No info to tell, just a consult of many things
Posted By: Hello on 2007-12-03
In Reply to: Maybe PhosLo? Hard to tell with so little info. nm - annabanana
Subject: No info to tell, just a consult of many things
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Could be many things...need more info
Subject: Could be many things...need more info
/
neuro consult, neuroconsult, or neural consult?
Subject: neuro consult, neuroconsult, or neural consult?
Confused about which is correct, whether it should be one word or two. Thanks in advance. "Dr. Shanmugam has seen the patient for neuro consult."
Reason for consult: s/l Managed medical consult
Subject: Reason for consult: s/l Managed medical consult
Does this sound right? The report didn't really help me much. The person is there for vent weaning after a fracture.
Set consult since it's a fracture? Or set up consult? NM
Subject: Set consult since it's a fracture? Or set up consult? NM
nm
it's a consult
Subject: it's a consult
For GI bleed. Doing the impression, and doc is giving the possibilities.
s/l sep consult
Subject: s/l sep consult
Dr. will do a s/l sep consult for preop clearance
. . . This is for a patient with a hip fracture 
Consult
Subject: Consult
 I am working on a consult. In the impression on the last diagnoses, it sounds like the MD is saying "your diagnosis". He is a notorious mumbler... Have any of you heard of this before? Thanks in advance.
GI consult
Subject: GI consult
Could it be C. difficile positive stool or guaiac positive stool?
s/l CDU consult
Subject: s/l CDU consult
This is a header. s/l CDU CONSULT CONSULTANTS: Does this make sense being a OB consult? I've never heard of this but sure sounds like it.
s/l OMS consult
Subject: s/l OMS consult
"Patient has left facial cellulitis, most probably secondary to tooth abscess." What would OMS stand for?
consult please?
Subject: consult please?
I have always done cryo'd but I have always wondered if that is correct!
Thanks!
"MSM consult" - what is MSM?
Subject: "MSM consult" - what is MSM?
x
Podiatry consult.
Subject: Podiatry consult.
Patient has an ingrown toenail.
ASSESSMENT: This is a 75-year-old female with *s/l* onycocryptosis.
I'm lost, please help!
Could he mean separate consult?
Subject: Could he mean separate consult?
s/l help please - oncology consult
Subject: s/l help please - oncology consult
Tru-Cut needle biopsy of the left breast mass, on 11/16/07, showed invasive ductal carcinoma, Nottingham grade 2, ER/PR positive; ER greater than 90%, PR 70%; HER-2/neu 2+ and __________ test is pending.
The blank sounds like "dean an blick sue-cation"...... anyone??
Doc says it again in the IMPRESSION... only this time is sounds different....
Invasive ductal carcinoma, grade II, ER/PR positive. HER-2/neu is still indeterminate and ____________ test is pending.
This time it sounds like "dean ab lou few ation"....
BU/slurry consult
Subject: BU/slurry consult
This is for a patient with an ORIF surgery for a dislocated hip and fracture. The nurse states a BU was placed. Does anyone know what BU would stand for? And following surgery the patient had a slurry ? consultation. Any ideas on that one?
ID consult question
Subject: ID consult question
Other ros negative for s/l "EMNS" criteria. Very, very poor quality dicktation
Consult - I think you are right! It just sounds weird....TU
Subject: Consult - I think you are right! It just sounds weird....TU
According to my Griffith's 5-minute consult
Subject: According to my Griffith's 5-minute consult
one symptom is listed as purple "striae" on the skin. Since it appears your second word is grouped wiht labs he wants done, some lab tests listed are for urinary cortisol, plasma cortisol, neutrophilia, lymphopenia, hyperglycemia, hyperlipedemia, hypokalemia. Anything there ringing a bell?
GI consult, reason for consultation
Subject: GI consult, reason for consultation
All I know so far is that the patient is being seen in GI consultation and she is combative and age 90+.
REASON FOR CONSULTATION sounds like:
"Aerfo biddy bosdus stil."
I'm thinking
Here for _____ stool.
but still clueless. He is ESL, probably Indian.
The consult by the neurologist states that sm
Subject: The consult by the neurologist states that sm
the s/l partodyskinesia may be a slow progress. Also later in the diagnosis, doctor states "s/l Partodyskinesia secondary to anticholanergic drugs". Any help would be appreciated. Thanks :)
Nephrology consult in pregnancy
Subject: Nephrology consult in pregnancy
s/l trochrommina (laboratory testing)
kynephness/hemoccult consult
Subject: kynephness/hemoccult consult
Could you give a little more information? Where there any other symptoms relative to the stool character? Any other positive findings in GI tract (ROS, physical exam or lab)? Diagnosis? What was the exact content surrounding the patient's "consult"ing the Hemoccult card? In a long stretch, an MD might "consult" the Hemoccult card by viewing it directly, but the patient is smearing it with stool and submitting it.
Cardiac consult for nodule
Subject: Cardiac consult for nodule
There was no s/l medius and lefinopaptine? No other hypermetabolic activity in the lung.
surgical consult no "lloyds" see message
Subject: surgical consult no "lloyds" see message
He does not seem to have any pain or fever and no s/l LLoyds. The Lloyds sounds pretty clear. Patient has ongoing fever, vague abdominal pain. Can't find any lloyds test. Any suggestions?
Patient with pneumonia - plan for... s/l R-cat consult??
Subject: Patient with pneumonia - plan for... s/l R-cat consult??
doc spells this as reason 4 consult....Candidabap?
Subject: doc spells this as reason 4 consult....Candidabap?
for a straight consult rep and not real letter
Subject: for a straight consult rep and not real letter
but it DOES depend on the client profile/preference like the other poster said.....I get this format all the time in REAL consult reports (not letters) and I just type *Dear Dr. Smith* - I have just seen your patient....blah blah (can usually go under reason for consult or HPI) and then do my headings as dictated.
Good question, though! 
cardiology consult: s/l carotid soaks are 2 plus
Subject: cardiology consult: s/l carotid soaks are 2 plus
TIA....
Oral and Maxillofacial Surgeon consult?
Subject: Oral and Maxillofacial Surgeon consult?
psych consult- The s/l zydis of the Zyprexa
Subject: psych consult- The s/l zydis of the Zyprexa
Must be a new psych term for me.
The (S/L zydis) of the Zyprexa has helped significantly.
Thank you for your help in advance.
ID would be infectious disease, maybe consult? and urine culture? nm
Subject: ID would be infectious disease, maybe consult? and urine culture? nm
.
Good morning, word help in cardiology consult please
Subject: Good morning, word help in cardiology consult please
dictator says
1. Hypertrophic cardiomyopathy with >_______?? tract gradient. Treated with s/l Duratrim >
should Infectous Disease Consult /Podiatry be capped?
Subject: should Infectous Disease Consult /Podiatry be capped?
Thanks
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.
psych consult, frequent crying spells, s/l "inerga", anhedonia. (thank you!)
Subject: psych consult, frequent crying spells, s/l "inerga", anhedonia. (thank you!)
Ophthalmology consult, this elderly gentleman has evidence of previous s/l a. phaci...the only
Subject: Ophthalmology consult, this elderly gentleman has evidence of previous s/l a. phaci...the only
thing that comes to my mind is phacoemulsification. The doc dictating this is so old and slurs so much that he should probably be retired. Any ideas anyone?
Facuto step test?? ENT consult report? Any ideas on Fucato, ficato, facotto? Help! Thanks! nm
Subject: Facuto step test?? ENT consult report? Any ideas on Fucato, ficato, facotto? Help! Thanks! nm
PE on consult lower extremity edema with multiple varicose veins. NO CORDAL LACK OBSTRUCTION
Subject: PE on consult lower extremity edema with multiple varicose veins. NO CORDAL LACK OBSTRUCTION
This is a new dictator to me - has a accent. S/L CORDAL LACK OBSTRUCTION. Any help??
Ortho consult for thoracic pain after spontaneous pulmonary embolism. In list of current meds.
Subject: Ortho consult for thoracic pain after spontaneous pulmonary embolism. In list of current meds.
Can't do that, as these things are sm
Subject: Can't do that, as these things are sm
not in my old books but this MedCompare site has trademarked links etc.
http://www.medcompare.com/news.asp?newsid=121708
things it might be
Subject: things it might be
PROCEDURE: Medial branch block of the L4-5 and L5-S1 facets on the right under fluoroscopic guidance. Might just be saying that is the scheduled procedure.
(ob-suse) might have started saying operating suite?
And probably should be prone position.
Could be two things, sm.
Subject: Could be two things, sm.
If the doc is excising the area, they will say "wide local excision" or "wide excision" for short. If talking about a scar, sometimes the scar becomes wider with time so it would be "widened incision."
I think they are two different things
Subject: I think they are two different things
MU would be milliunits which is, I believe, one thousandth of a unit. This is millions of units. I think??
Things to try:
Subject: Things to try:
googling "unison antibiotic" or "unison medication," or
doing a search in Stedman's for "un*s*n"
or using WebMD
http://www.webmd.com/drugs/index-drugs.aspx
-- when I put the letters "un" into the search box, the 3rd item is "Unasyn IV.
I use the 'd for things like that OR you can
Subject: I use the 'd for things like that OR you can
say the patient was brought by air-vac to XXX or something to that effect.
Might be several things. sm
Subject: Might be several things. sm
"but as per patient these were thought to be stable? or benign?
"but according to the patient =======
It can mean other things too...sm
Subject: It can mean other things too...sm
Here is a link to check out:
http://www.fairview.org/healthlibrary/content/ca_hemodyna_car.htm
There are many reasons why hemodynamics are affected. It is not just limited to blood pressure, but that is one of the top answers and a very good answer. 
2 things...
Subject: 2 things...
is there a such thing as "S and wave changes"
also, s/l "pre-lectrical-thiket function is normal". These are from a stress test which is stressing me out!
thank you - another one of those things that's
Subject: thank you - another one of those things that's
difficult to verify on the web, ya know!
Sorry, but things have changed...
Subject: Sorry, but things have changed...
Just as people and the world have evolved, so has English. 'Were' would now be considered correct.
I do realize it's not the grammar rule we were taught back in our school days.
bye.
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