JVD is cardiac or neck. Put it where it's dictated. nm
Posted By: CL on 2005-11-18
In Reply to: Physical exam - Sally
Subject: JVD is cardiac or neck. Put it where it's dictated. nm
xx
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- Physical exam - Sally
- JVD is cardiac or neck. Put it where it's dictated. nm - CL
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s/l probion-P a lab test dictated with cardiac markers
Subject: s/l probion-P a lab test dictated with cardiac markers
x
physical exam: neck shows no s/l N-S-E? looking for a standard abbrev. used for neck. nm
Subject: physical exam: neck shows no s/l N-S-E? looking for a standard abbrev. used for neck. nm
d
There is neck dystonia (neurologic condition affecting the muscles of the neck)?
Subject: There is neck dystonia (neurologic condition affecting the muscles of the neck)?
Just as you have it if that's what was dictated. If "one fourth" was dictated, sm
Subject: Just as you have it if that's what was dictated. If "one fourth" was dictated, sm
it would be 1/4 pill or one fourth of a pill.
Def an 'N' dictated - Diabetes unsure of - no PMH dictated
Subject: Def an 'N' dictated - Diabetes unsure of - no PMH dictated
We type it as dictated, if dictated
Subject: We type it as dictated, if dictated
c spine we transcribe C-spine, if cervical then cervical spine.
V neck
Subject: V neck
Is this correct V neck, v neck, or V-neck??? Help appreciated.
Thanks
for PA- DICTATED BY PA's name...nm
Subject: for PA- DICTATED BY PA's name...nm
x
Dictated 427 rbc's and 58 rbc's
Subject: Dictated 427 rbc's and 58 rbc's
what was dictated; if not, do it your way...NM
Subject: what was dictated; if not, do it your way...NM
x
what was actually dictated?
Subject: what was actually dictated?
This was just also dictated under sm
Subject: This was just also dictated under sm
past surgical history, but STILL sounds like dragon pack. This is going to drive me nuts!!!!
exactly as dictated.
Subject: exactly as dictated.
x
L4-5 if that is what is dictated NM
Subject: L4-5 if that is what is dictated NM
xxx
Thanks! He only dictated one N
Subject: Thanks! He only dictated one N
Thank you!
If that is what he dictated, then that is
Subject: If that is what he dictated, then that is
what you use, even though it is usually esophagogastroduodenostomy; however, maybe duodenum has been removed so therefore could be.
Just like he dictated it.
Subject: Just like he dictated it.
x
Yes, as dictated. (nm)
Subject: Yes, as dictated. (nm)
.
Neck: Supple, no LAD. What's the LAD mean?
Subject: Neck: Supple, no LAD. What's the LAD mean?
: Supple, no LAD, no jugular venous distention, no thyromegaly
I'm sorry, what does this have to do with a neck exam?
Subject: I'm sorry, what does this have to do with a neck exam?
nm
The area was the neck...sm
Subject: The area was the neck...sm
I have already turned in the report. Even QA could not figure out what she was saying. They asked that a blank be left. Thank you for trying though. I appreciate it.
how about "torticollis of her neck."
Subject: how about "torticollis of her neck."
Could he be saying "area of his neck" or even C8?
Subject: Could he be saying "area of his neck" or even C8?
x
Abdomen: tip of the neck?
Subject: Abdomen: tip of the neck?
ABDOMEN: Normal bowel sounds, soft, nondistended. On the tip of the ___ nontender. Sounds like he is saying tip of the neck. Is that possible?
medication gel for neck
Subject: medication gel for neck
Medication S/l pi'a'low- gel on the back of her neck with amitriptyline Neurontin and lidocaine.
Thanks
neck rigidity
Subject: neck rigidity
That is what I was thinking. Can this been seen in the neuro exam because that is where she is next?
Under Neck Exam
Subject: Under Neck Exam
Neck: He has hard scar tissue in the right of his neck, but no nodes are noted. s/l Adison's test is positive.
s/l "tech-ib" neck? sm
Subject: s/l "tech-ib" neck? sm
ER assessment of pnt with h/o of CVAs: Contractures in all extremities. Extremely s/l "tech-ib" neck and working very hard to breathe.
neck length
Subject: neck length
Neck Tenderness
Subject: Neck Tenderness
I'm typing a report and this it what it sounds like..
NECK: Supple, no overtechial?? tenderness or paraoverchevial??? tenderness at this time.
Does anyone know these types of tenderness in the neck?? Thank you!!
Neck Exam
Subject: Neck Exam
Neck: No jugular venous pressure; no s/l 'hepatoreflux'.
Need help with the term hepatoreflux!
I would put it under a heading of NECK. sm
Subject: I would put it under a heading of NECK. sm
One of the tests for meningitis is to bend your chin to your chest or to your shoulders. So if the pateint can to this, they have no meningeal signs or meningismus.
s/l Neck retid
Subject: s/l Neck retid
Anyone have an idea what my doc might be saying? It s/l "retid." Here it is in context:
"A No. 15 blade was employed to make a curvilinear incision along a neck retid"
Thanks!
s/l nava-neck
Subject: s/l nava-neck
The patient was placed on Omnipred and s/l Nava-neck three times a day in the right eye.
Neck muscles?
Subject: Neck muscles?
Needing help with this sentence please.
'The medial aspect of the (s/l longest cola) muscles (s/l colorized) bilaterally at this level.'
Thanks in advance.
I'm not sure if this is one or two drugs being dictated. SM
Subject: I'm not sure if this is one or two drugs being dictated. SM
I will refill her Armour Thyroid and her s/l modratic and estrace
or maybe it s/l modratic in estrace??? any clue what this is ???
do it, regardless if dictated differently...nm
Subject: do it, regardless if dictated differently...nm
x
Whichever way it was dictated. nm
Subject: Whichever way it was dictated. nm
x
it depends on how it is dictated...sm
Subject: it depends on how it is dictated...sm
6600 (no comma) or 6.6 if they say it that way; if they say 6.6 thousand then you give them *6.6 thousand*
give them what was dictated as the pt probably...nm
Subject: give them what was dictated as the pt probably...nm
It's okay. I'd transcribe it as dictated. nm
Subject: It's okay. I'd transcribe it as dictated. nm
/
You don't add in mg or mcg, etc. unless it's dictated. The docs know
Subject: You don't add in mg or mcg, etc. unless it's dictated. The docs know
s
lasered, as dictated
Subject: lasered, as dictated
.
SGOT dictated: 4-2-6 T: 426 or 4.26
Subject: SGOT dictated: 4-2-6 T: 426 or 4.26
SGOT dictated: 4-2-6 T: 426 or 4.26. same with SGPT dictated 1-1-9 T: 119 or 1.19
I have only used galactorrhea as dictated. nm
Subject: I have only used galactorrhea as dictated. nm
I don't think that would be it because the dr who dictated it is a urologist.
Subject: I don't think that would be it because the dr who dictated it is a urologist.
Earlier in the note, the dr said he did not get an s/l osbot or ozbot appt.
Complete hx not dictated
Subject: Complete hx not dictated
Thanks! Kept your info for future reference. Endo doc just dictated as part of hx; did not elaborate, so not sure.
Never heard it dictated but (sm)
Subject: Never heard it dictated but (sm)
I have heard of some hollistic remedies that include a clorox soak of the feet for yellow nails however normally the docs order Lamisil (terbafine hydrochloride). Just my two cents sorry I couldn't be more help.
five-way CABG if that is what he dictated. nm
Subject: five-way CABG if that is what he dictated. nm
xx
I use rule of 2-3 min. per dictated min. (nm)
Subject: I use rule of 2-3 min. per dictated min. (nm)
x
I always type it the way you have it if that's the way it's dictated. sm
Subject: I always type it the way you have it if that's the way it's dictated. sm
Of course, go by your account specifics. If you can change it, some do. I always just type what they say and it keeps me out of trouble. :)
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