Review of systems: See HPI (History of Present Illness.)
Posted By: I hope you are joking. Just in case you aren't on 2005-09-07
In Reply to: CHPI - lost
Subject: Review of systems: See HPI (History of Present Illness.)
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- CHPI - lost
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See HPI. (as in see history of present illness)
Subject: See HPI. (as in see history of present illness)
Not sure, but "Per History of Present Illness?
Subject: Not sure, but "Per History of Present Illness?
Would my guess work? I just checked my Sloan Medical Abbreviations and Eponyms book and found neither "PHPI" nor "CHPI" listed. These abbreviations can be soooo difficult!
I type it History of Present Illness
Subject: I type it History of Present Illness
but that's the way the employer wants it. If it's verbatim I'd type just what he said HPI.
It is Review of Systems and not Review of Symptoms.
Subject: It is Review of Systems and not Review of Symptoms.
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.
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?
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.
Not saying ROS of review of systems is negative? nm
Subject: Not saying ROS of review of systems is negative? nm
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 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
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!
14 point review of systems was done s/l weighted, dated and placed in chart. Is that right?
Subject: 14 point review of systems was done s/l weighted, dated and placed in chart. Is that right?
n/t
Pt with migraines with aura, in review of systems, episodic visual s/l C D O's. nm
Subject: Pt with migraines with aura, in review of systems, episodic visual s/l C D O's. nm
?break in dictation for MT instruction? i see "add this to review of systems above the extremity
Subject: ?break in dictation for MT instruction? i see "add this to review of systems above the extremity section" in your s/l ?? nm ??
In Review of systems: Hem/Lymph: Has long-term bruising, no s/l atreemia, noncontributory. nm
Subject: In Review of systems: Hem/Lymph: Has long-term bruising, no s/l atreemia, noncontributory. nm
I know, but on head and neck exam in review of systems, it is very usual for Dr. to make mention of
Subject: I know, but on head and neck exam in review of systems, it is very usual for Dr. to make mention of ,,,,
all the usual complaints of the specific region, as in neck, no lyphadenopathy, chest, no rales or wheezes, etc., it is a consult. What does he say about something green on the guy's head????
wild guess..."unremarkable for history of illness" ??? or sm
Subject: wild guess..."unremarkable for history of illness" ??? or sm
or could they be mangling "Unremarkable except as in history of present illness" ???
could they be mumbling "present illness" or current illness
Subject: could they be mumbling "present illness" or current illness
maybe flu illness? nm
Subject: maybe flu illness? nm
illness
Subject: illness
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Some type of illness? What comes before or after this? nm
Subject: Some type of illness? What comes before or after this? nm
s
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.
history of colorectal history with metastasis to the liver and lymph nodes
Subject: history of colorectal history with metastasis to the liver and lymph nodes
What is the vaccine for or what is the illness or disease?
Subject: What is the vaccine for or what is the illness or disease?
long-term illness.. sm
Subject: long-term illness.. sm
or: illness is long term, without dash... never used longterm... hope this helps
herold versus herald (as in illness)
Subject: herold versus herald (as in illness)
This doctor habitually spells herald/herold, i.e., as in herald symptoms.. Is is herald or herold? Thanks.
Doesn't clinical presentation mean how the illness presents sm
Subject: Doesn't clinical presentation mean how the illness presents sm
itself, not the patient's number of visits.
Here are some of these systems. Will look around more. sm
Subject: Here are some of these systems. Will look around more. sm
Apogee
™
Vaginal Vault Prolapse Repair System
Perigee
™
Transobturator Anterior Prolapse Repair
Monarc
™
Subfacial Hammock
SPARC
™
Sling System
BioArc SP
™
Sling System
BioArcTO
™
Subfascial Hammock
InteDerm
™
Allograft Dermal Matrix
InteXen
™
Porcine Dermal Matrix
In-Fast Ultra
™
Sling System
Straight-In
™
Sacral Colpopexy System
which is present??
Subject: which is present??
after her surgery. Could mean "still present" after her surgery
She lay in bed, present tense....sm
Subject: She lay in bed, present tense....sm
she laid in bed all day Saturday (past tense).........
s/l vertebrae Why's present
Subject: s/l vertebrae Why's present
Pt has vertebral anomalies, only 16 thoracic and lumbar vertebrae s/l Why's present. I thought maybe lumbar vertebrae Ys, not sure though.
Thanks for any help
can present doppler
Subject: can present doppler
Doesn't sound like comprehensive. Are dopplers done by percentages? Like 10% doppler was performed? Thanks.
All other systems are reviewed and are negative
Subject: All other systems are reviewed and are negative
okay i need help. is he saying....."all other systems are reviewed and are negative" or "all of the systems are reviewed and are negative"???????? it is under the heading, REVIEW OF SYSTEMS.
S/l tar-loff-sis is present in the sacrum.
Subject: S/l tar-loff-sis is present in the sacrum.
Can't give much more relative info than that. Any help would be appreciated. Thanks!
s/l dorsal *kelostity* present...
Subject: s/l dorsal *kelostity* present...
Podiatry again.
There are hammertoe contractures that are increasing in size of digits 2-5 of the right foot. There is dorsal ______ present at digits three and four at the PIPJ, this is increasing as well especially since this patient is not wearing shoes.
Thanks in advance!
on all reps I try for present tense except
Subject: on all reps I try for present tense except
Could the first part be comprehensive instead of can present?
Subject: Could the first part be comprehensive instead of can present?
Bilateral Rouse? are present
Subject: Bilateral Rouse? are present
ABDOMEN: Normal. No edema. Bilateral rouse? are present.
Any idea? Thanks
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
Bet they are saying "Review of Systems" negative really fast. nm
Subject: Bet they are saying "Review of Systems" negative really fast. nm
s/l on UA she had cass present as well as mucus threads
Subject: s/l on UA she had cass present as well as mucus threads
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