Here is the paragraph for the s/l line infection evaluation..
Posted By: Deborah on 2007-08-01
In Reply to:
Subject: Here is the paragraph for the s/l line infection evaluation..
Patient here today for a post-op s/l line infection evaluation. She has been doing daily wet to dry dressing changes and today the wound breadown area is less than a cm across and with probing with a Q-tip will not extend any greater than 2 cm in the area. I do not think that this continues to require any packing. I have recommended that she just keep gauze over the area for the drainage. thank you
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OB longshot..here today for a post-op s/l wine infection evaluation..if you need more info let me
Subject: OB longshot..here today for a post-op s/l wine infection evaluation..if you need more info let me
know and i will write out the whole sentence. thanks
could it be a line infection?
Subject: could it be a line infection?
As in an incision line infection?
Yes line infection is correct
Subject: Yes line infection is correct
like a central venous line, say.
may be "nidus of" infection (i.e. source/focus of infection) .nm
Subject: may be "nidus of" infection (i.e. source/focus of infection) .nm
Maybe he's saying "joint line or knee joint line and skin intact" in there somewhere? I
Subject: Maybe he's saying "joint line or knee joint line and skin intact" in there somewhere? I'm reaching.
Could use Thorax or Extremities. Axillary line is the horizontal line
Subject: Could use Thorax or Extremities. Axillary line is the horizontal line
s
I was incorrect with my axillary line. It's the vertical line viewed
Subject: I was incorrect with my axillary line. It's the vertical line viewed
s
CABG s/l femoral *art* line. Short for arterial line?
Subject: CABG s/l femoral *art* line. Short for arterial line?
many thanks.
Type of infection s/l merse infection?
Subject: Type of infection s/l merse infection?
I'm stumped. New doctor for me and I have never heard anything like this. Sounds like merse infection? Any ideas? 
Jerovecki infection or Gerovecki infection...see more
Subject: Jerovecki infection or Gerovecki infection...see more
The prophylactic antibiotic that I probably would give her would be something to avoid Pneumocystis corinii "Gerovecki infection" or "Jerovecki infection."
Is an arterial line and central line the same thing? NM
Subject: Is an arterial line and central line the same thing? NM
xxxx
an arterial line usually goes in the arm and a central line in the chest or elsewhere. No they are
Subject: an arterial line usually goes in the arm and a central line in the chest or elsewhere. No they are not the same. nm
.
right line or white line of Toldt
Which is correct?
PIC line versus PICC line....
Subject: PIC line versus PICC line....
Just wondering what the difference is and which one to use when doc says PIC line.
PIC - Peripheral Intravenous Catheter
PICC - Peripherally Inserted Central Catheter
TIA.
Here's the paragraph................
Subject: Here's the paragraph................
"The rest of his past history, review of systems, and social history is otherwise noncontributory, except that he is status post coronary artery bypass graft surgery and has had a pacemaker and is on Coumadin in conjunction with his cerebral vascular disease. He also takes amiodarone, s/l Trazadec, Toprol, Ambien, Cozaar, and Effexor."
The patient is being evaluated by a neurologist for leg and back pain. Thanks.
does this fit at the end of this paragraph? See msg pls.
Subject: does this fit at the end of this paragraph? See msg pls.
Patient is getting back on his medications and will be following up with his psychiatrist Dr. X. They are due within the next few weeks, he says, to recheck his Depakote levels, (Dr. take a drink and says)S/L hemolith normal. (new paragraph)
not sure, here's the paragraph...
Subject: not sure, here's the paragraph...
Neurologic exam/history and physical exam does reveal the patient with parkinsonian features. We are going to go ahead and change him from Sinemet 25/100 mg to Stalevo 100 mg, one in the morning and one at midday, since he really only takes it twice a day. If this does not help, we may try going back to the Sinemet and then trying Azilect for the freezing. I think that may be of great benefit to him, despite the MALB inhibitor.
Here's the rest of the paragraph. I need someone to look at this.
Subject: Here's the rest of the paragraph. I need someone to look at this.
This is listed under the PMH: Do these numbers look right? My question is really the
"FEF 25 to 75 1.66 (65%). " Does this look right? not sure how to type the 75 1.66. ... MD says it like this:
"FEF 25 to 75 one point six six and parentheseses 65%"
Pulmonary – status post pulmonary embolus, status post a prolonged road trip. Coumadin was discontinued in April and MTHFR Heterozygote with an elevated homocysteine level. She has been maintained on Folate. She has also been treated for asthma. Pulmonary function tests in December of 2002 demonstrated a FEV1 of 1.86 (79%), and FVC of 2.41 (83%) an FEV1 of 77% and FEF 25 to 75 1.66 (65%). In March of 2004, a diagnostic polysomnogram demonstrated obesity, hypoventilation; no evidence of obstructive sleep apnea. She has been maintained on 2 liters q.h.s. A repeat study in June of 2005 confirmed that treatment.
if i give you the paragraph for this ....
Subject: if i give you the paragraph for this ....
could you be able to tell if it were a line infection? I will send what they did. thanks
Paragraph numbering
Subject: Paragraph numbering
1.
a.
b.
c.....etc.
When you get all the way through z, how do you number or letter after z? Thanks so much.
Here's the context paragraph...sm
Subject: Here's the context paragraph...sm
Patient recently had a positive culture infection with group B strep. He was treated with some Cipro and he says he is actually voiding better now than he has for some time. He probably has been having a little small "ring" prostatitis going on.
paragraph punctuation help..please...
Subject: paragraph punctuation help..please...
MRI scan indicates status post patellar tendon, bone, and anterior cruciate ligament construction, cystic degeneration of the graft with little remaining low signal fibers is noted, tendon enlargement in the tibial tunnel with cystic erosion through the anterior cortex medially to the patellar tendon, extension into the anterior subcutaneous fat of the proximal right lower leg.
Note the doctor does say construction, not reconstruction can this also be correct? TIA.
I'd just leave it a paragraph at the end. NM
Subject: I'd just leave it a paragraph at the end. NM
I found one paragraph re patients ...sm
Subject: I found one paragraph re patients ...sm
not sure but I found one paragraph thru google about dacron wool........being used on a patient:
Once cooling to -79 C was complete the patient was lifted out of the Silcool bath, the outer, Silcool wetted plastic bag was stripped off and the patient was placed within a polyester cloth bag which was in turn placed inside a standard aluminum neurocan which had been precooled to -90 and packed with dacron
wool. Temperature probes were left externalized to the neurocan for subsequent cooling to -196 C.
I don't really think this is going to help you though but I tried!!
your paragraph has many grammatical errors
Subject: your paragraph has many grammatical errors
along with punctuation - not sure if you just typed it fast and are aware or not? If you more help, let me know.
Go to format/paragraph and you'll see it. nm
Subject: Go to format/paragraph and you'll see it. nm
Based on the following paragraph written by
Subject: Based on the following paragraph written by
Vanderbilt University in relationship to Troubleshooting PICC problems, in particular; "My patient's arm is red, swollen, and/or painful."
A. How does the arm look in comparison to the arm without a PICC line.
B. If redness is involved, is it a red streak up the arm along the vein tract.
C. If swelling is involved, what is the difference in the girth of the two arms.
Your sound-alike brings to my mind: gorge; as engorged. Definition: gorge, glut; especially: to fill with blood to the point of congestion. Just an educated guess though. Good luck.
This paragraph shows AZT for baby -see message
Subject: This paragraph shows AZT for baby -see message
If an HIV positive woman is taking AZT then it will probably be recommended that her baby is given AZT (usually as a syrup) for the first six weeks of its life starting 8-12 hours after birth. Alternatively, if the mother has taken AZT and 3TC during labour then an effective regime for the baby would be one week of AZT and 3TC.
If only limited AZT is available then one week of AZT can be given to the baby. If only single dose AZT is available then the baby can have this combined with a single dose of NVP, and if no AZT is available then the baby can have a single dose of NVP to help protect it.
Stumped - rheumatology. Please see paragraph for context.
Subject: Stumped - rheumatology. Please see paragraph for context.
Patient is a little girl with an area of atrophic and hyperpigmented skin on her forehead (morphea/linear scleroderma en coup de sabra).
"In addition, there is a secondary area which is approximately 2 cm in diameter and 6 cm in length which is hyperpigmented and lateral to the s/l inituary/immisuary, with again subcutaneous atrophy, but without erythema or adherence."
Totally stumped but hate to give up --- Thanks for any help.
does she want you to put in a heading, or include more in prior paragraph
Subject: does she want you to put in a heading, or include more in prior paragraph
nm
Thx! I made it through a whole paragraph of tests, with this being the last one and couldn't get
Subject: Thx! I made it through a whole paragraph of tests, with this being the last one and couldn't get the last one! :) Thx for your help!
does this paragraph sound right and is it punctuated correctly
Subject: does this paragraph sound right and is it punctuated correctly
There were findings of a posterior horn tear of the medial meniscus, a small chondral injury of the medial tibial plateau, grade 4 out of 4, chondromalacia of the medial femoral condyle, grade 3 out of 4, chondromalacia patella and trochlea notch of the femur, grade 3 out of 4.
The doctor speeds through this paragraph at 75mph..does it make sense and is the punctuation correct? TIA.
s/l linear partial tear also does this paragraph
Subject: s/l linear partial tear also does this paragraph
make sense?
There is a focal tear of the posterior supraspinatus tendon noted. No other tear or retraction evident. There is also S/L linear partial tear of the long head of the biceps tendon noted. Mild degenerative changes to the glenohumeral joint also indicated. TIA.
GAU evaluation
Subject: GAU evaluation
Does anyone know what this pertains to? I do not find anything in my Stedman's reference that would shed light on it. The patient is 51 years old and it is a very short dictation with little detail.
evaluation and treatment?
Subject: evaluation and treatment?
x
Evaluation of right shoulder . . .
Subject: Evaluation of right shoulder . . .
Evaluation of his right shoulder shows he does have some atrophy in his 'p_____ disfaucet'.
I know that is not right, but that I was I get from his garble and what sounds like him eating the recorder. LOL
Thanks.
s/l fornik evaluation (sm)
Subject: s/l fornik evaluation (sm)
The patient had been on aspirin at the time of his stroke. He was changed to Plavix. He may be considered for __________ evaluation in the future.
This doctor flies through the dictation at warp speed, but the closest I can hear is "fornik."
Thanks.
Maybe "eval" for evaluation???
Subject: Maybe "eval" for evaluation???
x
Re-evaluation or Reevaluation?
Subject: Re-evaluation or Reevaluation?
Any idea whether this word has a hyphen or not?
Thank you
Could the doc just be stumbling on GU evaluation? Sorry not more help Nm
Subject: Could the doc just be stumbling on GU evaluation? Sorry not more help Nm
nm
maybe for "a VATS" evaluation ??
Subject: maybe for "a VATS" evaluation ??
Just make it the last paragraph in the report. Does it Have to have a title? Maybe Note, Comment,
Subject: Just make it the last paragraph in the report. Does it Have to have a title? Maybe Note, Comment,
s
s/l "Osfinder" evaluation of cervix
Preoperative diagnosis is:
RECURRENT HIGH-GRADE SQUAMOUS INTRAEPITHELIAL LESION FOLLOWING CONE BIOPSY AND CERVICAL STENOSIS PENDING PATHOLOGY.
Procedure is:
EXAMINATION UNDER ANESTHESIA, **OSFINDER** EVALUATION AND DILATATION OF THE CERVIX.
vVery muffled, but "--finder" seems clear (??).
sentence..Returned for re-evaluation of her...
Subject: sentence..Returned for re-evaluation of her...
blood pressure. She is on clathylone, verapamil 240 b.i.d., Mevacor 20 b.i.d., Prilosec, Flexeril, Mataglip and atenolol 25 a day.
She has had restriction of activity secondary to her let shoulder surgery and her right hip arthalgias.
Physical normal. She was given instructions to start water aerobics at the YMCA. A return visit in a year. Thats all the info I have.
evaluation for renal colic
Subject: evaluation for renal colic
s/l BNP? Doc is talking about her evaluation for renal colic the def for this abbrevation does not seem to match this evaluation. Could it be something different?
i would say Examination and Evaluation needs to be put as a heading.
Subject: i would say Examination and Evaluation needs to be put as a heading.
just my thoughts.
Evaluation for possibility of lymphoma
Subject: Evaluation for possibility of lymphoma
His peripheral blood lymphocyte analysis revealed no s/l coronal populations.
Actually, can't get VATS out of it....:P...any ideas? on E Vas or E vus evaluation?
Subject: Actually, can't get VATS out of it....:P...any ideas? on E Vas or E vus evaluation?
PIC line/PICC line
which is correct please
PIC line or PICC line
Subject: PIC line or PICC line
art line -- arterial line
Subject: art line -- arterial line
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