Don't know if this will help. Got from labcorp.com. sm
Subject: Don't know if this will help. Got from labcorp.com. sm

Lysozyme, an hydrolytic enzyme - a bacteriolytic glycosidase, when present in large amounts may appear as a far cathodal migrating ("cationic") band on serum or urine protein electrophoresis. Lysozyme has been found in all three human neutrophil granules (azurophil, specific, and gelatinase types).³ It is elevated in some cases of myelogenous, and most cases of myelomonocytic and monocytic leukemia. The elevation is proportional to the degree of monocytic differentiation and to tumor cell burden and if marked, can result in potassium wasting and hypokalemia.⁴ Lysozyme has been found within the granules of normal and leukemic eosinophils by immunoelectron microscopic study. Elevated serum lysozyme may not establish presence of monocytic differentiation in cases of acute myelogenous leukemia with eosinophilia. ⁵ The level of serum lysozyme has been used as a predictor of CNS involvement in these leukemias.⁶ Serum lysozyme has been shown to be elevated in a number of conditions, including tuberculosis and sarcoidosis as well as leukemia.¹ Sensitivity for prediction of sarcoidosis was 79% in a recent study (c.f. that of serum angiotensin-converting enzyme (ACE) at 59% in the same study). ¹ The serum lysozyme level increased with the number of organs involved. Serum lysozyme, however, is less specific for sarcoidosis than serum ACE. Utilizing a turbidimetric method for measurement of serum lysozyme activity, there was evidence that such an assay was useful in differentiating infection from rejection in transplant recipients. ⁷

You can go to labcorp.com and sm
Subject: You can go to labcorp.com and sm

type "rheumatoid arthritis" or arthritis in the search box and it will pull up the tests they use for these diseases. Great tool. You can then click on the tests and it will give you alternate names etc. Good luck. E mail me if you need any more refs and I will try to give you a good list etc.

See what I found on labcorp.com. sm
Subject: See what I found on labcorp.com. sm

Catecholamines, Fractionated, Urinary Free and Vanillylmandelic Acid (VMA), 24-Hour Urine

Number
	286161
CPT
	82384; 84585
Related Information
	Catecholamines, Fractionated, Urinary Free, 24-Hour Urine Catecholamines, Fractionated, Urinary Free, Random Urine Urine Testing: Preservative Quick Reference Chart Vanillylmandelic Acid (VMA), 24-Hour Urine
Synonyms
	Catecholamines and VMA; Vanillylmandelic Acid (VMA) and Catecholamines, Fractionated, Urinary Free; VMA and Catecholamines
Test Includes
	Total free catecholamines (norepinephrine plus epinephrine, urine); vanillylmandelic acid (VMA), urine; urinary epinephrine, urinary norepinephrine, urinary dopamine

Went to labcorp.com and found this. sm
Subject: Went to labcorp.com and found this. sm

Antineutrophil Cytoplasmic Antibody (ANCA) Profile

Test Includes

Antimyeloperoxidase (MPO) antibodies; antiproteinase 3 (PR3) antibodies; cytoplasmic antineutrophil cytoplasmic antibodies (cANCA); perinuclear antineutrophil cytoplasmic antibodies (pANCA)

I pasted this info from labcorp.com. sm
Subject: I pasted this info from labcorp.com. sm

Your S/L may be in here. Is it promyelocytes? See below.

Additional Information

Presence of one or more of the following may be indications for further investigation: hemoglobin <10 g/dL, hemoglobin >18 g/dL, MCV >100 fL, MCV <80 fL, MCHC >37%, WBC >20,000/mm³, WBC <2000/mm³, presence of sickle cells, and significant spherocytosis, basophilic stippling, stomatocytes, schistocytosis, oval macrocytes, tear drop red blood cells, eosinophilia (>10%) monocytosis (>15%), nucleated red blood cells in other than the newborn, malarial organisms or the possibility of malarial organisms, hypersegmented (five or more nuclear segments) PMNs, agranular PMNs, Pelger-Hu�t anomaly, Auer rods, D�hle bodies, marked toxic granulation, mononuclears in which apparent nucleoli are prominent (blast type cells), presence of metamyelocytes, myelocytes, promyelocytes, neutropenia, presence of plasma cells, peculiar atypical lymphocytes, significant increase or decrease in platelets.

According to labcorp.com, Sted's and me, T-cell. nm
Subject: According to labcorp.com, Sted's and me, T-cell. nm

karotype. go to labcorp.com and it will give you more info. nm
Subject: karotype. go to labcorp.com and it will give you more info. nm

Labcorp.com lists a Basic Metabolic Panel (8) sm
Subject: Labcorp.com lists a Basic Metabolic Panel (8) sm

Metabolic Panel (8), Basic

Try going to labcorp.com typing in anemia profile in search. May get you started. nm
Subject: Try going to labcorp.com typing in anemia profile in search. May get you started. nm

they do acid-fast smears on sputum, etc. Here is link from labcorp.com.
Subject: they do acid-fast smears on sputum, etc. Here is link from labcorp.com.

Acid-Fast (Mycobacteria) Broth-Based Culture and Smear and Susceptibility

Number
	182675
CPT
	87015; 87116; 87206
Related Information
	Acid-Fast (Mycobacteria) Antibiotic Susceptibilities Default Test Order for Ambiguous Orders Organism Identification, Mycobacteria
Synonyms
	Blood Mycobacteria Culture ; Culture, Acid-Fast (Sputum, Tissue, Urine, and Gastric Contents) ; Culture, Blood, Mycobacteria ; Mycobacteria Culture (Sputum, Tissue, Urine, and Gastric Contents)
Test Includes
	Mycobacteria culture (AFB) and smear when appropriate; smears are not performed on blood or when there is less than 2 mL of cerebrospinal fluid. Susceptibility testing [test 088161] is performed at an additional charge when Mycobacterium spp is recovered. Culture and identification (additional charges/CPT code[s] may apply). CPT coding for microbiology and virology procedures often cannot be determined before the culture is performed. Requests with only a written order and no test number indicated will be processed according to Default Test Order for Ambiguous Orders .
Specimen
	First morning sputum (not saliva) (three separate specimens from three separate days are recommended), fasting gastric aspirate, induced sputum, whole blood, tissue, biopsy, bronchial aspirate, urine, skin, cerebrospinal fluid, bone marrow, body fluid, stool. Swabs of exudate from skin sources are acceptable, otherwise, swab specimens should not be submitted. Collect aspirate using sterile, nonbacteriostatic saline or other noninhibitory medium. Do not send syringe. It will be rejected.

Pt list of drugs s/l "thy a do laj" 120 micrograms p.o. q.d. Problem list in message. sm
Subject: Pt list of drugs s/l "thy a do laj" 120 micrograms p.o. q.d. Problem list in message. sm

1. Dementia of undetermined etiology.

2. Hypothyroidism.

3. Osteoporosis.

History of depression.

In list of meds...Full bee 1 tab q.a.m. sm for problem list :)
Subject: In list of meds...Full bee 1 tab q.a.m. sm for problem list :)

1. Diffuse Lewy body disease mixed with Alzheimer�s disease.

2. Generalized anxiety disorder.

3. Benign prostatic hypertrophy.

4 Gastroesophageal reflux disease.

Med list, s/l mylar? drops. No context as in list only. Tx. nm
Subject: Med list, s/l mylar? drops. No context as in list only. Tx. nm

xx

Tests
Could it be Spurling?

http://www.slackbooks.com/view.asp?slackCode=45910

Lab tests
Subject: Lab tests

I cannot understand this doctor at all. Help me please!

Hematocrit, hemoglobin and protime partial thromboclastindime within normal limits.

What the heck is that supposed to be?

lab tests....sm
Subject: lab tests....sm

Here are 2 sites for lab tests.

http://www.labtestsonline.org/

and

http://health.ucsd.edu/labref/alpprea.html

tests
Subject: tests

Positive startle. Postive s/l Munro. Positive suck.

tests
Subject: tests

No easy way to clue in for this without giving you the answer. Check out this web link for your tests.

http://www.suite101.com/blog/daisyelaine/anca_and_autoimmune_diseases

Lab tests
Subject: Lab tests

use commas because each is a separate lab test: rheumatoid factor, etc.
Rosie

tests, sm
Subject: tests, sm

From Stedman's Ortho:

Trendelenburg

Beckhterev OR Bekhterev sitting

Ely

Soto-Hall

Spurling

Hearing tests
Subject: Hearing tests

There's a Lombard's test, and there's a Schwabach's test.

blood tests
Subject: blood tests

pro-time and partial thromboplastin time, or PT/PTT.

Urine tests
Subject: Urine tests

On his last three urine tests beginning April 2005, he has had between 5 and 8 red blood cells (or RBCs) per high power field.

Just my suggestion. The RBC depends on to whome you are writing the letter.

You are right - referring to those 3 tests - and I would (sm)
Subject: You are right - referring to those 3 tests - and I would (sm)

transcribe it like this
drop, can, and arc.

antibody tests
Subject: antibody tests

any clues about "anti rivin, anti smith, antirivin" antibody tests/ What is a good web site for these things anyway? Thanks !

Ortho tests
Subject: Ortho tests

Negative CMC, Finkelstein, hitchhiker, LTShuck, ___ and rock. THANK YOU FOR ANY HELP

ortho help tests
Subject: ortho help tests

eortho.com has finkelsteins related to hitchhiker's test for hand test de Quervain's. CMC (carpometacarpal) grind test is for hand/thumb.

Ortho tests
Negative CMC, Finkelstein, hitchhiker, LTShuck, ___ and rock. THANK YOU FOR ANY HELP>

provocative tests
Subject: provocative tests

Minimally displaced radial head fracture of lue.

Provocatives are equivocal with Finkelstein's and s/l valotin over the anatomic snuffbox.

Thanks in advance

Doc is listing lab tests for pt. (nm) TIA
Subject: Doc is listing lab tests for pt. (nm) TIA

x

Sure. He could be ordering those tests for
Subject: Sure. He could be ordering those tests for

other problems the patient has.

patch tests
Subject: patch tests

Sorry, yes it is allergy testing.

Separating lab tests
Subject: Separating lab tests

Is there a website that tells you what lab tests go together? For example, CBC: WBC, RBC, platelets, etc. AST, ALT. I get so confused. TIA

cardio tests help
Subject: cardio tests help

echo, nuclear stress and "OH" ?

i feel dumb but is OH a cardiac test?

I always expand everything if CP says so, even lab tests..
Subject: I always expand everything if CP says so, even lab tests..

xx

Two Medical Tests
Subject: Two Medical Tests

P-4 Function Test? 6-minute walk test? Are these to be hyphenated or capitalized in the report?

State tests.
Subject: State tests.

Can anyone tell me how hard the tests are to become a CMT and RMT?

They are not "state" tests. You take
Subject: They are not "state" tests. You take

them thruogh AHDI. In my opinion, they are not worth the cost unless your employer pays you extra money for having the credentials. It is a way for AHDI to make money more than anything else. With their nonsupport of MTs in this country, I would not give them 1 cent of my money.

It's probably shear and glide tests. nm
Subject: It's probably shear and glide tests. nm

x

we do not supply answers to tests on this....nm
Subject: we do not supply answers to tests on this....nm

Dix-Hallpike - tests for vertigo
Subject: Dix-Hallpike - tests for vertigo

x

Are there any unusual tests mentioned later on? nm
Subject: Are there any unusual tests mentioned later on? nm

s

Lab tests, complete sentence below....
Subject: Lab tests, complete sentence below....

we could obtain thyroid function tests, intact (s/l parathoma) level, as well as a vitamin D level.

Thanks for your help.

Here's what I'd do for taking verbatim tests. sm
Subject: Here's what I'd do for taking verbatim tests. sm

First, ask the tester whether you should transcribe verbatim or strict verbatim and then do just that.

If instructed to transcribe verbatim, I would then add a note at the beginning of the test saying, "These reports were transcribed strict verbatim (whatever) as instructed. However, if these were dictations I would encounter on the job, I would flag such and such (and site the instance), change such and such to such and such, etc."

This would cover you both ways, showing that you followed their verbatim instructions but you also noted some discrepancies or grammar/punctuation things that needed to be fixed, etc.

If the companies you are testing for require 3 or more years' experience in medical records transcription, they really mean it. If you don't have this kind of experience, you are really doing yourself an injustice. From your questions below, I can see you're a newbie. I recommend your getting a job in a hospital or clinic where other MTs can give you the added instruction you need for this kind of work. It's the best advice I can give you.

Another point of advice: Research all the responses you get here for your questions. While intending to be helpful, some MTs do not provide the correct answers.

Then jot down all the words in a notebook you have to look up, all of them, with a bit of definition to go along with it. MT requires extensive research forEVER!

Good luck, Carrie!

he had liver function tests in your....
Subject: he had liver function tests in your....

office which continued to show a mild elevation of his GGPT and CPK.

Is the GGPT correct? Thank you

ESL dictating lab tests.....patient had
Subject: ESL dictating lab tests.....patient had

a TSS or DSS level checked?

TIA!!

Maybe there were multiple tests done, and one was over a million.
Subject: Maybe there were multiple tests done, and one was over a million.

Just an idea.

haptoglobin tests for anemia; do you
Subject: haptoglobin tests for anemia; do you

think it might fit your s/l?

Regarding tests ordered for cancer...sm
Subject: Regarding tests ordered for cancer...sm

I talked with the patient and I will order the CA-125, CEA and ____ (s/l Alasa) to rule out any problems.

Pt worried about having cancer and wanted tests ordered.

TIA

Regarding tests ordered for cancer...sm
Subject: Regarding tests ordered for cancer...sm

PSA???

male/female?