be. I don't
s
If it's a lab test and not some kind of scan, xray, or study, then you're mis-hearing
Subject: If it's a lab test and not some kind of scan, xray, or study, then you're mis-hearing
s
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
Maybe RV for return visit? nm
Subject: Maybe RV for return visit? nm
s
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.
Just guessing... RV as in return visit?
Subject: Just guessing... RV as in return visit?
Just in for a neurosurgery visit, but other meds not associated.
Subject: Just in for a neurosurgery visit, but other meds not associated.
Doc tends to slur a lot, so I may have to flag it.
office???
Subject: office???
Could be..
You don't know my office...
Subject: You don't know my office...
It would appear that not only do they not go by AAMT, but they make it up as they go along. And if there are two rules contradicting each other, better pray the document is not the one they pick for QA.
xray help
Subject: xray help
X-ray with and without BLANK does show some BLANK under the diaphragm.
Any idea
...or liver-spleen scan or radionuclide scan. nm
,
The patient did have a s/l UDM at the last visit that was positive for opiates.
Subject: The patient did have a s/l UDM at the last visit that was positive for opiates.
Is UDM correct? If so what is spelled out?
If you are saying like dr smith's office
Subject: If you are saying like dr smith's office
would it be John Smith's,MD or would it be John Smith, MD's office? Where would the appostrophe go?
Could it be office appointment?
Subject: Could it be office appointment?
xray help for ortho
Subject: xray help for ortho
Review of her MRI shows she has a small partial thickness rotator cuff tear and some s/l 'tennis-narvi-tous' around biceps tendon.
Thanks tons.
chest xray
Subject: chest xray
doc says s/l heme effusion as relates to trauma.
Is this correct?
Ortho Xray help please
Subject: Ortho Xray help please
Review of her x-rays today show that she has a s/l valgus-nemus and a lateral based arthritis in the lateral compartment.
Drawing a blank
xray - how to type (re) x-ray
Subject: xray - how to type (re) x-ray
He is dictating re-xray. How do I type that?!
I remember seeing this once before as a question and I should have written the suggestions down, but I didn't. Thanks for your help.
Abdominal xray
Subject: Abdominal xray
Acute abdominal series demonstrates "adelikesis" of the right basis compared to....
Could this be "added lightness"? Help!!!
Thanks!
That's it!! Just confirmed via office, too. Thank you!! (nm)
Subject: That's it!! Just confirmed via office, too. Thank you!! (nm)
xx
office note help
Subject: office note help
I am doing a otology office note and the doctor dictates "during his ___ (s/l relic or realick) surgery, there was recurrent cholesteatoma and during dissection, the _____ (s/l flick-plate)became free
EKGs in my office?
Subject: EKGs in my office?
visit this link for options regarding suction cannula
Subject: visit this link for options regarding suction cannula
you can visit this link to see and search for options.
I think you were right, ECG 7-14 was abnormal, today's visit is normal in comparison
Subject: I think you were right, ECG 7-14 was abnormal, today's visit is normal in comparison
Boy with fevers and pain (rheum. visit). He does not have any *tempwella* with ... sm
Subject: Boy with fevers and pain (rheum. visit). He does not have any *tempwella* with ... sm
... the fevers or the presumed joint pains. He does not seem to have any morning stiffness.
Thanks.
Is this a chest xray? Maybe atelectatic? nm
Subject: Is this a chest xray? Maybe atelectatic? nm
s
How is this being treated or is this an xray reading? nm
Subject: How is this being treated or is this an xray reading? nm
s
Ever heard of this? Xray review
Subject: Ever heard of this? Xray review
Review of his x-rays today show no evidence of any s/l 'ab-lateral compartmental arthritis.
wasn't sure if this was an actual word (short for something) or if he possibly tumbled over his words and just meant to say lateral compartmental . . .
thanks for the help.
Thanks for the help, Im going to flag it for the office to relisten. nm
Subject: Thanks for the help, Im going to flag it for the office to relisten. nm
He says "I did a bi ox today in the office and was 99-100% on room air.
Subject: He says "I did a bi ox today in the office and was 99-100% on room air.
Pediatric rheum visit. Med s/l soyametatine/solumetatine 400 mg daily sm
Subject: Pediatric rheum visit. Med s/l soyametatine/solumetatine 400 mg daily sm
I'm not sure what the med is for, but child has PFAPA syndrome. On my s/l, I hear the end better than the beginning, hence the two different beginnings.
Thanks!
without any context, maybe concha bullosa? next time give context. thanks!
Subject: without any context, maybe concha bullosa? next time give context. thanks!
Might just be the History and Physical that's back at the office, or the H&P. nm
Subject: Might just be the History and Physical that's back at the office, or the H&P. nm
s
It has to be femur if it's xray of the knee and is distal. nm
Subject: It has to be femur if it's xray of the knee and is distal. nm
nm
google "knee xray windswept"
Subject: google "knee xray windswept"
Deformity seems to come up quite a bit, but also position and knee, so you'll probably have to see what fits?
When sis comes to visit she always gets good laughs reading the phobia pages in my Dorland's.
Subject: When sis comes to visit she always gets good laughs reading the phobia pages in my Dorland's.
nm
Thought it had more to do with her sources of information on the patient prior to initial visit. nm
Subject: Thought it had more to do with her sources of information on the patient prior to initial visit. nm
x
Drain was removed at this first postop visit- discontinued makes the most sense. Thanks!
Subject: Drain was removed at this first postop visit- discontinued makes the most sense. Thanks!
liver scan s/l betascab scan
his last s/l betascab scan showe that his liver lesion has decreased in size.
Check my spelling--I'm nowhere near my office. Calibri forceps. nm
Subject: Check my spelling--I'm nowhere near my office. Calibri forceps. nm
x
Xray help with rotator cuff tear views
Subject: Xray help with rotator cuff tear views
we will obtain some x-rays of that right shoulder, an AP s/l grasivial only .
or something that starts with the letter g and then view only?
yes it is capitalized; referring to Dr. Smith's specifric office
Subject: yes it is capitalized; referring to Dr. Smith's specifric office
nm
Gals in my office are taking a vote, we are arguing about 7-French SM
Is it 7-French diagnostic sheath. Hypen or no? Driving me bonks, someone clear this up? Many references state different things.
chest xray showed small sl. antivulor? infiltrate
Subject: chest xray showed small sl. antivulor? infiltrate
xray shows ulnar shortening osteoplasty is aligned well?
Subject: xray shows ulnar shortening osteoplasty is aligned well?
nm
ankle arthroplasty xray s/l slud line or settling of component sm
Subject: ankle arthroplasty xray s/l slud line or settling of component sm
Talks fast. Says there is no ?slud line or possibly settling or ____ of the talar component. I can't find anything similar.
A urinalysis in the office showed a moderate amount of blood. Serum was subsequently sent for sm
Subject: A urinalysis in the office showed a moderate amount of blood. Serum was subsequently sent for sm
A urinalysis in the office showed a moderate amount of blood. Serum was subsequently sent for an R&M C&S which returned unremarkable.
I know what C&S is. What is the R&M????? help please Donna
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