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I agree - simple mental status exam from my "psychiatric" days.

Posted By: nowork=broke on 2007-08-08
In Reply to: Mental status exam - NDmt

Subject: I agree - simple mental status exam from my "psychiatric" days.




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Mental Status Exam: Symptom Status?
Subject: Mental Status Exam: Symptom Status?

Here's the context: He smiles much of the time; he is cooperative.  Symptom status revealed that he knew that George Bush was the current president and that Bill Clinton preceded him.  He denies hearing any voices..... 


Symptom sounds similar to System, Simple, etc., for this example.  Any input?


Mental status exam
Subject: Mental status exam

That is usually a mini-mental status exam. Could that be what he is saying?
s/l fo? mini mental status exam
Subject: s/l fo? mini mental status exam

?
mental status exam - (s/l sasorium was clear) - nm
Subject: mental status exam - (s/l sasorium was clear) - nm


MMSE, Mini Mental Status Exam is correct
Subject: MMSE, Mini Mental Status Exam is correct

That would be correct,
Black?, as in the Strub-Black Mental Status Exam
Subject: Black?, as in the Strub-Black Mental Status Exam

This URL states the Strub-Black exam adds to 10 points but is based on questions about proverbs, and, of course, black doesn't sound like "blust."

URL: http://www.emory.edu/AAPL/newsletter/N271_proverbs.pdf

The html site of the above url is: http://72.14.209.104/search?q=cache:HXrwAcJRu_8J:www.emory.edu/AAPL/newsletter/N271_proverbs.pdf+black+mental+status+exam&hl=en&gl=us&ct=clnk&cd=13

kj
it is mental status
Subject: it is mental status

They give lactulose with hepatic encephalopathy. Helps to lower ammonia level. Dad had cirrhosis so know first hand :-(
Help with mental status term

"The patient did have difficulty following the procedure.  She had some mental _____ and whether or not this is related to anesthesia or to her severe blood loss is not quite clear but she is doing very well now.  She is pretty sharp.  She is accompanied by her caregiver and seems to ask the appropriate questions."    


It sounds something like it ends in "tion"


patient with altered mental status/sm
Subject: patient with altered mental status/sm

 


 


Laboratory studies.


dictates:  COK is 1 (pause) 6.  CMB is 3.6.  Huh?


 


 


Fo-mini mental status was preformed, she scored 24/30.
Subject: Fo-mini mental status was preformed, she scored 24/30.

.
Pt's "fast" score has been scored either as a 7D or 7E (for mental status). nm
Subject: Pt's "fast" score has been scored either as a 7D or 7E (for mental status). nm


Mental status is as per normal with labile affect. or is it effect? thank you
Subject: Mental status is as per normal with labile affect. or is it effect? thank you


Various possibilities were kept for altered mental status, like _______?, metabolic encephalopathy,
Subject: Various possibilities were kept for altered mental status, like _______?, metabolic encephalopathy,


Is it recognition, repetition, "and" simple commands are intact (or is it "of" simple co
Subject: Is it recognition, repetition, "and" simple commands are intact (or is it "of" simple comands". nm


Anyone NOT agree with this? Doc says atherosclerotic heart disease status post "pizza". I'
Subject: Anyone NOT agree with this? Doc says atherosclerotic heart disease status post "pizza". I've never

heard this before but must be PTCA?  Thanks.
Mental, mini-mental, cognitive? nm
Subject: Mental, mini-mental, cognitive? nm

xxx
status post exam under anesthesia with an incision and drainage of his rectal abscess and (C-TOM)
Subject: status post exam under anesthesia with an incision and drainage of his rectal abscess and (C-TOM)

status post exam under anesthesia with an incision and drainage of his rectal abscess and (C-TOM) placement. Any help would be appreciated. Thank you in advance
Duragesic patch dose is 12 mcg per hour, changed every 3 days: 12 mcg/hr every 3 days, #10
Subject: Duragesic patch dose is 12 mcg per hour, changed every 3 days: 12 mcg/hr every 3 days, #10

x
I agree - it's probably funduscopic exam.....
Subject: I agree - it's probably funduscopic exam.....


Agree. Exam is....examS are.
Subject: Agree. Exam is....examS are.


I wouldn't change" status" to "with" here, performance status is, sm
Subject: I wouldn't change" status" to "with" here, performance status is, sm

a specific term to quantify the patient's well being, "performance with" doesn't mean the same thing. 
I did - (s/l) the-mental
Subject: I did - (s/l) the-mental

nm
Mental retardation.
Subject: Mental retardation.

Mental retardation is a medical condition. The doctor is not using the term in a derogatory manner, he is merely describing the patient's condition. You have no right to change this to anything other than what was dictated!
Thanks- I was having a mental blank!
Subject: Thanks- I was having a mental blank!


This should be simple...
Subject: This should be simple...

But I can't seem to find documentation to tell me, maybe some of you with more experience can enlighten me?


I have a dictator today, she is saying, "Review of systems: s/l perinegative except for ...." and, "exam is s/l perinormal with EKG done today showing normal sinus rhythm"


Anyone hear of this "peri"normal "peri"negative and is this how to spell it? Can't find anything conclusive on google in any letter combination I can come up with. 


Thanks for any help.


Tara


of course something so simple
Subject: of course something so simple

Thank you so much.  Flolan......just what it sounded like and I was making it complicated!
simple was it!! thanks so much!
Subject: simple was it!! thanks so much!


I'm sure this is something simple, but here's the s/l - sm
Subject: I'm sure this is something simple, but here's the s/l - sm

Breasts are symmetric. Multiple firm masses surrounding left nipple that are tender to palpation. No nipple discharge. No overlying skin changes or s/l pu day aronge.

Appreciate any ideas!
mental injection is correct
Subject: mental injection is correct

there is something called a mental block injection that numbs the area.
s/l sigmecups...mental heath
Subject: s/l sigmecups...mental heath

'He described his mood as depressed and scored 7/9 on s/l sigmecups excluding the suicidal ideation and psychomotor agitation and depression.'
Hibiclens...LOL (thanks for the mental image of your S/L!" =) nm
Subject: Hibiclens...LOL (thanks for the mental image of your S/L!" =) nm


mental region lymphadenopathy? nm
Subject: mental region lymphadenopathy? nm

s
thanks.. so simple. need more coffee
Subject: thanks.. so simple. need more coffee


I hope this is something simple.
Subject: I hope this is something simple.

I just cannot seem to get a grasp of this guy today. Pt is seen for congestive heart failure. Here are the sentences leading up to my problem:


We will check a BMP today to reevaluate renal function and, if he does have a markedly elevated creatinine, we may not be able to do this (referring to 64-slice CT angiography). I am hopeful that, with ___ and renal protection, we can get by with this. We will also plan on checking a TSH and baseline blood work, including a CBC and BNP for outpatient baseline.     


Sounds like mucavest. I then thought of Mucomyst, but would like to know if anyone agrees because it does not make sense to me.


 


Thanks for any help! 


And yet again 3 very simple ways...
Subject: And yet again 3 very simple ways...

ALT L with start numbered list lining them up and ALT L will shut it off.

Or start typing without the numbers, returning as needed and then block listings and ALT L.

Or, type 1, tab and type and when you return for #1 it will give you the number. If it indents, back up to the beginning of one of #1 sentences and SHIFT TAB to move it back the margin.

So simple yet so hard. Thank you very much!
Subject: So simple yet so hard. Thank you very much!


Probably a very simple question...
Subject: Probably a very simple question...

"On examination today, I did note that he has thickened yellow toenails on both feet. We recommend that he start using ?Clorox? soaks twice weekly as, at this time, oral treatment of this problem is extremely expensive.


I find one reference to this, but did not know how appropriate it would be. He may be saying something more like chloric, but I don't think that is it either. Thanks!


simple-locking
Subject: simple-locking


Ahhh! always so simple.
Subject: Ahhh! always so simple.


Need help with a simple surgery.
Subject: Need help with a simple surgery.

There is a complex closure of one layer of deep s/l *sutures or stuctures using 5-0 chromic gut, and then a superficial running, locking stitch using 5-0 Ethilon. The area is hemostatic. Sterile dressing is applied.

*It actually sounds more like sutures, but would that make sense? Thanks for any help.



simple question please
Subject: simple question please

Hi he says "progesterone cream qhs (small pause) qd"

should it be qhs daily or just daily? I think he might have been correcting himself, but have you ever seen qhs and daily together?
On Mini-Mental, s/l 3MSR. see message
Subject: On Mini-Mental, s/l 3MSR. see message

While his IQ testing was improved, his Mini-Mental Status Score dropped by three points on the basis of the “3MSR”, although it was higher today. 


Pt with Alzheimer's. 


As to what? Mental health? Rehab? Lab results? nm
Subject: As to what? Mental health? Rehab? Lab results? nm

s
meaning "scores" on mini-mental..
Subject: meaning "scores" on mini-mental..


A simple search and I found this--sm
Subject: A simple search and I found this--sm

Breg Knee brace:

Breg Knee Brace TRI-PANEL IMMOBILIZER ACL PCL MCL*NEW

hope this is what you are looking for.
Not something simple like TriCor or Lopid? nm
Subject: Not something simple like TriCor or Lopid? nm

s
May be simple interrupted fashion. nm
Subject: May be simple interrupted fashion. nm

nm
The simple ones alway getcha!
Subject: The simple ones alway getcha!


Thanks everyone, simple English word
Subject: Thanks everyone, simple English word

The sentence was sugar still runs from 90-100. Feel dumb! Got to love the trainees. Still Googled WAG sugar...LOL Will not ever forget that one!
Mental retardation with cerebral palsy (MRCP)
Subject: Mental retardation with cerebral palsy (MRCP)

I've honestly never heard it abbreviated like that, but I did google *MRCP cerebral palsy* and that's what came up. Given the symptom of hypotonia, it definitely makes me think of cerebral palsy. Was there any sort of mental status testing done (just as a check)?


yw...sometimes we try so hard we miss the simple stuff :) nm
Subject: yw...sometimes we try so hard we miss the simple stuff :) nm