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Psychiatry. Pt with depression and positive s/l "Siggy Capps" review. nm TIA.

Posted By: babs on 2005-09-10
In Reply to:

Subject: Psychiatry. Pt with depression and positive s/l "Siggy Capps" review. nm TIA.

nm


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review of systems is "pan positive" with a lot of problems. Is this right? nm
Subject: review of systems is "pan positive" with a lot of problems. Is this right? nm


It is Review of Systems and not Review of Symptoms.
Subject: It is Review of Systems and not Review of Symptoms.


Abdomen: Positive wave sign appreciated, "caps out" is positive as well. sm
Subject: Abdomen: Positive wave sign appreciated, "caps out" is positive as well. sm

Abdomen tympanic to percussion, diffuse tenderness, no point tenderness appreciated.  Positive wave sign appreciated, "caps out" is positive as well. 
Positive grasp response and positive s/l palmo mentonian on the right. TIA!!!
Subject: Positive grasp response and positive s/l palmo mentonian on the right. TIA!!!


psychiatry
Subject: psychiatry

This psychiatric patient thinks she is being bitten by insects.  The doc calls it psychiatric s/l formacosis.  Any ideas? 
estrogen-progesterone receptor positive (as in ER-positive),
Subject: estrogen-progesterone receptor positive (as in ER-positive),


In Ortho, positive s/l Meniere, positive Hawkins?
Subject: In Ortho, positive s/l Meniere, positive Hawkins?

xx
no just saying positive pH or KOH? Not exactly your S/L though. Or positive whiff test said fast? nm
Subject: no just saying positive pH or KOH? Not exactly your S/L though. Or positive whiff test said fast? nm


psychiatry help needed....
Subject: psychiatry help needed....

'We put her on lorazepam for elevated SIWAS.'

Doc spells out SIWAS as above but am thinking it should be CIWAs. Please let me know what you think. TIA.
Psychiatry s/l QUIDS
Subject: Psychiatry s/l QUIDS

Patient will be administered a s/l QUIDS and s/l MVQ?
Psychiatry - history of s/l TEE-H-SHE (sm)
Subject: Psychiatry - history of s/l TEE-H-SHE (sm)

history of s/l TEE-H-SHE times 2 years, ectasy times 2 years, and significant alcohol use.  ??? TIA


Psychiatry 3 Allied
Subject: Psychiatry 3 Allied

Hello,
I am going over this dictation for the umpteenth time and am wondering if anyone else that has gone through Allied, could help me out with the Psychiatry #3 assignment. In the first paragraph, "Patient is a 78-year-old female who was status post total knee replacement approximately 13 months ago. Patient had persistent pain over the medial and lateral portions of the femur in the parapatellar region with slight lateral patellar tracking. Patient had failed considering treatment. She opted for surgical intervention."
I am pretty positive that the sentence, "Patient had failed considering treatment." is incorrect as it does not relate to the rest of the dictation. Yet, I can not seem to figure out what the dr said. Any help would be so appreciated! Thank you!
Psychiatry word help!!!
Subject: Psychiatry word help!!!

I am working on this dictation, and I came across a word that I need help with.


status post percutaneous transluminal coronary angiography, steroid dependant asthma, hypertension, alliasneous, and depression.


Alliasneous is what it "sounds like." Does anyone have any ideas???


She has a positive Tinel's sign, positive Phalen's sign, and positive s/l Durkin's sign.
Subject: She has a positive Tinel's sign, positive Phalen's sign, and positive s/l Durkin's sign.

:-)
psychiatry, s/l Kell's test
The doctor says they are doing s/l Kell's test and neuropsychiatric testing to determine cognitive ability and level of function.
EDGING: child psychiatry
Subject: EDGING: child psychiatry

what is edging?
short s/l blust exam.....psychiatry...
Subject: short s/l blust exam.....psychiatry...

I have come across this twice now and still can't seem to figure out this term. Sentence reads, "Short s/l blust exam showed the patient’s total score of 10 noting again the patient gave the wrong month." This is part of mental status exam section regarding screening questions. I am wondering if this could be -- Bankson Language Screening Test (BLST)? I would love to know the answer to this. TIA.
V code in psychiatry are listed as nonmental diagnoses.
Subject: V code in psychiatry are listed as nonmental diagnoses.

x
Psychiatry term pls s/l aims test score
Subject: Psychiatry term pls s/l aims test score


A positive, direct "Kums" positive
Subject: A positive, direct "Kums" positive

This is for a 3-day-old baby with hyperbilirubinemia.  He is A positive and "Kums"positive.  What is the Kums positive? 
sounds like "burs suppression check list in psychiatry
Subject: sounds like "burs suppression check list in psychiatry

sounds like Dr. is saying in a "bur or vir" suppression test (in psychiatry) her score is 48.  Does anyone know the name of this test ..  Is it an short form or ??   Thanks so much....  if anyone can help.....  connie
She has a grayish, frothy discharge that is KOH ____ test positive. S/l 'with' test positive?
Subject: She has a grayish, frothy discharge that is KOH ____ test positive. S/l 'with' test positive? nm

..
Sorry meant ER-positive or PR-positive) might also be HER-2/neu
Subject: Sorry meant ER-positive or PR-positive) might also be HER-2/neu


X-Ray Review help
Subject: X-Ray Review help

X-RAYS:  Review of her x-rays today show that she has a three-part fracture of her proximal humerus with head rotated and the (something ending with) 'osity' displaced. 


 


Thanks


Thats all in Review of systems.
Subject: Thats all in Review of systems.

Thanks though!
Under review of systems...
Subject: Under review of systems...

Sounds like dictator is saying:


Abdomen:  Soft. Flat. Obese.  Pressure: Soft. Obese.  No point of splenomegaly was noted.


However, it doesn't seem to me that this would fit.  He may be saying another heading instead of pressure but it is too jumbled to tell. 


Also this may be: No signs of [something] or splenomegally is noted.


 


Thanks in advance!


Review of Systems
On Review of Systems, he's saying . . ."@#$#&*&(" : No recent skin rash.  and then something else "@#$#$" : No anemia or lymph gland problems.  Psychiatric - No recent depression.    Can anyone tell me what these headings could possibly be?   I can't even get enough to give you a "sounds like".
In Review of Systems
Subject: In Review of Systems

There is no history of diabetes, polyuria, polydipsia, seizure, stroke, TIA, loss of strength or sensation, or DVT s/l pulmonary mesin around level bleeding. 


It might be 'pulmonary embolism' but I might just be wanting to hear that, it's kind of a stretch.  But the rest...


Any ideas??? Thanks.


Record Review: S/L
Subject: Record Review: S/L

'gluteus piriformis intentious fascia lata' 
Review of systems
Subject: Review of systems

Review of systems include shortness of breath and s/l ricacaria?? Anyone ...help???
Q in Review of Systems
Subject: Q in Review of Systems

When the doc says - Rest of systems: Negative.  do we write it that way or list the systems with Negative next to them all?


Doc doing review. Any ideas? sm
Subject: Doc doing review. Any ideas? sm

Available for review is a s/l “fair-row” seven page typewritten report.
Do you want to know was ROS is? Review of systems.
Subject: Do you want to know was ROS is? Review of systems.


review of systems twice
Subject: review of systems twice

The doc says his normal ROS. At the end of his thought he pauses for a LONG TIME and then says "ROS, on the line, otherwise negative."
So should I do it like I have below or what are your suggestions?

REVIEW OF SYSTEMS: blah blah blah.
A review of systems is otherwise negative.


In review of systems he says,
Subject: In review of systems he says,

"no fevers, chills or sweat s/l size-or-trizer?
Review of Systems
Subject: Review of Systems

Of course...You are correct. I was typing too fast. :-)
Review of Systems
Subject: Review of Systems

I knew that is what you meant.
It is indeed "is"....as review is single.
Subject: It is indeed "is"....as review is single.

Boy, if that don't make sense, nuthin' does!  I fried my brain years ago though...a product called White-Out...hey, it was the 80's and what else was there to do in typin' class?
possibly - I am sending for review
Subject: possibly - I am sending for review


Ever heard of this? Xray review
Subject: Ever heard of this? Xray review

Review of his x-rays today show no evidence of any s/l 'ab-lateral compartmental arthritis.


wasn't sure if this was an actual word (short for something) or if he possibly tumbled over his words and just meant to say lateral compartmental . . .


thanks for the help.


Disregard - I marked for QA to review.
Subject: Disregard - I marked for QA to review.


Disregard - I am sending for review
Subject: Disregard - I am sending for review


Not saying ROS of review of systems is negative? nm
Subject: Not saying ROS of review of systems is negative? nm


s/l taw-tur-tile CRP. Lipid lab review.
Subject: s/l taw-tur-tile CRP. Lipid lab review.

 One of those days when I can't understand anyone!


Other review of systems showed s/l OS negative
Subject: Other review of systems showed s/l OS negative

Other "review of systems" ____ showed s/l "OS"  negative. 
Review of systems: See HPI (History of Present Illness.)
Subject: Review of systems: See HPI (History of Present Illness.)


Good post for newbies and a review for us oldies who have sm
Subject: Good post for newbies and a review for us oldies who have sm

been transcribing these studies since they were first initiated years ago.
Is this right "A "ten part" review of systems reveal?
Subject: Is this right "A "ten part" review of systems reveal?

n/t
"Female: Negative" under a male's Review of Systems?
Subject: "Female: Negative" under a male's Review of Systems?

This is the only doc i have ever seen do this... can someone explain?  I'm confused.
Review of systems: Chills, night sweats,*commerfid*
Subject: Review of systems: Chills, night sweats,*commerfid*

TIA!
Thanks everyone. I ended up going with edematous paretic, but flagged for review just in case...
Subject: Thanks everyone. I ended up going with edematous paretic, but flagged for review just in case...

nm