Could be, heme just refers to blood. NM
Posted By: kt on 2008-12-13
In Reply to: chest xray - mt
Subject: Could be, heme just refers to blood. NM
x
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heme, means blood or the red part of blood. nm
Subject: heme, means blood or the red part of blood. nm
s
HEME
Subject: HEME
Review of the peripheral blood smear revealed s/l somonice on poikocytosis with lymphocytes and acanthocytes in some teardrop forms.
Can anyone decipher this dictation for me.
Thanks
HEME
Subject: HEME
Could this be "dominance of poikilocytes"? Poikilocytes = abnormally-shaped erythrocytes but the lymhpocytes and acanthocytes may also present a tear-drop shape. What are the differential diangoses?
definitely heme
Subject: definitely heme
I do a lot of pain clinic reports.
HEME HELP
Subject: HEME HELP
Patient has severe anemia. She is a Jevoah witness refuses transfusions
To try do a hemolytic work up and work up for s/l myoclinic_____opathy?
Thanks
Heme help
Subject: Heme help
 Patient is male with history of rectal cancer who on routine screening had (S/L) hemeposi stool. Is the doctor possibly saying heme positive stool?
heme positive
Subject: heme positive
The hospital I have worked at for 15 years says no. So we don't hyphenate heme positive. Don't know what the BOS says though, we don't really use it.
heme malignancy
Subject: heme malignancy
I believe I have heard this before and it is heme.
Subject: I believe I have heard this before and it is heme.
Heme-positive
Subject: Heme-positive
x
LEUKO- White, Colorless, EMIA- Blood or referring to the presence of a substance in the blood
Subject: LEUKO- White, Colorless, EMIA- Blood or referring to the presence of a substance in the blood
Chlorthalidone is used for treating high blood pressure alone or in combination with other blood pre
Subject: Chlorthalidone is used for treating high blood pressure alone or in combination with other blood pressure medicines. It may be used along with other medicines for the treatment of fluid retention and swelling associated with congestive heart failure, cirrhosis of the liver and other causes.
heme positive. Might need to be capitalized though?
Subject: heme positive. Might need to be capitalized though?
.
I have always typed heme-positive
Subject: I have always typed heme-positive
Get QA'd on it and has never been marked wrong. Checked a couple of other web sites they have a hyphen and also onelook does. Possible both ways are correct.
Here for heme-positive stool? nm
Subject: Here for heme-positive stool? nm
s
blood transfusion: 3 units s/l spectra blood cells
Subject: blood transfusion: 3 units s/l spectra blood cells
heme positve stool...hyphenate or not? TIA nm
Subject: heme positve stool...hyphenate or not? TIA nm
nm
brown heme-negative stool?
Subject: brown heme-negative stool?
QE&A - anyone know what this refers to?
Subject: QE&A - anyone know what this refers to?
I know the phrase is what is dictated because I sent to QA the first time I heard it. I have a doc who says it infrequently. I can't document it and am just curious.
THANKS!
0.2 to 0.22 (think it refers to seconds)
Subject: 0.2 to 0.22 (think it refers to seconds)
Dr. doing laminectomy and refers to
Subject: Dr. doing laminectomy and refers to
xxxx
nephritis refers to the kidneys
Subject: nephritis refers to the kidneys
so not sure.
Dr. doing cervical laminectomy and refers to SM
Subject: Dr. doing cervical laminectomy and refers to SM
s/l Kafnicks tubercle. I cannot find this and I have looked under several spellings.
Thank you.
Maybe just refers to putting mesh
Subject: Maybe just refers to putting mesh
at the 12 o'clock, 3 o'clock, etc. positions? Weird. Never heard that one before.
Believe it would be tenting. Tinting refers
Subject: Believe it would be tenting. Tinting refers
to color changes, tenting is referring to "poking up or out" of the skin.
but encephalopathic refers to the brain, not knee???? nm
Subject: but encephalopathic refers to the brain, not knee???? nm
Probably refers to staples--white load, maybe? nm
Subject: Probably refers to staples--white load, maybe? nm
x
When transcribing "Sister so-and-so, when dictator refers
Subject: When transcribing "Sister so-and-so, when dictator refers
to patient as "sister" throughout report, is "sister" capitalized or not? Neither way looks correct to me.
it is adverse lie. refers to how the testicles lay in the scrotum.
Subject: it is adverse lie. refers to how the testicles lay in the scrotum.
nm
pepto refers to stomach so peptoesophageal
Subject: pepto refers to stomach so peptoesophageal
is same as gastroesophageal. There is cecectomy for exicision of cecum.
Break the word down - osteo refers to
Subject: Break the word down - osteo refers to
bone and condyle is a part of the bone as per femoral condyle, lateral condyle etc. so yes it is a word.
Maybe sibilant -- Somnolent refers to awareness/
Subject: Maybe sibilant -- Somnolent refers to awareness/
neurologic state of a patient.
blood pressures vs blood pressure's
Subject: blood pressures vs blood pressure's
blood pressures vs blood pressure's
ray refers to the digits...toes, fingers, etc..not patellae..sm
Subject: ray refers to the digits...toes, fingers, etc..not patellae..sm
does not make any sense.
a or an refers to the SOUND of the word, not necessarily a vowel
Subject: a or an refers to the SOUND of the word, not necessarily a vowel
therefore YURanalysis sounds like it has a consonant and so A is used. With MI and MRI, it sounds like EM-I or EM-R-I. It sounds like a vowel and so AN is used.
on a quick search, it seems Atar refers to a drug RX
Subject: on a quick search, it seems Atar refers to a drug RX
can't be certain, but that does fit the context of the sentence. "if the patient doesn't have *a prescription drug supplement coverage plan*"
capitalization question - if refers to a heading in the note, do I cap
Subject: capitalization question - if refers to a heading in the note, do I cap
In the dictation, MD says (in ROS) "...please see history of present illness." Do I type "...please see History of Present Ilness" or no caps?
Third-spacing is correct. Refers to fluid shift
Subject: Third-spacing is correct. Refers to fluid shift
to interstitial space.
Dont know, but "sharp" usually refers to optic disc
Subject: Dont know, but "sharp" usually refers to optic disc
nm
apoptotic ? refers to cellular changes which may result in a gait disturbance. nm
Subject: apoptotic ? refers to cellular changes which may result in a gait disturbance. nm
nm
And by the way, PLEURAL refers to thelining of the lungs, PLURAL means ore than one. have not heard
Subject: And by the way, PLEURAL refers to thelining of the lungs, PLURAL means ore than one. have not heard of pleural effusion, etc????
nm
UA shows "a field tact" with white blood cells and red blood cells. What's he saying here?
Subject: UA shows "a field tact" with white blood cells and red blood cells. What's he saying here?
How much blood?
Subject: How much blood?
Usually it is more like type and cross for 2 units in my experience.
some of her blood?
Subject: some of her blood?
grasping at straws for that one.
s/l "raw blood"
Is there a such thing? He is talking about the patient being dialyzed.
Blood type
Subject: Blood type
The doctor dictated such: The patient was typed and close-matched for surgery with a blood type of O plus.
Does close-matched sound right ( I'm not even sure if that's hyphenated) and do I use O+ or O positive? Thank you!
Blood type
Subject: Blood type
typed and cross-matched. I would put O-Plus, but I don't do BOS.
blood tests
Subject: blood tests
pro-time and partial thromboplastin time, or PT/PTT.
RE: Blood type
Subject: RE: Blood type
O+ or O positive and no hyphen for cross matched
blood type
Subject: blood type
It is cross-matched
occult blood
Subject: occult blood
nm
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