Guess I just won't expand it, still unsure....
Posted By: ER-MT on 2007-09-20
In Reply to: PFC (orthopedic) meanings - ER-MT
Subject: Guess I just won't expand it, still unsure....
because too many times when he uses the term PFC there is no other indication of a joint replacement system having been done or anticipated, so I still have my doubts that that is really what he means by these initials. Thanks for your help.
Complete Discussion Below: marks the location of current message within thread
The messages you are viewing
are archived/old. To view latest messages and participate in discussions, select
the boards given in left menu
Other related messages found in our database
Do you guys expand AIDS/HIV in admit or discharge diagnoses? Normally I expand COPD, CAD, etc.. sm
Subject: Do you guys expand AIDS/HIV in admit or discharge diagnoses? Normally I expand COPD, CAD, etc.. sm
not sure in this case. Account goes by BOS, not super nitpicky, but I'm wondering what y'all do.
Still unsure. Sent to QA:)
Subject: Still unsure. Sent to QA:)
I tried to fit something like vesicles or bubbles in, but it just didn't match what he said...oh well.
Unsure
Subject: Unsure
Patient is an 18-year-old gravida 1, para 0 who comes in for her first prenatal appointment.
ASSESSMENT: This is about a 27-week pregnancy with uncertain dating in a _____ (s/l pri nep or pri mep??) with late prenatal care.
Unsure
Subject: Unsure
The fact that he has both retinopathy and nephropathy does bouge ill if he continues to have uncontrolled blood sugar readings.
ESL doctor, not sure what he's saying. s/l bouge ill but that really doesn't make sense to me...lol
Unsure
Subject: Unsure
LOWER EXTREMITIES: No edema. No breakdown. The right foot shows an irregularly cut great toenail, but no evidence of infection or tenderness. He continues to have dependent _______________ , more noticeable on the right foot. Pulse is minimal, 0 to 1+.
Blank s/l roo-war
The patient is a diabetic.
Im just unsure. SBN, SDN ? nm
Subject: Im just unsure. SBN, SDN ? nm
?
Unsure of something
Subject: Unsure of something
An ABI was attempted but no pulse could be found around his “ankle.”
ABI means ankle-brachial index? Another way of checking pulse? Just need to understand what is being talked about. Unsure
Unsure
Subject: Unsure
Would it be possible to address with name, title?
so unsure
Subject: so unsure
It is so hard to say. He could be slurring the S in from diagnosis with ac contusion. He does not make sense with any of his sentences. For example exact words ?? contusion foot contusion shin. He ends with shin. I have no clue. I am new at this with a doc with marbles in his mouth and doesn't finish sentences correctly. It is going to be a long night. Three reports from the same doc. :-( Calgon take me away.
Please help, unsure of a sentence....sm
Subject: Please help, unsure of a sentence....sm
I am having a hard time understanding something a dictator is saying. She is new to me. Would you mind telling me which makes sense. She is a bit quick and I am unsure. I tried looking it up without any success. The sentence is below.
has had years of varicose veins. She has had stripping on the right side and also it appears sclerotic therapy or arteriosclerotic therapy ? s/l sclerotic therapy but not sure. Thank you.
Really unsure of this word
Subject: Really unsure of this word
The patient was sent to the pain clinic because of cervical neuropathy turned to _____.
s/l rec-noid-itis
looks correct - unsure what the s/l is though nm
Subject: looks correct - unsure what the s/l is though nm
nothing about a scar, still unsure
Subject: nothing about a scar, still unsure
I would flag it if unsure.
Subject: I would flag it if unsure.
Unsure of words
Subject: Unsure of words
I need help on a couple of sentences. Not sure if I am hearing correctly.
CT scan of the ________ revealed 2 small calcifications in the middle and lower poles of the right kidney measuring 3 mm with no hydrophrosis. (The blank could be one or two words and it sounds like "other-in-pelva". No idea where to begin looking.
Next one
On digital rectal exam, the prostate is "flat" without firmness nodularity. Also sounds like "flask".
unsure of words
Subject: unsure of words
That's it thanks so much.
Try google when you are unsure of a term -sm
Subject: Try google when you are unsure of a term -sm
put in the word as best you can with part of the sentence and see what comes up. I do that when I am unsure of a term and can usually find what I am looking for that way, its a lot faster than posting here, and it teaches you how to reference.
I would think it is lytic then, but if unsure flag it
Subject: I would think it is lytic then, but if unsure flag it
It seems your patient either had a replacement or fracture earlier (is there arthritis in the hx?) I often hear lytic lesions or lytic lines in the areas you mention on patients with arthritis/oseoarthritis. Lysis is the process of destruction of something (in this case, bone), which seems to have been ruled out by these x-rays.
two thoughts; unsure how helpful, but,
Subject: two thoughts; unsure how helpful, but,
This is 1 of many definitions from an "URBAN" dictionary: MACK
mack is a flexible word as a verb; it can be used in pretty much any situation and its meaning will be understood.
Thus, in your case, maybe the dictator chose the word mack as slang for height?.....because 23.5 cm is equal to 9.25 inches. I used this as an example, as I believe you were referring to dietary in a Parkinson patient?....Wish I could assist more.
If unsure blank it and don't waste your
Subject: If unsure blank it and don't waste your
x
Then leave it blank if you are unsure.
Subject: Then leave it blank if you are unsure.
x
Unsure, but maybe you could compare this word with what you hear.
Subject: Unsure, but maybe you could compare this word with what you hear.
Not sure, but there is a pericentromeric marker....Maybe you could take a listen and compare it to this word - again, unsure, but maybe...
unsure of spelling cardio term
Subject: unsure of spelling cardio term
Mild s/l baling of the posterior leaflets.
Thank you Deborah
MR as in mitral regurgitation but unsure if there of 2 MRs in that sentence? nm
Subject: MR as in mitral regurgitation but unsure if there of 2 MRs in that sentence? nm
nm
Thanks. I was listening for him to say thecal, but he didn't, so I was unsure.
Subject: Thanks. I was listening for him to say thecal, but he didn't, so I was unsure.
I'm unsure. That was given in past history info and...
Subject: I'm unsure. That was given in past history info and...
patient is in for abdominal pain... hepatic flexure of colon suggesting intraluminal lipoma. I don't know if they are related or not. Also, am wondering if my s/l is an "uh" before "kine-o-chocal" cyst.
Unsure how to write this regarding laser surgery..sm
Subject: Unsure how to write this regarding laser surgery..sm
The patient said that the laser was utilized for 250 one seconds ? for a total of 43 cm from the top of her leg......
TIA
If that's what was said, yes. You'd expand the second one to 42,800 IF your QA allows it. If n
Subject: If that's what was said, yes. You'd expand the second one to 42,800 IF your QA allows it. If not,
s
if CP says to expand, I certainly do expand
Subject: if CP says to expand, I certainly do expand
Expand IV????
Subject: Expand IV????
How would I expand IV? "Plan is to discontinue his IV." When I look it up I get intravenous. That does not sound right......
THANKS!!!
Expand LVH
Subject: Expand LVH
Not sure whether to expand LVH in assessment. It does not appear expanded elsewhere in report. Left ventricular hypertrophy or left ventricular hyperplasia?? Leave as is?
Unless you need to know it to expand it in
Subject: Unless you need to know it to expand it in
the report, I wouldn't waste time over it. If you need to know, ask your supervisor to find out for you.
how do you expand L5-S1 in a DS?
Subject: how do you expand L5-S1 in a DS?
How would you expand this sentence in the Diagnosis section of a Discharge Summary.
Do I replace L5-S1 with lumbosacral joint?
My account gives examples that we should expand "Fracture, L2" out to "Fracture, second lumbar" .... so that is why I'm thinking I need to expand the L5-S1...
DIAGNOSES:
1. Right-sided L5-S1 herniated nucleus pulposus.
I never expand
Subject: I never expand
Because abbreviations can mean so many things, I never expand abbreviations even in a diagnosis. Our hospital determined it is the dictators job to edit before signing if they want it expanded.
expand HPI?
Subject: expand HPI?
Forgive my newbiness (that WILL become a word someday, I'm sure of it!) that will clearly be seen in this question!
When the doctor dictates "as stated in the HPI" , should I expand that to History of Present Illness - with those caps in place or only capitalizing the H?
Thanks!
should expand
Subject: should expand
I'm told to expand all those that are not common. (How gloriously vague!) Seems to me that "HPI" is pretty common. But I think I'll go ahead and expand.
So should I capitalize all of it?
I would expand
Subject: I would expand
ANY abbreviations the client wants expanded. Everyone has a preference.
If you expand it (and you should if your account allows), sm
Subject: If you expand it (and you should if your account allows), sm
it should be "cardiac catheterization," not "cardiac catheter."
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*
I would expand all as you stated...
Subject: I would expand all as you stated...
I am not on a verbatim account and I do expand those types of abbreviations, but I would be interested in hearing others' opinions as well.
By the way, why are you "dubious"? Just curious!
I wouldn't expand it.
Subject: I wouldn't expand it.
Considering the context in which IV is used, it is its own entity. I would leave it as is.
I think I would just expand this nonsense to have it be
Subject: I think I would just expand this nonsense to have it be
s
I always expand it to saturating. (nm)
Subject: I always expand it to saturating. (nm)
xx
How to expand UBJ obstruction
Subject: How to expand UBJ obstruction
Hi! Need to type UBJ obstruction in an op note. Can't find anywhere in acronyms. Anyone know? Thanks in advance.
Unless you are to expand abbreviations
Subject: Unless you are to expand abbreviations
you transcribe it as dictated.
I always expand everything if CP says so, even lab tests..
Subject: I always expand everything if CP says so, even lab tests..
xx
Unless you have to expand all abbreviations
Subject: Unless you have to expand all abbreviations
don't waste your time worrying about it, just type it.
Expand BMI in op title? sm
Subject: Expand BMI in op title? sm
I couldn't resist putting Guess, since that's what I've had plenty of today. Guess who dictated this report and put in ? maybe the wrong ID? Or is it Dr. ??, or his/her (seriously, I can't tell) PA, or assistant...
Okay, I had to gripe. This is all I get lately. I have actually broken my own record for finding someone who stutters more than someone I used to work for. That's a terrible comparison, as everyone loved thiss doc and doc's dictation.
Thanks..
How do you expand DDAVP?
Subject: How do you expand DDAVP?
DDAVP is dictated in the assessment, in which no abbreviations are allowed. What is the expansion for DDAVP?
unsure how to spell cipher drug eluding stent
Subject: unsure how to spell cipher drug eluding stent
He had two-vessel CAD status post 3 x 33 mm cipher drug eluding stent and a cipher 3 x 23 mm stent placement in the LAD.
can confirm Finkelstein and shuck tests - unsure about the rest NM
Subject: can confirm Finkelstein and shuck tests - unsure about the rest NM
|