Past Surgical History
Posted By: Lynn on 2009-06-02
In Reply to:
Subject: Past Surgical History
Doc is dictating patient's past surgical history. States she had s/l a budd kay or e malformation based on her MRI at the hospital. Any clues b/c I am at a loss with this one! 
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B&B in past surgical history
Subject: B&B in past surgical history
Anyone know what that could be?
Would that be under past surgical history though as he says it is? nm
Subject: Would that be under past surgical history though as he says it is? nm
nm
past surgical history
Subject: past surgical history
She has had repair of cataracts s/l "in aretnas". I couldn't hear retina. Anyone?
Past surgical history is? nm
Subject: Past surgical history is? nm
nm
Sounds like past surgical history.
Subject: Sounds like past surgical history.
x
If he's listing past surgical history then
Subject: If he's listing past surgical history then
I'd put appendectomy, three D&C's, tonsillectomy.
D&C stands for dilation and curettage
He only says BTTI under past surgical history and nothing else
Subject: He only says BTTI under past surgical history and nothing else
Is there any past surgical history that might give some clues? nm
Subject: Is there any past surgical history that might give some clues? nm
x
s/l toration of the intestines... past surgical history
Subject: s/l toration of the intestines... past surgical history
in past surgical history for a teen *slazon* removal from the eye. ?? TIA! nm
Subject: in past surgical history for a teen *slazon* removal from the eye. ?? TIA! nm
nm
Under past medical history - history of abnormal s/l petatrie functioning. I really cannot make *sm
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.
Past medial history
Subject: Past medial history
The patient is admitted from the clinic where CT visuals showed recurrence of the disease.
I'm not sure if that's what the doctor is saying. Does it sound right?
Past social history
Subject: Past social history
When typing amount of cigarettes, is three-quarters a pack a day correct or would you use numerals?
Past medical history
Subject: Past medical history
Under history of present illness he has that the patient has a history of IV drug abuse.
Past medical history: IODINE ALLERGY WITH SHORTNESS OF BREATH AND HIVES FOLLOWING IV SPREE THREE YEARS PTA.
Could that be what he's saying? Thanks.
under past medical history...
Subject: under past medical history...
Past medical history
Subject: Past medical history
Surgeries: Small bowel obstruction, THA/BA for cholecystectomy.
I'm not sure if he said BA or BA with another letter on the end. Help! Thanks.
past medical history
Subject: past medical history
This is the only information I have and it sounds like **Ba-dex Ex-lo-dian** under past medical history. Thanks for any suggestions!
Past medical history
Subject: Past medical history
Past medical history: Positive for arthritis, asthma, and "vic-in-plant-ous". She also has a dystonia that has been longstanding. This is on an ortho note, so this is the only thing said about this. Thanks for checking it out!
HTN dictated under past history...
Subject: HTN dictated under past history...
Is it best to leave it as dictated or write out hypertension? Account is not verbatim.
Past medical history help
Subject: Past medical history help
Under past medical history he states "Basal cell **and blue** carcinoma.
My apologies if this is something simple, but this is what it sounds like and I am not finding anything to point me in the right direction. Thanks!
I'm thinking maybe past history? nm
Subject: I'm thinking maybe past history? nm
is this a female and are you in past history?
Subject: is this a female and are you in past history?
if it is a youngish woman..........?? Just guessing here, don't know where you are in report......but if in past medical history and there is even more, it's possible, and just use a comma to separate........
....shingles on bridge of nose and some in-vitro problems...
Any past history or diagnoses? nm
Subject: Any past history or diagnoses? nm
s
past medical history?
Subject: past medical history?
If it is past medical history, could he be saying something like history of Legg's disease. Try looking at it that way.
What is in Past Medical History
Subject: What is in Past Medical History
That could help determine what the drug is for.
What is the past medical history? - nm
Subject: What is the past medical history? - nm
what's in the past medical history?
Subject: what's in the past medical history?
her past surgical procedures ??? nm
Subject: her past surgical procedures ??? nm
,
history of multiple pharyngitis’ in the past
Subject: history of multiple pharyngitis’ in the past
past medical history of thrash?
Subject: past medical history of thrash?
The patient is a 3 1/2 month old with a past medical history of ____. S/L thrash
past history of bacterial vaginosis ?
Subject: past history of bacterial vaginosis ?
CARDIO Past medical history
Subject: CARDIO Past medical history
CABG 1998 and s/l CVAA SPVD status post right lower extremity amputation and hypertension.
Thank you
Deborah
In past medical history - the only thing
Subject: In past medical history - the only thing
listed is s/l Berjay's disease.
I've Googled every spelling I can think of and have come up blank
He only mentioned it once in the past medical history...(sm)
Subject: He only mentioned it once in the past medical history...(sm)
Didn't even mention it again in the final diagnoses with the rest. I think the poster below found it. Thanks.
I'm unsure. That was given in past history info and...
Subject: I'm unsure. That was given in past history info and...
patient is in for abdominal pain... hepatic flexure of colon suggesting intraluminal lipoma. I don't know if they are related or not. Also, am wondering if my s/l is an "uh" before "kine-o-chocal" cyst.
the doctor said that only in the past medical history :(
Subject: the doctor said that only in the past medical history :(
H&P heading help again.. Past Medical History
Subject: H&P heading help again.. Past Medical History
dictator says: Past medical history for hypertension. Past surgical history is arthroscopy of his right knee. Allergies are to Demerol and Penicillin. Do I put Headings over each one and keep the exact dictation like this: PAST MEDICAL HISTORY (type under this title) Past medical history for hypertension OR just Hypertension. Other part of my question. ROS subheadings: dictator says this: Cardiovascular has a history of hypertension. do I need to put a colon in there and cap the Has? or leave as I have typed in bold? Do I add a subheading of GI/GU: for this sentence - No GI/GU problems. Does this sentence also need colon? Musculoskeletal I stated in the HPI. No neurological or hematological discorders. Thanks for any help, sorry if these seem like dumb questions...but I really need the help.
Past medical history s/l ben rr ma gene
Subject: Past medical history s/l ben rr ma gene
Under past medical history, dictator is saying s/l ben r r ma gene. Or banner arma gene. ???
Patient also has hypertension, dyslipidemia, asymptomatic stroke, sleep apnea, renal insufficiency. Any ideas?
No clues in the past medical history? n/m
Subject: No clues in the past medical history? n/m
X
Does the past surgical hx give you any clues as to sm
Subject: Does the past surgical hx give you any clues as to sm
if the patient had any major GI surgery in the past, like a Billroth II or Whipple? If so, stumpitis may be correct. Let me know! It's a long shot and it would be slang, but I need to know history to tell you for sure.
Past Surgical Hx help needed - Ortho - SM
Subject: Past Surgical Hx help needed - Ortho - SM
he has had prostate cancer as well and was treated with ____. (s/l 'aseating').
Tx
afib dictated as past medical history...
Subject: afib dictated as past medical history...
how do you write that out?
atrial fibrillation, afib?
Too early for me right now.
Can you give the diagnosis or past medical history.
Subject: Can you give the diagnosis or past medical history.
Do you anything that this medication might be for?
Past medical history: Significant for s/l uterine CA.
Subject: Past medical history: Significant for s/l uterine CA.
doc is dictating past medical history and said exactly what was quoted with nothing else regarding i
Subject: doc is dictating past medical history and said exactly what was quoted with nothing else regarding it. nm
Thanks.
No, this patient has a huge past history that varies
Subject: No, this patient has a huge past history that varies
Need help with past medical history list s/l - please see message
Subject: Need help with past medical history list s/l - please see message
Bipolar disorder, dyslipidemia, hypertension, type 2 diabetes, s/l pax dee a tosis (?ptosis).
That what it sounds like!! Thanks for any help!
Past Medical History: Significiant, only as noted...??
Subject: Past Medical History: Significiant, only as noted...??
JMO
Past medical history: Bilateral pleural effusion, then s/l
Subject: Past medical history: Bilateral pleural effusion, then s/l
chronic stasis - period. Would that be right?
Child with shoulder injury with past medical history of
Subject: Child with shoulder injury with past medical history of
s/l spheriocytoma. The closest I found was esthesioneurocytoma, but he is not saying "neuro" in between, and that he takes folic acid. Any ideas? Unfortunately, the doc never makes mention again about this diagnosis anywhere on the report.
in list of past medical history....hypothyroidism secondary to sm
Subject: in list of past medical history....hypothyroidism secondary to sm
s/l "dis-turds" versus anemia. The doc is is seriously mumbling but I think he says something like this.
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