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History of profound hypercholesterolemia with BALANSTOMAS on her eyelids

Posted By: lkimsmom on 2006-10-29
In Reply to:

Subject: History of profound hypercholesterolemia with BALANSTOMAS on her eyelids

I'm fairly new at this work but I can't make anything of it.  Anyone have any ideas? 




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Subject: Apparently blephar(o) is pertaining to the eyelids, the actual eyelid is palpebra


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Subject: Under past medical history - history of abnormal s/l petatrie functioning. I really cannot make *sm

it out.  It is a foreigner.  He is saying it very fast.  History of abnormal petatrie functioning is what is sounds like to me.  I have no clue. 
history of colorectal history with metastasis to the liver and lymph nodes
Subject: history of colorectal history with metastasis to the liver and lymph nodes


hypercholesterolemia maybe?? nm
Subject: hypercholesterolemia maybe?? nm

s
Has hypercholesterolemia become
Subject: Has hypercholesterolemia become

nm
hypercholesterolemia
Subject: hypercholesterolemia

that's correct
Hypercholesterolemia - sm
Subject: Hypercholesterolemia - sm

It is under the impression. He states:
1. Hypercholesterolemia. We will trial the patient on ??. I know I hear "asa" at the end. The patient has had trouble with statins, and he says he will wait until a new drug comes around. So I am not sure if this is actually a medication or some kind of supplement.
usually it would be hypercholesterolemia
Subject: usually it would be hypercholesterolemia

but if the doctor dictates "hypercholesterol", then I would type what he says.  They make up words all the time, and I would type it as one word. 
How about TriCor for hypercholesterolemia
Subject: How about TriCor for hypercholesterolemia

??
hypercholesterolemia? guessing here...
Subject: hypercholesterolemia? guessing here...


Drug for hypercholesterolemia
Subject: Drug for hypercholesterolemia

S/L Olvasa, Bulbasa, Vulvasa - Something along that line.  Please help.  Thanks.
Vytorin is for hypercholesterolemia, if that
Subject: Vytorin is for hypercholesterolemia, if that

is not mentioned in the patient history, I don't think I would guess/use that.
Can you hear either hypercholesterolemia or hypertriglyceridemia?
Subject: Can you hear either hypercholesterolemia or hypertriglyceridemia?

Does this patient have high cholesterol?
could the second word be Vytorin? It is for hypercholesterolemia..nm
Subject: could the second word be Vytorin? It is for hypercholesterolemia..nm

s
What is the exact sentence, are you sure it is for hypercholesterolemia?
Subject: What is the exact sentence, are you sure it is for hypercholesterolemia?


Patient with hypertension and hypercholesterolemia is on sm
Subject: Patient with hypertension and hypercholesterolemia is on sm

s/l Tek turna, hydrochlorthiazide, Zocor and s/l ex forge?
It could be. He's famous for mispronouncing meds - doesn't say she has hypercholesterolemia.
Subject: It could be. He's famous for mispronouncing meds - doesn't say she has hypercholesterolemia.

nm
Just listed in med list during breast carcinoma consult, but does have HTN, hypercholesterolemia, &
Subject: Just listed in med list during breast carcinoma consult, but does have HTN, hypercholesterolemia, & depression. Thanks everyone for your ideas.


Hypercholesterolemia. Reduce animal fat and ___________, increase exercise and weight loss.
Subject: Hypercholesterolemia. Reduce animal fat and ___________, increase exercise and weight loss.

The blank sounds like "courage", lol.  Thanks for any help.


history
Subject: history

s/ true, screw, tew.


A 20 gauge____  guide monoptic coaxial system was employed to obtain 2 core biopsies of the lesion


OB history
Subject: OB history

CAMT- In my BOS second edition- page 290: Separate GPS sections by commas:


G4, P3, A1 


History of?
Subject: History of?

Could the dictator be saying "history of" cholecystectomy," instead of "her 'seri' cholecystectomy?
history of **leg TB**? sm
Subject: history of **leg TB**? sm

it's on a numbered list so i really dont have anything else to work on. THANKS!
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Subject: not sure but her history is.....

pt had a surgery recently from a MVA and had several broken bones, also history of hypertension, diabetes and peripheral vascular disease. thanks
??? not sure, not really any history
Subject: ??? not sure, not really any history

sounds just like Caprix
Social history
Subject: Social history

I forget the proper transcription for this regarding numbers--


Occasional tobacco use, 1-2 half-packs per day.


Should 1-2 be spelled out and is half-pack hyphenated? Thanks a lot!


patient history
Subject: patient history

Patient presents with history of ***Lemure*** disease?  s/l Lemirro


family history
Subject: family history

7yo girl with pneumonia. no family history of asthma or other chronic lung disease, immune deficiency or decreased sl-fertility.
H & P- history and physical...nm
Subject: H & P- history and physical...nm

m
history of ?ceilingectocies
Subject: history of ?ceilingectocies


Family history
Subject: Family history

Internal Medicine clinic notes:
Family history: S/L Vonastroms with accent on "strums" at the end of the word. Tape cuts out on the first part, but I can hear the strums at the end.


Thanks


s/l atremic history
Subject: s/l atremic history


PATH history
Subject: PATH history

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HELP-- pt has history of heroin and
Subject: HELP-- pt has history of heroin and

s/l aniculary drug use???????
It may be, but I don't know if she has a history of alcoholism. ..
Subject: It may be, but I don't know if she has a history of alcoholism. ..

I just left it blank for QA. Thanks for the suggestion, though.
Not really. Perhaps just "former history"?? nm
Subject: Not really. Perhaps just "former history"?? nm

x
pro forma history? See ref.
Subject: pro forma history? See ref.

Main Entry:pro for*ma
Pronunciation:(*)pr*-*f*r-m*
Function:adjective


 : done or existing as a matter of form


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Subject: says s/l history of DVD/PE ? - on anticoagulation


Psychiatry - history of s/l TEE-H-SHE (sm)
Subject: Psychiatry - history of s/l TEE-H-SHE (sm)

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Patient with history
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could it be history of hypertension?
Subject: could it be history of hypertension?

nm
history of pneumonia?
Subject: history of pneumonia?

Need help with two words please. 


History of pneumonia and s/l bi-e-ma status post s/l e-cor-ti-cation


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Subject: Bony______ (history)

Chief complaint: Hit the wall with hand.
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Subject: maybe infectious history


surgical history s/l all-tee
Subject: surgical history s/l all-tee

Patient is being seen for balance problems. There is a lot of focus in the report on various tests and her previous tethered cord, lumbar stenosis, laminectomy, etc.

Past surgical history includes: "repair of a spinal fluid leak and (s/l all-tee) then the lumbar spine fusion."

Any ideas as to what the all-tee might be? At first I thought it was the doctor stumbling over her words, but upon re-listening, I'm not so sure!
as in he personally has history of.... NM
Subject: as in he personally has history of.... NM


7-year history.....
Subject: 7-year history.....

I get confused, too!  well-defined hypen; the hyphen is well defined.  That is how I think of the hyphens, but I'm no BOS guru - just been in the biz for a long time.
I do not in surgical history. I only
Subject: I do not in surgical history. I only

expand it if in an op report heading of Procedure Performed:
Surgical History
Subject: Surgical History

"significant for hip replacement, "appy"????
1-year history
Subject: 1-year history

How would you type the patient has a 1-year history of pain....tia.