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Doc says liver 'mets', which I believe means metastasis, and is ok to leave as mets? nm

Posted By: as on 2007-09-21
In Reply to:

Subject: Doc says liver 'mets', which I believe means metastasis, and is ok to leave as mets? nm

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Any mets in his abdomen and chest (as in metastasis).
Subject: Any mets in his abdomen and chest (as in metastasis).


history of colorectal history with metastasis to the liver and lymph nodes
Subject: history of colorectal history with metastasis to the liver and lymph nodes


agree, leave as dictated, those are very elevated liver function tests. nm
Subject: agree, leave as dictated, those are very elevated liver function tests. nm

..
I would leave it as he said. He knows what it means...sm
Subject: I would leave it as he said. He knows what it means...sm

TM stands for appx 20 or more things, so you cannot guess which one. Also,the same goes for LAM. It stands for seven different things and you cannot guess which one.

I was taught in this situation to leave it as said. My account even specifies in assessment and plan to never abbreviate except in this case when you cannot 100% verify what the doc means if there is more than one meaning to the abbreviation.

Hope this helps
can't you just leave it abbreviated, or do you have to spell it out. I would leave as dictated.
Subject: can't you just leave it abbreviated, or do you have to spell it out. I would leave as dictated.


mets
Subject: mets

Yep...mets it is.
I was told to use METs
Subject: I was told to use METs

MET = maximum exercise tolerance.

Can't really document that at the moment, however...
mets greater than 4?
Subject: mets greater than 4?

The patient has not had any coronary revascularization or evaluation ever.  He does not have any clinical predictors.  He has good s/l  mets?????? greater than 4.  The patient can go to the operating room with minimal cardiac risk.  The doc is spelling the sounds like.  Thanks


mets (as in metastases)???
Subject: mets (as in metastases)???


brain mets? nm
Subject: brain mets? nm


so what if it's slang - if the dictator says *mets* - nm
Subject: so what if it's slang - if the dictator says *mets* - nm

.
Found a good ref for METs. sm
Subject: Found a good ref for METs. sm

PPT]

Exercise & Cardiology






File Format: Microsoft Powerpoint - View as HTML
Treadmill exercise stress test initial assessment; Functional capacity assessment; Activity of daily living:. Lying quietly 1.0METS; Sitting: light activity ...
www.hkma.com.hk/english/newsroom/news/20060217_Exercise_and_Medicine.ppt - Similar pages


 


 


 


 



eMJA: The Cardiac Society of Australia and New Zealand, Clinical ...





The major use of exercise testing, however, is as a stress test in patients with ... Vo2 is not usually measured directly; energy expenditure in METS can be ...
www.mja.com.au/public/issues/mar4/freedman/freedman.html - 22k - Cached - Similar pages

drop mets from ependymoma.
Subject: drop mets from ependymoma.

mets as in metastasis.
If it was dictated like that & you can leave abbrvns in, then leave it
Subject: If it was dictated like that & you can leave abbrvns in, then leave it

s
yep - metastasis...............n/m
Subject: yep - metastasis...............n/m

.
Could it just be metastasis?
Subject: Could it just be metastasis?

As in choroidal metastasis.
RAW metastasis??
Subject: RAW metastasis??


metabolic equivalents (METs). See if you agree. sm
Subject: metabolic equivalents (METs). See if you agree. sm


Energy expenditure, heart rate response, and metabolic equivalents ...





Expired air analysis was used to calculate energy expenditure and metabolic equivalents (METs). Descriptive statistics were calculated along with a ...
www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=15758852&dopt=Abstract - Similar pages

I would type out metastasis
Subject: I would type out metastasis


only expand it out to metastasis if.....sm
Subject: only expand it out to metastasis if.....sm

Client profile dictates whether or not to give this dictator mets or metastasis.....his saying *met* was wrong.  I would've given him *mets* unless the client profile allows expanding of words, and in that case I would've given them *metastasis*
rule out metastasis, maybe
Subject: rule out metastasis, maybe

nm
meds for bony metastasis
Subject: meds for bony metastasis

Bony metastasis treatment:


s/l dometa 4 mg IV piggyback every 4 weeks


metastasis versus metastases
Subject: metastasis versus metastases

Any advice will be appreciated.


In many reports, I have heard doctors dictate "mets," which I would like to expand when necessary but sometimes am just not sure if singular or pleural expansion applies, e.g., "He has mets to the pelvis," (and then later on dictates) "He is thought to have probable liver mets."  So, would each example I gave be expanded as metastasis or metastases, since there's more than one location of spread but each area of the body is dictated separately? 


correct abbreviation for metastasis?
Subject: correct abbreviation for metastasis?

NP states "Mets to brain".  Should this be mets, metz, or should I spell it out?
oops it is metastasis.....not metastases
Subject: oops it is metastasis.....not metastases


Lung cancer, [RAW?] metastasis
Subject: Lung cancer, [RAW?] metastasis


Personally, I would spell out, but the correct abbreviation would be mets (metastases).
Subject: Personally, I would spell out, but the correct abbreviation would be mets (metastases).


Do you hear zoledronate? used for bone mets of solid tumors. nm
Subject: Do you hear zoledronate? used for bone mets of solid tumors. nm

nm
metastatic breast cancer (as in metastasis) nm
Subject: metastatic breast cancer (as in metastasis) nm


s/l ?thalisary or ?salisary brain metastasis
Subject: s/l ?thalisary or ?salisary brain metastasis

Says "MRI showed decrease in size of ?_____? brain metastasis with less edema."  Can't find in references or google with varied spellings so maybe way off!!


Better ask your QA. Some "verbatim" means "not really verbatim," some means "strictl
Subject: Better ask your QA. Some "verbatim" means "not really verbatim," some means "strictly verbatim." nm

x
Para means near. Parathoracic means near the thoracic muscles. nm
Subject: Para means near. Parathoracic means near the thoracic muscles. nm

x
Chest CT showed (s/l lines,but also s/l starts with m) __________ suspicious for osseous metastasis
Subject: Chest CT showed (s/l lines,but also s/l starts with m) __________ suspicious for osseous metastasis

x
Liver
Subject: Liver

The liver is four finger lengths or finger breaks below the right costal margin. I can't quite make out what he's saying. Thank you.


Liver
Subject: Liver

"Louee's-man" in lateral segment of left liver lobe?
Liver
Subject: Liver

nm
liver MRI
Subject: liver MRI

An MRI with s/o eovisc contrast?
Liver, maybe...
Subject: Liver, maybe...


liver
Subject: liver

The liver is slightly [s/l slender] but not greatly enlarged.


Does the slender part make sense? That is what it sounds like they are saying.


long liver
Subject: long liver

I posted this on the main board and it disappeared so I'm trying again.  Word help is not what I'm looking for though.  I'm trying to find information on having a long liver....not an enlarged liver, but a long liver which I have been told can be a normal variant.  In searching google for abnormal, long, length, etc., I am not coming up with anything pertaining to a long liver.  I know it sounds weird.  It is not a common thing to have but some people do and I would like more information.  TIA.
...studding on liver...pls sm
Subject: ...studding on liver...pls sm

Patient has colon cancer, an advanced cancer both locally and had studding on his liver. Is studding correct? Have never heard that! TIA
liver oil and that CoQ 10? Just a guess. nm
Subject: liver oil and that CoQ 10? Just a guess. nm


Liver resection OP help
Subject: Liver resection OP help

Okay I've had this several times but 9 a.m. was a long time ago and for the life of me it will not surface to the necessary area of the brain!


Doing segment 7 liver resection with (S/L habeeb or abeeb) ____ assisted RFA.


also


 We then used the (s/l ocuser / cusor / coose )__________ instrument to transect the liver parenchyma more deeply down to the surface of the middle hepatic vein.


s/l hypokevmasis in the liver..sm
Subject: s/l hypokevmasis in the liver..sm

Abdominal ultrasound revealed, with the impression of, liver measured 16.5-cm, slight increased echo texture throughout the liver consistent with fatty infiltration.  Within the left liver lobe there was a s/l "hypokevmasis"...


 


Thanks for all help. 


liver failure
Subject: liver failure

tense ascites and caput medusae
Liver edge???
Subject: Liver edge???

Another wild guess.
s/l liver parentula
Subject: s/l liver parentula

We have recommended that she continue sensible weight loss, avoid hepatotoxic medications, unnecessary medications, herbal remedies or vitamins, and we will obtain an ultrasound to evaluate liver s/l parentula.

TIA!!!
liver parenchyma?
Subject: liver parenchyma?

nm
liver parenchyma
Subject: liver parenchyma

It's liver parenchyma .... wow does she say it wrong!

Thanks to all.
s/l seeded her liver
Subject: s/l seeded her liver

I see little reason to re-colonoscope her at this point, as she almost certainly had a site of diverticulitis which s/l seeded her liver.

TIA!!
May be liver retractor?
Subject: May be liver retractor?

Nathanson Hook Liver Retractors. Found on Google. I also have a liver retractor in my Surgical Word Book.