Ct abdomen and pelvis doubt
Posted By: Sami on 2008-09-29
In Reply to:
Subject: Ct abdomen and pelvis doubt
multiloculated or ____ (simi subtrated) cyst in the pancreatic map.
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First part is abdomen and pelvis
Subject: First part is abdomen and pelvis
Ct of abdomen and pelvis...please help, tired and can't think Tx
This is a CT of the abdomen and pelvis. talking about abdomen..No free fluid in the abdomen. No "free incher", no air. Sounds like 'Free incher"
First blank - maybe abdomen and pelvis
Subject: First blank - maybe abdomen and pelvis
Then not hydrophrosis but hydronephrosis.
The prostate one I'm not sure about but I think you need an 'or' between firmness and nodularity. Could be flat.
CT of abdomen and pelvis shows a few small sigmoid s/l ticks.
Subject: CT of abdomen and pelvis shows a few small sigmoid s/l ticks.
Thanks :-)
Abd/pelvis CT - Dr. makes incidental note of "scattered s/l BOR-NONS within the pelvis and femurs
Subject: Abd/pelvis CT - Dr. makes incidental note of "scattered s/l BOR-NONS within the pelvis and femurs."
Doing an US of pelvis and this word
Subject: Doing an US of pelvis and this word
sounds like plica, referring to a cystic lesion of the ovary. I see there are plica lesions, but would this pertain to an ovarian cyst as well. Thanks.
pelvis has a brim/rim........nm
Subject: pelvis has a brim/rim........nm
x
Reservoir CT Pelvis
Subject: Reservoir CT Pelvis
Body of report states: A reservoir is seen in the lower pelvis compatible with penile implant which is also seen.
Impression sounds like: GROWTH reservoir without interval change.
This makes sense but I can't find evidence of this term. Any ideas?
Hyperemic pelvis
Subject: Hyperemic pelvis
Doctor dictates: Moderately hyperemic pelvis, without powder burns ...
Procedure was a laparoscopic tubal sterilization.
This is what it sounds like he says ... pretty clear ... but maybe I am tired. Any opinions?
tumerous "studding" throughout the pelvis ??? (Thank you!)
Subject: tumerous "studding" throughout the pelvis ??? (Thank you!)
Never mind....he is saying neural pelvis
Subject: Never mind....he is saying neural pelvis
xx
s/l estabula. Pelvis x-ray locations. TIA nm
Subject: s/l estabula. Pelvis x-ray locations. TIA nm
nm
subandroseus process in the pelvis on x-ray
Subject: subandroseus process in the pelvis on x-ray
Drawing a blank here. Can anyone help?
pelvis x-ray views: s/l juday nm
Subject: pelvis x-ray views: s/l juday nm
nm
Pelves is plural for pelvis.
Subject: Pelves is plural for pelvis.
doubt
Subject: doubt
_____ (Evos) of a 40-year-old female who comes in to the office for follow up on chronic.....
You are without a doubt - sm
Subject: You are without a doubt - sm
a very unhappy person. I feel very sorry for you.
Any doubt
Subject: Any doubt
on vitals or med doses...ALWAYS A BLANK. :-)
AP pelvis, bilateral lateral of both hips? nm
Subject: AP pelvis, bilateral lateral of both hips? nm
equivocal - no doubt about it.....*LOL*
Subject: equivocal - no doubt about it.....*LOL*
Well, I doubt that would help her diet!!
Subject: Well, I doubt that would help her diet!!
I would - but I doubt they'd listen
Subject: I would - but I doubt they'd listen
If you're QA, though, I can nominate you for QA of the month! You deserve it.
Strongly doubt it
Subject: Strongly doubt it
nm
grammar doubt
Subject: grammar doubt
today for routine (follow up or followup) of hypertension.
grammar doubt
Subject: grammar doubt
follow up
doubt with radiology again
Subject: doubt with radiology again
Bony _____ (s* ---- tion) projects the distal right of the radial styloid process, which does not appear to be posttraumatic.
CT Brain doubt
Subject: CT Brain doubt
A 5-mm-thick _____ obtained through the brain with intravenous administration of contrast.
THANKS-don't you hate it when you doubt yourself?
Subject: THANKS-don't you hate it when you doubt yourself?
Radiology help, please. s/l *Inlet outlets,* AP pelvis show ... Thanks, nm
x
AP pelvis, joint line narrowing at the *sorseal*?
Subject: AP pelvis, joint line narrowing at the *sorseal*?
nm
In degrees of ROM or in end range or ROM? I doubt sm
Subject: In degrees of ROM or in end range or ROM? I doubt sm
it is Dupuytren etc. nm
Thanks for replying. You confirmed it for me so no doubt now.
Subject: Thanks for replying. You confirmed it for me so no doubt now.
Doubt with cervical myelogram
Subject: Doubt with cervical myelogram
Dictating in 2 position:
1. _____(codstone) bone graft is in excellent position.
2. HIs ____(po*city) of bone formation along the edges of _____(c*stone) graft, which is unexpected in more cortical nature.
No, I doubt it since grip strength was 35/50..
Subject: No, I doubt it since grip strength was 35/50..
something else starting with a T that is only 11-12 pounds.
I have never heard of nor could I find renipelvis, I have always typed renal pelvis
Subject: I have never heard of nor could I find renipelvis, I have always typed renal pelvis
Using a question mark to indicate doubt or uncertainty sm
BOS says:
Use an ending question mark to indicate doubt or uncertainty.
Sometimes, particularly with diagnoses, a question mark is placed before a
statement in order to indicate uncertainty.
Placement either before or after the questionable material is acceptable, but
do not place the question mark both before and after.
Ex:
His cholesterol levels were high normal (or minimally elevated?).
D: Diagnosis: Angina question mark
T: Diagnosis: Angina?
or Diagnosis: ?Angina.
not Diagnosis: ?Angina?
Note: There is no space after the question mark in ?Angina.
=)
Rennie
www.renesue.com
I doubt highly that a stricture or lesion would
Subject: I doubt highly that a stricture or lesion would
improve a patient's nutritional status., but rather do the complete opposite. I think the physician meant to dictate "GI" physician since he/she mentioned the dysphagia in the dictation, which is also a common place for strictures or lesions to develop.
Client preferences rule here. If in doubt, sm
Subject: Client preferences rule here. If in doubt, sm
here's what I've always done:
He was given a do-not-resuscitate order.
I think my high school English teacher would prefer it thusly;)
He was given a "do-not-resuscitate" order.
Like Txczech said, sometimes these are bolded and capitalized to alert treating physicians of patients' wishes, similar to allergy statements. Client preference, again.
Unless you know for sure that the client does not have a special order called the Do-Not-Resuscitate Order, lowercase it. (I think this is what you might have been considering.)
Yes, you look them up and learn which are band name, which are generic. When in doubt, look up again
Subject: Yes, you look them up and learn which are band name, which are generic. When in doubt, look up again. nm
c
Meds and dosages scare me, so when in doubt...
Subject: Meds and dosages scare me, so when in doubt...
I always blank/flag it. 
Doubt you give 15 refills for narcotics.
Subject: Doubt you give 15 refills for narcotics.
x
Report for a cholangiogram. S/l Pelvis or Elvis (haha) maneuver was performed.
Subject: Report for a cholangiogram. S/l Pelvis or Elvis (haha) maneuver was performed.
Exam is consistent with pancreatitis. I seriously doubt s/l stumpitis
Subject: Exam is consistent with pancreatitis. I seriously doubt s/l stumpitis
I would think it is herald unless he is speaking of a person with the name Herold, which I doubt.
Subject: I would think it is herald unless he is speaking of a person with the name Herold, which I doubt.
Yep...not an easy one. Would doubt it if he hadn't said it so many times. Thinking something lik
Subject: Yep...not an easy one. Would doubt it if he hadn't said it so many times. Thinking something like coronary obstruction artery "something" syndrome...? Just can't get it :( THanx though!
A tug is a type of strap, so traction tug makes sense if they're trying to pull the pelvis in a
Subject: A tug is a type of strap, so traction tug makes sense if they're trying to pull the pelvis in a
s
It's too late to tell you to leave a blank. Doubt "os finder." nm
x
Abdomen
Subject: Abdomen
Abdomen: There is a well-healed scar in the right lower corner or coron at McBurney's point.
I can't tell specifically he's saying. Which one sounds correct? Thanks as always for the help. You guys are great!
Abdomen
Subject: Abdomen
There is a well-healed scar in the right upper quadrant scar. Sounds like he says scarl, but I don't think that makes sense. Thank you.
If it's a CT of the abdomen sm
Subject: If it's a CT of the abdomen sm
They can see portions of the chest because they start the exam in the lower chest. If the patient had breast cancer, the doctor might mention the axillae.
Probably abdomen. nm
Subject: Probably abdomen. nm
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