Pt to undergo knee replacement - "we will plan on using the s/l **2 through 3" versus sm
Posted By: Help please on 2009-05-12
In Reply to:
Subject: Pt to undergo knee replacement - "we will plan on using the s/l **2 through 3" versus sm
the hinged prosthesis. ??
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Pt is needing a hip revision. "We will plan to use a custom **Duralock 100-66 constraint liner**
Subject: Pt is needing a hip revision. "We will plan to use a custom **Duralock 100-66 constraint liner**.nm
The knee is pain significant because she had a total knee replacement. Make sense? nm
Subject: The knee is pain significant because she had a total knee replacement. Make sense? nm
,,
Versus cup for hip replacement?
Subject: Versus cup for hip replacement?
Sounds like Versus, but can't confirm that anywhere.
knee replacement
Subject: knee replacement
This will be a cemented s/l Kronkol ball total knee with polyethylene tibial insert and patella button.
knee replacement
Subject: knee replacement
Total knee replacement on the right side by S/L OMETS SIGNATURE.
re knee replacement,,,
Subject: re knee replacement,,,
He is fading out but it sounds like: the final femoral compoment was a SIDERHORN size 4 mm thick ???
S/L Unicomiter knee replacement..
Subject: S/L Unicomiter knee replacement..
... I've done some physical therapy, so I should know this for ortho, but don't think I've heard it before. Could not reference this. TIA!
unicompartmental knee replacement was the
Subject: unicompartmental knee replacement was the
Is it total-knee replacement or sm....
Subject: Is it total-knee replacement or sm....
total knee w/o the hyphen? It would be considered a compound modifier correct?
Thanks.
If the patient has had knee replacement,
Subject: If the patient has had knee replacement,
how about pseudomonas prosthetic knee infection?
total knee replacement
Subject: total knee replacement
S/L Ottis Madden navigation for precision insertion total knee replacement.
BCS s/l Collet? for knee replacement?
Subject: BCS s/l Collet? for knee replacement?
');>![](http://forum.mtstars.com/smileys/sowhat.gif")
It is a type of knee replacement system sm
Subject: It is a type of knee replacement system sm
PFC SIGMA RP Rotating Platform Knee System from DePuy Orthopaedics, Inc
S/L BPS collette for knee replacement surgery
Subject: S/L BPS collette for knee replacement surgery
n/m
scan s-scar for a total knee replacement
Subject: scan s-scar for a total knee replacement
The incision has scan s scar in the superior and inferior aspect of her incision. There is no drainage
A well-padded "nostril" tourniquet was placed....but it is a knee replacement. Could you help
Subject: A well-padded "nostril" tourniquet was placed....but it is a knee replacement. Could you help? ThX
x
bironment or vironment ??unicompartmental knee replacement
Subject: bironment or vironment ??unicompartmental knee replacement
Patient is status-post s/l ex-plan of the left total knee. nm
Subject: Patient is status-post s/l ex-plan of the left total knee. nm
alternative treatments for knee replacement s/l risko supplementation
Subject: alternative treatments for knee replacement s/l risko supplementation
nm
Ortho - total knee replacements: cementless *gurachan* replacement
Subject: Ortho - total knee replacements: cementless *gurachan* replacement
post total knee replacement surgery sl Gish drain?
Subject: post total knee replacement surgery sl Gish drain?
as transferred back to the ward in good condition with a Gish drain in place
Not sure but comprehensive 65 plan, may be referring to age/healthcare plan?
Subject: Not sure but comprehensive 65 plan, may be referring to age/healthcare plan?
Sorry, tried to help. Have a nice weekend.
lyse -- to cut, undergo lysis (nm)
Subject: lyse -- to cut, undergo lysis (nm)
says patient will undergo *gammonized* treatment?? Do I leave it as spelled. Thanks. nm
Subject: says patient will undergo *gammonized* treatment?? Do I leave it as spelled. Thanks. nm
nm
The next sentence was "We then elevated the mucosa." nm
Subject: The next sentence was "We then elevated the mucosa." nm
.
I would just type "we are going to discontinue the three staples"
Subject: I would just type "we are going to discontinue the three staples"
x
"We gave him a s/l Man-2 test for his physical at work". ?? TIA
Subject: "We gave him a s/l Man-2 test for his physical at work". ?? TIA
undergo "some barton-nella titers"..pt has large unresolved neck lymphadenopathy. nm
Subject: undergo "some barton-nella titers"..pt has large unresolved neck lymphadenopathy. nm
f
dictator says "We then performed several rounds of hemostasis. Again we used both fibrillar
Subject: dictator says "We then performed several rounds of hemostasis. Again we used both fibrillar
and s/l "new net" in the abdomen.
This is a liver transplant and its very clear. I just cant get a spelling on it enough for google to grab it. any ideas?
X-ray of the knee shows arthritic change within the knee, but maintained s/l tibiofemoral stasis.
Subject: X-ray of the knee shows arthritic change within the knee, but maintained s/l tibiofemoral stasis.
Thanks :-)
Starting off great today...Rheo Knee prosthetic knee???
Subject: Starting off great today...Rheo Knee prosthetic knee???
Knee x-ray: s/l RATTY knee joint erosions? NM
Subject: Knee x-ray: s/l RATTY knee joint erosions? NM
MRI of knee. Semimembranosus s/l pes-dens-a-ri-nus region of the knee.
Subject: MRI of knee. Semimembranosus s/l pes-dens-a-ri-nus region of the knee.
:-)
S/P left total knee reconstruction. On exam, has a palpable s/l clod defect on the left knee.
Subject: S/P left total knee reconstruction. On exam, has a palpable s/l clod defect on the left knee.
:-)
Plan
Subject: Plan
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.
Plan help please!
Subject: Plan help please!
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!
Plan help please!
Subject: Plan help please!
That all depends on the QA person reviewing the report.
I have been told both are correct and both are wrong, other than if there is only one item (in which case you never number).
I have been audited and smacked down (points) for NOT numbering when the dictator did not number on meds and on diagnoses, etc., even on a verbatim account. I would love if someone could explain why. The client profile for the account says "do not number" if the dictator does not number.
Plan.... UA and CNS or C&S?? thank you
Subject: Plan.... UA and CNS or C&S?? thank you
Do you have to have a plan?
Subject: Do you have to have a plan?
Where I work, if they don't say "plan", they don't get a "plan".
That's what I plan to do.
Subject: That's what I plan to do.
I do not like to guess. Now it says for prostate cancer, so it might be. I will just flag it and put a s/l, just in case. I don't want them to think I didn't try to look it up either.
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
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.
starts plan
Subject: starts plan
it starts the plan then says ??? flonase 2 sprays each nostril
Sounds like a plan to me!!
Subject: Sounds like a plan to me!!
Thanks!!
s/l her-plan-jet-ick lesions
Subject: s/l her-plan-jet-ick lesions
s/l her-plan-jet-ick lesions in the mouth and throat
this is a 17 month old with excessive drooling and fever.
that sounds like a plan
Subject: that sounds like a plan
nm
Is this directions for something or what? A plan at the end of a scan? nm
Subject: Is this directions for something or what? A plan at the end of a scan? nm
s
In plan he very plainly says says need to rule out
Subject: In plan he very plainly says says need to rule out
Patient fell and injured right ankle. Sentence in question: She is significantly tender in the s/l coronal ligament s/l and the (or in the) right ankle.
Plan: MRI to rule out coronal ligament tear.
This is very clear - just cannot document it anywhere and don't want to flag it as it's very clear - just unsure and hoping for documentation or someone that has heard it.
Where would you begin the PLAN if the dictator does not say so?
Subject: Where would you begin the PLAN if the dictator does not say so?
ASSESSMENT: We discussed options for Jeff. At this point, a month after the injury, an MRI, potential surgical interventions, etc., ultimately doing as well as he is, he is just going to keep it in mind and be careful with his lifting. He drives a forklift, apparently on a regular basis, but we are going to forego further work up at this point. We also got int a discussion of routine health care maintenance. He will plan on complete physical in October, starting this year. I will put a standing order at lab at this point for him, for a UA basic metabolic fasting lipid panel and PSA. We will go from there.
Help with sentence. This is doc's treatment/plan: sm
Subject: Help with sentence. This is doc's treatment/plan: sm
The sentence just doesn't seem right to me. Any input appreciated!
" Examination, evaluation, simple avulsion nail plate, 3rd left lateral aspect nail plate avulsed paronychium performed under anesthesia."
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