Pt had itching she treated with OTC Monistat. Assessment s/l vagini ovitis symptoms.
Posted By: Not saying vaginitis - unless she's stuttering on 2009-04-04
In Reply to:
Subject: Pt had itching she treated with OTC Monistat. Assessment s/l vagini ovitis symptoms.
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maybe Monistat? NM
Subject: maybe Monistat? NM
x
The symptoms of perimenopause or perimenopausal symptoms. Why not?? nm
Subject: The symptoms of perimenopause or perimenopausal symptoms. Why not?? nm
s
pruritus? (itching)
Subject: pruritus? (itching)
x
pruritus - itching
Subject: pruritus - itching
Does he having itching - if so, could be Atarax.
Subject: Does he having itching - if so, could be Atarax.
paraclitoral itching??
Subject: paraclitoral itching??
nt
1) with itching? 2) seborrheic?
Subject: 1) with itching? 2) seborrheic?
Without itching and psoriatic changes maybe?
Subject: Without itching and psoriatic changes maybe?
x
"or itching"?
Subject: "or itching"?
Is it in the skin portion of the physical exam? No rashes, itching, or lesions usually pops up with my dictators.
It's probably pleuritic; pruritic is itching. nm
Subject: It's probably pleuritic; pruritic is itching. nm
nm
S/l Ruli gel for poison ivy itching. TIA!
Subject: S/l Ruli gel for poison ivy itching. TIA!
He says the patient had paraclitoral itching.
Subject: He says the patient had paraclitoral itching.
nt
skin reaction, itching, using Benadryl as well
Subject: skin reaction, itching, using Benadryl as well
Thanks!
pruritic? Looking like it's been scratched because of itching? Got meds or any kind of diagnosis?
Subject: pruritic? Looking like it's been scratched because of itching? Got meds or any kind of diagnosis? nm
s
Vagifem is used for treating itching, burning, and dryness in or around the vaginal area in women pa
Subject: Vagifem is used for treating itching, burning, and dryness in or around the vaginal area in women past menopause.
Assessment
Subject: Assessment
ASSESSMENT: Family history of AAA. Will proceed with -- s/l "root" ----- to evaluate.
Anyone have any idea what this is?? I'm drawing a blank.
TY!!
Help with assessment
Subject: Help with assessment
Hypertension with s/l "realciaporosis"...??
Any ideas??
TIA 
assessment ?
Subject: assessment ?
Patient had an s/l EIP - EPL transfer.
in the assessment i would, otherwise no
Subject: in the assessment i would, otherwise no
Assessment ?
Subject: Assessment ?
Assessment ?
Subject: Assessment ?
Can you have an abbreviation like URI in an assessment? Thx. Tina
Assessment
Subject: Assessment
Thank you for the assessment info!!
CAGE assessment?
Subject: CAGE assessment?
CAGE Assessment (Alcohol Abuse)
Powered by:. CAGE Assessment (Alcohol Abuse). For most people who drink, alcohol
is a pleasant addition to eating and to other social activities. ...
https://www.merck.healthinkonline.com/ merckTools/AssessMerckSourceCAGE.asp - 19k - Cached - Similar pages
screening questions - CAGE assessment
Aquarius - UK Midlands charity providing advice and counselling on alcohol and
drugs problems.
www.aquarius.org.uk/cage.htm - 14k - Cached - Similar pages
Livingston County Council Alcohol & Substance Abuse - Assessment
Here's another one: Under Assessment/Plan
Subject: Here's another one: Under Assessment/Plan
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
It was not a test. It was the assessment.
Subject: It was not a test. It was the assessment.
nm
assessment&plan help!
Subject: assessment&plan help!
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:
- Bilaterally arm numbness.
- Nausea.
- Health maintenance recommendations.
PLAN:
- 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.
- 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.
assessment and plan
Subject: assessment and plan
I hate when docs do that - mine do it a lot. I think you're good either way but I would put "A&P" as the heading and then just type it the way the doc says it.
hep c is treated with interferon and....n/m
Subject: hep c is treated with interferon and....n/m
Assessment or Impression
Is it an AAMT rule to automatically number the diagnoses in the Assessment or Impression of an H&P or soap even if the dictator does not? TIA!
Not cryotherapy? What's being treated? nm
Subject: Not cryotherapy? What's being treated? nm
s
Should EKG be expanded in Assessment?
Subject: Should EKG be expanded in Assessment?
ASSESSMENT: Abnormal EKG.
treated with s/l 50 K-lite? TIA
Subject: treated with s/l 50 K-lite? TIA
xx
question about assessment
Subject: question about assessment
Doc states CABG and mitral valve repair. He clearly states this together. Can this be listed as one assessment? Or should mitral valve repair be next number??
*The patient was treated for the
Subject: *The patient was treated for the
GI bleed with epinephrine injection and resolution (capitalized?) clips...*
Thanks in advance for help.
pulmonary assessment
Subject: pulmonary assessment
admitted for elective mediastinoscopy, s/l radio-gram-coscopy?? and left bronchotomy.
CLL treated with IBG therapy and - sm
Subject: CLL treated with IBG therapy and - sm
sounds like ritican - but cannot find this anywhere.
This should be treated like "aspirin."
Subject: This should be treated like "aspirin."
x
The pt has been treated for septic arthritis
Subject: The pt has been treated for septic arthritis
Doc says: We stopped his s/l fluoroclinolones.
I've searched on every spelling I can think of.
Thanks for any help!
What muscle or area is being treated? nm
Subject: What muscle or area is being treated? nm
s
Assessment: Vaginitis DX. I never heard of DX?? thanks
Subject: Assessment: Vaginitis DX. I never heard of DX?? thanks
How is this being treated or is this an xray reading? nm
Subject: How is this being treated or is this an xray reading? nm
s
treated for reflux with s/l lenissen? nm
Subject: treated for reflux with s/l lenissen? nm
nm.
Patient has blastomycosis and is treated with s/l
Subject: Patient has blastomycosis and is treated with s/l
nm
What is the patient being treated for? And, is Ortho-Est.
Subject: What is the patient being treated for? And, is Ortho-Est.
Under assessment: UNCOMPELLING EMG results
Subject: Under assessment: UNCOMPELLING EMG results
Is uncompelling a word?
Or is it noncompelling?
Thanks!
med. s/l cefataxine 675 mg treated for pneumonia TIA
Subject: med. s/l cefataxine 675 mg treated for pneumonia TIA
xx
Assessment: Dry skin (s/l ictiosis).
Subject: Assessment: Dry skin (s/l ictiosis).
:-)
Geriatric Assessment Unit
Subject: Geriatric Assessment Unit
.
Oh...assessment is diagnosis..so I would type it out nm
Subject: Oh...assessment is diagnosis..so I would type it out nm
xx
The patinet was treated without s/l sequelly.
Subject: The patinet was treated without s/l sequelly.
"HO" assessment (alcoholism)
Subject: "HO" assessment (alcoholism)
Has anybody ever heard "EtOH" pronounced as "aitch oh"? Or know what "HO assessment" could mean in relation to alcohol treatment?
"Patient was not eligible for HO assessment."
Thank you!
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