Hear positional hypotension often...nm
Posted By: wanderer on 2006-01-19
In Reply to: s/l mild derm and hypotension - TX MT
Subject: Hear positional hypotension often...nm
s
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Positional Vertigo
Subject: Positional Vertigo
Hello! Doc is prescribing what sounds like canula three positioning maneuvers' sheet to review. Any clue what canula could be? I know of Cawthorne exercises for vertigo, but he is definitely not saying that.
Thanks! 
If she has intractable headache that is clearly positional, a s/l "wood" patch could be consid
Subject: If she has intractable headache that is clearly positional, a s/l "wood" patch could be considered.
After spinal fluid analysis...I told her to spend most of the next 24 hours recumbent, drink plenty of fluids, and to use some caffeine, as this often does help the pain. If she has intractable headache that is clearly positional, a __ patch could be considered.
Hypotension
Subject: Hypotension
Could they be saying orthostatic hypotension?
Hypotension? Often associated with these.
Subject: Hypotension? Often associated with these.
Doesn't really sound like your s/l though.
sorry, s/l ru-static HYPOtension
Subject: sorry, s/l ru-static HYPOtension
Thank you
it's orthostatic hypotension
Subject: it's orthostatic hypotension
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!
yes, but also used to treat orthostatic hypotension sm
Subject: yes, but also used to treat orthostatic hypotension sm
Beta Blockers
Beta blockers have also been studied for the treatment of orthostatic hypotension.9 The three agents most widely studied are propranolol, piûdolol, and xamoterol. Propranolol’s mechanism of action is believed to be antagonism of beta-controlled vasodilator effects of catecholamines. Pindolol is a nonselective beta blocker with intrinsic sympathomimetic activity. Patients with orthostatic hypotension may have reduced sympathomimetic activity, and the agonist properties of pindolol account for its usefulness in these patients. Xamoterol, a partial beta1-selective agonist, has been shown to be useful in patients unable to tolerate pindolol. Because xamaterol is an investigational agent, its usefulness is limited. Nevertheless, a New Drug Application has been filed with the FDA.
perhaps iatrogenic orthostatic hypOtension? nm
Subject: perhaps iatrogenic orthostatic hypOtension? nm
treatment for persistent hypotension--sm
Subject: treatment for persistent hypotension--sm
what I found for treating this was *vial of adenosine* or a vial of *sodium bicarbonate*.
would not list anything related to hypotension in there
Subject: would not list anything related to hypotension in there
Is the doctor perhaps trying a variation of no suicidal ideation or homicidal ideation as an abbreviation? (suicidal ideation/homicidal) That is what I hear mostly in that context.
orthostatic hypotension (blush!)
Subject: orthostatic hypotension (blush!)
Neuro help - postural hypotension
Subject: Neuro help - postural hypotension
The diagnosis is postural hypotension and during the exam the physician states
She has no post head shake nystagmus and she has no catch up s/l sick-ons that are noted after performing head thrust maneuvers.
I heard that orthostatic hypotension can cause urinary urgency
Subject: I heard that orthostatic hypotension can cause urinary urgency
Can you hear bunion for the first word? And the second can you hear symptomatic or sensory pain?
Subject: Can you hear bunion for the first word? And the second can you hear symptomatic or sensory pain?
Cannot hear adenopathy. Clearly hear *pology. Thank you, though.
Subject: Cannot hear adenopathy. Clearly hear *pology. Thank you, though.
Can you hear "mild". Hear that a lot. nm
Subject: Can you hear "mild". Hear that a lot. nm
I do not hear that
Subject: I do not hear that
but I believe you are correct, there is mention of exposed cartilage. Thank you very much.
or can you hear..................nm
Subject: or can you hear..................nm
can you hear VRE - this has been associated
Subject: can you hear VRE - this has been associated
with C. difficile colitis as well - CD/VRE...also, resolved to the NVRA just doesn't make grammatical sense - you sure it's not "The C. difficile was treated with Flagyl, but resulted in VRE, then treated with Zyvox?" GOOD LUCK!
can you hear?
Subject: can you hear?
guaifenesin and Tessalon Perles
can you hear
Subject: can you hear
,,,
That's it. Can hear it clearly. Thanks so much!
Subject: That's it. Can hear it clearly. Thanks so much!
Thank you. I really could not hear...
Subject: Thank you. I really could not hear...
cortical; he was not an ESL and said it 5 or 6 times in the report.
Thanks for trying.
Usually hear this
Subject: Usually hear this
nerve root impingement
Used to hear that a lot. sm
Subject: Used to hear that a lot. sm
back in the day they said leukouria a lot, not so much today. I just typed it like that. I think it may have been in one of those old Dorland's from the 70s.
can you hear...
Subject: can you hear...
suggested etiology or suggest ... or maybe assess etiology. Sorry, just making some guesses without knowing what's right before and after.
I'd like to hear more about this:...(sm).
Subject: I'd like to hear more about this:...(sm).
 hysterical anesthesia
Bodily anesthesia occurring in hysteria
Can you hear
Subject: Can you hear
Byetta?
Can you hear
Subject: Can you hear
Easy? That makes the most sense.
Can you hear
Subject: Can you hear
Harmonic scalpel?
Thanks. Now I hear it.
Subject: Thanks. Now I hear it.
can you hear
Subject: can you hear
transverse?
I hear ya
Subject: I hear ya
Since there are so many different transcription platforms, you can't always program in the 1/2 symbol and typing it like that - 1/2 - is clumsy and can be unclear when read. The guidelines at my last in-house job were to convert it to decimal if possible.
Can you hear something like sm
Subject: Can you hear something like sm
ACBE or air contrast barium enema???
sorry I would have to actually hear that one I think. nm
Subject: sorry I would have to actually hear that one I think. nm
.
This is not it either, I def hear a 'D' before
Subject: This is not it either, I def hear a 'D' before
Not sure about that one as I do not hear a 'y' or 'x ' in
Subject: Not sure about that one as I do not hear a 'y' or 'x ' in
Need to hear what comes before and after this. nm
Subject: Need to hear what comes before and after this. nm
s
can hear...
Subject: can hear...
I can only hear s/l a enroom taking out of his right third webspace.
I think synergetic pain is correct but I can't hear bunion at all.
thank you, I tried to hear it, but could not.
Subject: thank you, I tried to hear it, but could not.
No, can't hear that.
Subject: No, can't hear that.
Can you hear
Subject: Can you hear
nm
Could you hear
Subject: Could you hear
medial partial or one-third facetectomy? Not sure about the thoraco part since he's talking about L4-L5, lumbar not T-spine. Not a neurosurgery expert, just some ideas...
can you hear
Subject: can you hear
itraconazole? see link
Do you maybe hear GC-MS? See msg
Subject: Do you maybe hear GC-MS? See msg
GC-MS stands for gas chromatography-mass spectometry. I looked this up on Google and did find it is used to test for opiates. Hope it maybe helps.
Can u hear BUN?... nm
Subject: Can u hear BUN?... nm
x
Yes, I can hear that.
Subject: Yes, I can hear that.
nm
No, definitely saying 3 and 1. Can hear the #3 and #1
Subject: No, definitely saying 3 and 1. Can hear the #3 and #1
not sure about the word AND. I will leave it blank and send through. Thanks for your help.
Ill see if I hear that thanks!!
Subject: Ill see if I hear that thanks!!
No....did not hear that. Thanks for the help though
Subject: No....did not hear that. Thanks for the help though
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