Exam is consistent with pancreatitis. I seriously doubt s/l stumpitis
Posted By: MIB on 2005-12-03
In Reply to:
Subject: Exam is consistent with pancreatitis. I seriously doubt s/l stumpitis
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Pancreatitis? nm
Subject: Pancreatitis? nm
xx
pancreatitis with s/l flegman
Subject: pancreatitis with s/l flegman
any guesses........severe alcoholism.
TIA
There's phlegmonous pancreatitis nm
Subject: There's phlegmonous pancreatitis nm
nm
ack i got it! gallstone pancreatitis... =) NM
Subject: ack i got it! gallstone pancreatitis... =) NM
x
pancreatitis caused by *elmosperachinase*
Subject: pancreatitis caused by *elmosperachinase*
This is a 10-year-old with ALL presenting with pancreatitis. It was felt that the "elmosperachinase" caused the pancreatitis.
Any ideas?
s/l "avideo" pancreatitis - don't have any other info -
Subject: s/l "avideo" pancreatitis - don't have any other info -
I'm actually helping someone else with this, so I don't have details, but she was thinking "ileal" pancreatitis - that doesn't sound right to me. Any suggestions?
No history of withrawal seizures, fissures or PUD or pancreatitis.
Subject: No history of withrawal seizures, fissures or PUD or pancreatitis.
I need some help......
It sounds like "No history of withdrawal seizures, fissures or PUD or pancreatitis." For a patient with alcoholic liver disease. The underlined is what I am not sure about. Thanks!
Maybe early severe acute pancreatitis ESAP
Subject: Maybe early severe acute pancreatitis ESAP
.
need an OB sign consistent with polyp
Subject: need an OB sign consistent with polyp
pt with hx of abnormal uterine bleeding and pelvic pain. She hs an ______ sign which is consistent with a probable endometrial polyp.
It sounds like it begins with an "M" like "melter".
Thanks,
d~
I would write it as a decimal - keep it consistent nm
Subject: I would write it as a decimal - keep it consistent nm
meant to type consistent. Sorry. nm
Subject: meant to type consistent. Sorry. nm
Visible tic s/l "ingrecking" consistent with Tourette's
Subject: Visible tic s/l "ingrecking" consistent with Tourette's
continuous flowing of the theta consistent
Subject: continuous flowing of the theta consistent
EET showed background flowing, continuous flowing of the "theta"
consistent with metabolic etiology.
Prominence of the supraclavicular notch consistent with a serical rib
Subject: Prominence of the supraclavicular notch consistent with a serical rib
Ortho - patient had bone scan consistent with - sm
Subject: Ortho - patient had bone scan consistent with - sm
loosening of her prosthesis and they recommended correlation with s/l "an NMY (or wide) self-scan if there is any suggestion of an infection."
Thanks for your help.
On EKG possible voltage s/l fraying?frame? criteria consistent with LVH
Subject: On EKG possible voltage s/l fraying?frame? criteria consistent with LVH
He has a rash on his feet consistent with s/l inia pedis?
Subject: He has a rash on his feet consistent with s/l inia pedis?
xx
There is a fetus of [s/l canrumplings consistent with a menstrual age of 12 weeks 1 day
Subject: There is a fetus of [s/l canrumplings consistent with a menstrual age of 12 weeks 1 day
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. :-)
CT of brain: s/l ventricles ensarcopertina prominant consistent with age-appropriate atrophy...TIAnm
Subject: CT of brain: s/l ventricles ensarcopertina prominant consistent with age-appropriate atrophy...TIAnm
nm
EEG large amount of *loval dysfact* activity consistent with dementia??? NM
Subject: EEG large amount of *loval dysfact* activity consistent with dementia??? NM
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?
MRI with white matter disease and division restriction consistent w/ "Handball" stroke. sm
Subject: MRI with white matter disease and division restriction consistent w/ "Handball" stroke. sm
The MRI of her brain was significant for white matter disease and an area of division restriction consistent with a handball stroke.
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.
Ct abdomen and pelvis doubt
Subject: Ct abdomen and pelvis doubt
multiloculated or ____ (simi subtrated) cyst in the pancreatic map.
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.
s/l Increasing intermetatarsal "ON POSS" consistent with hallux abductovalgus deformity left
Subject: s/l Increasing intermetatarsal "ON POSS" consistent with hallux abductovalgus deformity left foo
nodular liver contour with a prominent left lobe [s/l and cardache] consistent with cirrhosis
Subject: nodular liver contour with a prominent left lobe [s/l and cardache] consistent with cirrhosis
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
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!
It's too late to tell you to leave a blank. Doubt "os finder." nm
x
Throat exam is normal, as were the rest of her neck, face, and skull exam.
Subject: Throat exam is normal, as were the rest of her neck, face, and skull exam.
Eye exam: s/l "sub-lamp" exam shows left side has multiple small punctations in the cornea.(t
Subject: Eye exam: s/l "sub-lamp" exam shows left side has multiple small punctations in the cornea.(thanks)
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