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Derm docs often dictate "Allergy to CARBO mix" - sm

Posted By: FASTFINGERS on 2007-04-12
In Reply to: Allergy to s/l carbopentum - Ash

Subject: Derm docs often dictate "Allergy to CARBO mix" - sm

I don't know what the full word is, but this validates your hearing the partial "carbo"


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welcome; got it from my docs that dictate it as i never could figure them all out either, lol. nm
;
LOL..the way these docs dictate anymore
Subject: LOL..the way these docs dictate anymore

who knows!! Something like that just check your aspirin bottle. Good luck!!
that's how my derm docs like it - sm
Subject: that's how my derm docs like it - sm

same with T zone.
there is the abbreviation MAR docs dictate for medication administration record, but not sure...sm
Subject: there is the abbreviation MAR docs dictate for medication administration record, but not sure...sm

if that's it? This is usually dictated when they don't want to list the entire medication list so refer to the MAR that is in the chart. 


Don't be confused by dift opinions. Blank if unsure. However, docs dictate one-teens all the ti
Subject: Don't be confused by dift opinions. Blank if unsure. However, docs dictate one-teens all the time.


Carbo
Subject: Carbo

Could it be Carbo?? Carboplatin
Seems to be Carbo/Taxol
Subject: Seems to be Carbo/Taxol


my spellcheck comes up with carbo Taxol
Subject: my spellcheck comes up with carbo Taxol

yes, carboplatin is not trade. Then my Pharmaceutical Drug Book has it as Carbo-Tax. Go figure.
I think I will make it the carbo Taxol as in my spellcheck.

Thanks to both of you.
the carbo part was pretty clear
Subject: the carbo part was pretty clear

who knows though - it could be gabapentin. Maybe the doctor can't read the patient's handwriting or the patient made up their own name for it. I am just going to flag it, since it's an allergy.
I would say you are right with carbo being small "c", it is listed both through the cancer org
Subject: I would say you are right with carbo being small "c", it is listed both through the cancer organizations, but I would say you are correct.


You should dictate what the doc says.
Subject: You should dictate what the doc says.

If he is wrong, that's his problem. You can't just go changing what he says unless you have free reign on your account.
Drs get what they dictate - some of us only do..S/M
Subject: Drs get what they dictate - some of us only do..S/M

brachioplexus, brachioplexopathy - what they say is what they get....client profile RULES!
How does he dictate it? Is he actually - sm
Subject: How does he dictate it? Is he actually - sm

Is he saying "CBC, MSP, and stool" because stool is not a test so just wondering if it could be the name of a stool test. If you state just how the whole sentence is dictated, it may help us figure it out for ya.
I had a doc used to dictate that
Subject: I had a doc used to dictate that

Good says it stands for keep-open-vein.  So, it should fit, and it also is all CAPs. 
Usually if they dictate Seldinger...
Subject: Usually if they dictate Seldinger...

they will say "via Seldinger, or Seldinger technique."  I don't believe they would do this en route either.  Are you sure you are hearing "sandwich?"  I have been transcribing ER reports for years and I have never heard this term used.  Anyway, I would not guess on this one.  IMO, it is better to leave it blank and have QA inform you later so you can keep it on file .
Yes, that was how I was taught and most always they dictate cc nm
Subject: Yes, that was how I was taught and most always they dictate cc nm

nm
Sorry, but I have had them dictate brain or beta.
Subject: Sorry, but I have had them dictate brain or beta.

nm
Account specifics would dictate whether you sm
Subject: Account specifics would dictate whether you sm

write it out or abbreviate. The abbreviation for beats per minute is bpm. Ask your QA person for approved abbreviations for this account (accounts will differ sometimes which can make us crazy).

Did she dictate the colon after "murmur?" nm
Subject: Did she dictate the colon after "murmur?" nm

x
no matter what they dictate, they are wrong...nm
Subject: no matter what they dictate, they are wrong...nm


doctor didn't dictate mg????
Subject: doctor didn't dictate mg????


The patient was given aminophylline, Lanoxin 0.25, Lasix 40 mg, Cardizem.


okay here the doctor fails to dictate mg? according to 'textbook rules' do I add this or not?


Lordy, when they dictate commas it is just sm
Subject: Lordy, when they dictate commas it is just sm

like a poke in the eye to me!!! Brings me to a screeching halt. I just tend to ignore them, in a report, especially if it is a resident. I do puncturate letters and memos, but half the commas I see people use on this board and other boards are totally not necessary. Just call me
anti-comma!!!!! 
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


Thanks for finding that. I just had doc today dictate this...hmmmm
Subject: Thanks for finding that. I just had doc today dictate this...hmmmm


doc didn't dictate that....her brain was thinking that...
Subject: doc didn't dictate that....her brain was thinking that...

nm
Thought so thanks wish they would dictate the drugs correctly
Subject: Thought so thanks wish they would dictate the drugs correctly


or may be mistakenly thinking of their pet's food as they dictate?
Subject: or may be mistakenly thinking of their pet's food as they dictate?


wrong - they ALL dictate decubiti...no such word
Subject: wrong - they ALL dictate decubiti...no such word


did he dictate the point, or did he say 1 5, to make sure you did not hear 50
Subject: did he dictate the point, or did he say 1 5, to make sure you did not hear 50

nm
That's what I mean by "ask your QA!" Account specifics dictate style, sm
Subject: That's what I mean by "ask your QA!" Account specifics dictate style, sm

but the AAMT BOS dictates what is correct for the industry, getting its information from sources such as the Chicago Manual of Style, the American Medical Association book of style (which I own), etc. As the poster below states, Joint Commission goes by BOS and does not like "same" or abbreviations for diagnoses, impressions, op titles, etc. They will randomly choose patient charts and go through them to check things like this! It's the Joint Commission which recommends or removes hospital accreditations--a very powerful entity.

So, ask your QA what the account wants. If they want "same," give them "same." For other accounts, do it the correct way.
Long shot, but often dictate myocardial ischemia. nm
Subject: Long shot, but often dictate myocardial ischemia. nm

xx
DERM HELP PLEASE!!
Subject: DERM HELP PLEASE!!

It is an assessment - eczema s/l craculae or crackle-a.  TIA!!


Derm and Hem?
Subject: Derm and Hem?

Under Review of Systems, it sounds like the doctors says "Derm no complaints, Hem no complaints." I've never heard this dictated in the Review of Systems before.


Macrobid (nitrofurantoin) is commonly used, maybe doc stumbling on whether to dictate brand name or
Subject: Macrobid (nitrofurantoin) is commonly used, maybe doc stumbling on whether to dictate brand name or generic?


Derm help needed sm
Subject: Derm help needed sm

Need help with words in bold.  Thank you.


 


SKIN:  Lots of seborrheic keratoses.  He does have an elevated 9 mm papule on left side of the face, which has some vascularization and central core.  It almost looks like acanthokeratosis, but basal cell carcinoma cannot be fully ruled out.  No other suspicious lesions.  He does have some miliary rubra on the back. 


here is derm site for you. sm
Subject: here is derm site for you. sm

http://dermatlas.med.jhmi.edu/derm/cd_lists.cfm
HELP WITH DERM TERMS!
Subject: HELP WITH DERM TERMS!

I have 2 dermatology - I am usually not a derm girl, so any help is MUCH appreciated.


Assessment:  Nevus s/l: roo-let-ee s/l: tip-e-er midabdomen.  (Nevus ruletti tipiar midabdomen)?? AND:


s/l: Dermatified (or dromatified) broma right shin.  She uses this phrase in a previous sentence:


On his right shin he has superficial change that appears like a dermatified broma; however, it is not as nodular beneath the shin, but it is definitely excoriated or irritated on the surface. 


I just cannot find any info on these two - sorry this is so long.  I am covering for someone and would prefer not to send to the editor!!  TIA


derm terms
Subject: derm terms

nevus, rule out atypia, midabdomen


dermatofibroma


 


Here are a few of my derm refs for you. sm
Subject: Here are a few of my derm refs for you. sm

http://dermatlas.med.jhmi.edu/derm/search.cfm


 


http://www.dermsmart.com/encyclopedia/skin_encyclopedia.htm


Derm exam
Subject: Derm exam

I am in the derm part of the exam:


DERM: The patient with some darkened discoloration with some evidence of s/l Likif_____cation on the lateral aspect of the right leg. (the patient says that he has had experienced pruritus and has scratched that area vigorously.


Thanks


Some derm links for you. sm
Subject: Some derm links for you. sm

http://dermis.multimedica.de/dermisroot/en/home/index.htm


http://dermis.multimedica.de/dermisroot/en/home/index.htm


 


http://mtdesk.com/word-lists/dermatology-terms.php


 


 


 


 


 


Derm link for you. sm
Subject: Derm link for you. sm

http://dermatlas.med.jhmi.edu/derm/cd_lists.cfm
Pupils equally reactive to light, they do not always dictate the whole exam abbreviation, they ..sm
Subject: Pupils equally reactive to light, they do not always dictate the whole exam abbreviation, they ..sm

do not always examine all aspects on PE.  Hope this helps!
post below is something to do with derm, still unsur
Subject: post below is something to do with derm, still unsur


s/l mild derm and hypotension
Subject: s/l mild derm and hypotension

The patient has been doing well in rehab except for some s/l mild derm and hypotension.


TIA!


Thanks Derm MT - not original poster, but /sm
Subject: Thanks Derm MT - not original poster, but /sm

I wrote this one down -- cross-referencing in both "c" and "s"

Browsing this morning, I read original post and thought I had had "servant" as "cervatte" or something before -- looked up a couple different spellings, and could not find, so figured I must have been wrong and moved on. However, this one would have bugged me enough I would have spent more time searching later...

Glad you posted the correct answer.
Here is Derm Atlas link for you. sm
Subject: Here is Derm Atlas link for you. sm

Is alphabetized etc.


 


http://dermatlas.med.jhmi.edu/derm/cd_lists.cfm


PUNCTUATION - DERM - ADJECTIVES
Subject: PUNCTUATION - DERM - ADJECTIVES

These derm guys and their adjectives are putting me right over the top!!!  Comma or no comma???


Physical examination reveals relatively severe diffuse facial dermatoheliosis


relatively severe, diffuse or relatively severe diffuse


Could not find it in my Derm Dict, but. sm
Subject: Could not find it in my Derm Dict, but. sm

since telantiectasia is one of the symptoms/signs of rosacea I believe these sites are okay and reliable. See below. Sort of like saying papulo-pustular, which in the old days when I typed derm was always hyphenated etc. Just new derm-speak I believe


 



Pimecrolimus for treatment of acne rosacea.





CONCLUSIONS: It appears pimecrolimus may be efficacious in the treatment of erythrotelangiectatic and papulopustular rosacea and may be considered in ...
www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=15891250&dopt=Abstract - Similar pages


Tacrolimus effect on rosacea.





Twenty-four patients with erythrotelangiectatic or papulopustular rosacea were treated with 0.1% tac...
www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=14699377&dopt=Abstract - Similar pages
[ More results from www.ncbi.nlm.nih.gov ]


ScienceDirect - Journal of the American Academy of Dermatology ...





Twenty-four patients with erythrotelangiectatic or papulopustular rosacea were treated with 0.1% tacrolimus topical ointment in a 12-week open-label trial. ...
linkinghub.elsevier.com/retrieve/pii/S0190962203021571 - Similar pages

or could just be "ectasias" - Sted Derm
Subject: or could just be "ectasias" - Sted Derm

n/m
DERM! What kind of keratosis?
Subject: DERM! What kind of keratosis?

I looked up all of the types of keratoses and only found seborrheic, actinic, solar, and pilaris.

This doctor sounds like she is saying "Likenoid" or "Likanide". I'm not finding anything in my references. Any ideas?