How to expand UBJ obstruction
Posted By: sparky on 2008-12-05
In Reply to:
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.
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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.
First, it is UPJ obstruction = ureteropelvic junction obstruction. nm
Subject: First, it is UPJ obstruction = ureteropelvic junction obstruction. nm
.
a scan for UPJ obstruction?
Subject: a scan for UPJ obstruction?
Pt. had been worked up in the past with several s/l ''Matrilasix'' scans?? Thanks for any help!
its under lab data, and the pt does have a possible obstruction
Subject: its under lab data, and the pt does have a possible obstruction
Maybe ileus (obstruction)
Subject: Maybe ileus (obstruction)
intestinal obstruction?
Subject: intestinal obstruction?
x
obstruction series?
Subject: obstruction series?
What is bowel obstruction??
Subject: What is bowel obstruction??
..
s/l/ "adheen" obstruction nm
Subject: s/l/ "adheen" obstruction nm
LVOT dynamic obstruction
Subject: LVOT dynamic obstruction
with the Valsalva noted with peak velocity increasing at baseline. Is LVOT correct?
would they say Subtotal? obstruction of a large
Subject: would they say Subtotal? obstruction of a large
hypokinesis and an ejection fraction of about 40%?
maybe gastric outlet obstruction? nm
Subject: maybe gastric outlet obstruction? nm
Please help - small bowel obstruction
Subject: Please help - small bowel obstruction
This entire one is kicking my butt, anyone have a clue what words could be filled in here?
HISTORY: Abdominal pain.
FINDINGS: (Gassy) (sounds like istiltation) is noted of the small bowel. Degenerative changes noted within the (sounds like rockel) lumbar spine and (sounds like isolate destruction) is noted of the left tip.
bladder outlet obstruction symptoms
Subject: bladder outlet obstruction symptoms
Bladder lesion and gross hematuria with normal ____________________ and regrowth of prostatic tissue with bladder outlet obstruction symptoms. s/l epitrax or upper tracks
Thank you
intestinal obstruction. See info and links.
Subject: intestinal obstruction. See info and links.
Blackwell Synergy: Transplant Infect Dis, Vol 7, Issue 2, pp. 75 ...
Upper endoscopy revealed a partial obstruction of the duodenum related to ...
The duration of treatment for disseminated MAC infection in HIV-positive ...
www.blackwell-synergy.com/ doi/abs/10.1111/j.1399-3062.2005.00090.x - Similar pages
eMedicine - Atypical Mycobacterial Infection : Article by Arry ...
In immunocompromised patients, the intestinal tract is the primary route for MAC
infection, followed by the respiratory tract as a secondary portal of entry ...
www.emedicine.com/ped/topic3034.htm - 154k - Cached - Similar pages
Radiographic Assessment of HIV-Related Diseases
Patients with disseminated MAC infection associated with HIV disease often ...
barium studies may reveal irregularly thickened gastric or intestinal folds. ...
hivinsite.ucsf.edu/ InSite?page=kb-04&doc=kb-04-01-16 - 101k - Jan 4, 2006 - Cached - Similar pages
Sounds like it could be ileus; an obstruction of the intestine.
Subject: Sounds like it could be ileus; an obstruction of the intestine.
"Hydronephritis, Obstruction of drainage of urine anywhere in UT..."
Subject: "Hydronephritis, Obstruction of drainage of urine anywhere in UT..."
http://faculty.washington.edu/alexbert/MEDEX/Fall/FinalsPath--GUtable.doc -
Patient has recurrent gastric outlet obstruction and ...
Subject: Patient has recurrent gastric outlet obstruction and ...
megagastrium. Cannot find this anywhere! Did he make it up? TIA!!
large bowel BUBBLE obstruction...anyone heard of that? n/m
Subject: large bowel BUBBLE obstruction...anyone heard of that? n/m
x
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.
PT presents for _____ endoscopy for bladder outlet obstruction
Subject: PT presents for _____ endoscopy for bladder outlet obstruction
Type of endoscopy for bladder outlet obstruction...s/l Step...nm
Subject: Type of endoscopy for bladder outlet obstruction...s/l Step...nm
I'll take the first one....ileus versus distal bowel obstruction..nm
Subject: I'll take the first one....ileus versus distal bowel obstruction..nm
s
anterior mediastinal teratoma with airway and esophageal obstruction
Subject: anterior mediastinal teratoma with airway and esophageal obstruction
stridor is a high-pitched respiration. Sign of obstruction. nm
Subject: stridor is a high-pitched respiration. Sign of obstruction. nm
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
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?
Does it sound like possibly outflow obstruction and hypokinesis is usually in an area describing the
Subject: Does it sound like possibly outflow obstruction and hypokinesis is usually in an area describing the movement, i.e.
apical hypokinesis
left ventricular hypokinesis
segmental
etc.
re: bowel obstruction: dilated loops are s/l AIR-E-POSED? anterior to the liver
Subject: re: bowel obstruction: dilated loops are s/l AIR-E-POSED? anterior to the liver
No evidence of cramping abdominal pain that would suggest a s/l hydraged obstruction. Help??
Subject: No evidence of cramping abdominal pain that would suggest a s/l hydraged obstruction. Help??
Guess I just won't expand it, still unsure....
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.
I won't type slang, never have, never will -- expand
Subject: I won't type slang, never have, never will -- expand
Should we expand things like MRI and CT in diagnosis? SM
Subject: Should we expand things like MRI and CT in diagnosis? SM
After getting some things back from QA, I am a little unsure on this. Thanks.
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