Patient with pneumonia - plan for... s/l R-cat consult??

• Patient with pneumonia - plan for... s/l R-cat consult?? - slh
  • more info? can't think of anything.... - sassee
    • It's RCAT - a form our respiratory therapist uses. - slh

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To maintain DENSE intensity for neutropenic fever precautions, we have ordered Nuelasta 6 mg subcutaneous injection on 10/18.07. 

For the life of me, I can't figure out dense intensity.  Any ideas?

Dr. will do a s/l sep consult for preop clearance

. . . This is for a patient with a hip fracture 

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.

I have always done cryo'd but I have always wondered if that is correct!

Thanks!

Patient has an ingrown toenail.

ASSESSMENT: This is a 75-year-old female with *s/l* onycocryptosis.

I'm lost, please help!

CBC with differential, type and cross for 20 units, electrolytes P3, P4, PT, PTT, EKG, PA and lateral chest pulmonary function test.

I'm just in school for Med Trans. I love this website. I'm always confused when it comes to listing labs. I need help on the above. Thank you so much.

  I am a new, and need some help.  after the doctor says plan he lists the medications he has prescribed.  He does not number them and I am used to them saying medications and then listing (1, 2, 3)   Do they usual do that?  Should I leave it like he says it?  Example: 

PLAN:

Ecotrin 1 p.o. b.i.d. with meals.  Keflex 500 mg p.o. q.i.d. for 4 days..  Follow-upl with me within the next 10 days.

thanks!

Where I work, if they don't say "plan", they don't get a "plan".

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 :)

There was no s/l medius and lefinopaptine? No other hypermetabolic activity in the lung.

1.      Erythrocytosis – the patient did have a hemoglobin of 17 on blood work one year ago.  I asked him to repeat it, but he forgot.  We will recheck his CBC with NORRIS REPREEDIN level today and work this up accordingly.  He is not symptomatic.

I keep listening over and over to this, and this is all I can make out.  Any clue what he might be referring to??? TIA

If the doctor says assessment and plan together, do I put the header together? I am confused because when he gives the assessment he numbers them 1) 2) then when he gives the plan he numbers them as well but does not say plan any help?

ASSESSMENT:

1. Bilaterally arm numbness.
   
2. Nausea.
   
3. Health maintenance recommendations.

PLAN:

1. Patient’s critical examination was hyperreflexia suspicious for possible cervical lesion.  She will be referred for MRI with cervical spine.  Patient may need EMG to further access her numbness.
   
2. Patient will be tried on Nexium, although she does not have any overt symptoms of heartburn.  She does have chronic nausea and this may be a sign of stomach reflux.  She will be tried on Nexium 40 mg one q.d.  Other diagnostic possibilities include slow gastric emptying. The patient does not eat breakfast or lunch and has her largest meal at about 8:00 at night.  We discussed the need to consume breakfast and ideally eat 3-5 meals per day, smaller meals to encourage her metabolism.  ___ problem health maintenance and in regards to increase her exercise and changing her diet.  Patient will be referred to OB/GYN for Pap and pelvic and also will be referred for a screening mammogram.  When she follows up to see me we will discuss potential options for colon screening.  Patient is to follow-up with me in approximately 1 month time.