Rheumatology - normally a great dictator
Posted By: Please see message - thanks! on 2007-11-13
In Reply to:
Subject: Rheumatology - normally a great dictator
Patient with positive rheumatoid factor and low-titer anti-CCP antibodies, a moderate s/l cell- (or sal-) umentation rate, anticardiolipin antibodies, and joint pain.
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He really does have the "H" in there and is a great dictator. Just can't document. will f
Subject: He really does have the "H" in there and is a great dictator. Just can't document. will flag. Thx
Thanks for you backup. Not ESL and actually great dictator. Just missing this one I guess. THx!
Subject: Thanks for you backup. Not ESL and actually great dictator. Just missing this one I guess. THx!
nope, regular great dictator, very clear. Spells: A-L-O-N.
Subject: nope, regular great dictator, very clear. Spells: A-L-O-N.
I went with dyssynergy symptoms. He's a real clear and great dictator...
Subject: I went with dyssynergy symptoms. He's a real clear and great dictator...
I was just off with the spelling a bit. Thanks for your help!!
holiday...is the dictator an Arab dictator? nm
Subject: holiday...is the dictator an Arab dictator? nm
x
type what dictator said, dictator is not incorrect.....
Subject: type what dictator said, dictator is not incorrect.....
.
Another rheumatology ? sm
Subject: Another rheumatology ? sm
In more than six months of typing for this doc, I've never heard this terminology. Now, he has two patient's one after the other with this FMF.
This patient has been seen at the NIH and noted to have one gene mutation, the V726A but to be a carrier s/l it could be either: without 2 genes or with L2 genes.
Thanks again for your help.
Rheumatology - please sm
Subject: Rheumatology - please sm
We did extensive blood work when I saw her in October, and she turns out to be anticardiolipin antibody-positive with a lupus anticoagulant and s/l nonperoxitis positive.
rheumatology help!
Subject: rheumatology help!
It sounds like he is saying "pausi-articular" inflammatory arthropathy. I searched the internet to no avail.... any ideas?
Rheumatology s/l sm....
Subject: Rheumatology s/l sm....
Patient with knee pain. Doc is dictating what s/l appleton grind - very clear and not saying Apley grind.
About to give up and blank it but wanted to know if anyone heard of appleton grind?
Thanks!!
rheumatology help.
Subject: rheumatology help.
Patient has psoriasis as well as *eficopathy* at the elbow.
Also, there is a family history of *Walden's drome* or something like that.
Rheumatology s/l - please help!
Subject: Rheumatology s/l - please help!
Patient had an episode of stiffness, fever, rash, and was positive for what the mother thinks was s/l air-wick-osis.
I've tried every spelling I can think of with the s/l and can't find it. Thanks!
Need help with a s/l - Rheumatology
Subject: Need help with a s/l - Rheumatology
Patient's blood work is good, but she remains Sm and (s/l either) RMP or RNP or RNT or RNP positive.
Thanks!
rheumatology lab help please
Subject: rheumatology lab help please
SCL-70 is negative. s/l "Jowen" negative. Smith, RNP, SSA and SSB negative.
Great credentials. Great advice.
Subject: Great credentials. Great advice.
.
Rheumatology/dermatology
Subject: Rheumatology/dermatology
Patient was told by one dermatologist she had morphea on inside of thigh and treated with Dovonex. This improved for a while, then returned. Saw a different dermatologist who thought it might be s/l burned out. Could be a type of gout??
Patient now is seeing rheumatologist - has lesions on back of calf - and has stiffness, pain, decreased range of motion.
Thanks for any help.
I'm typing rheumatology....
Subject: I'm typing rheumatology....
and this sentence is all I have to go by:
She was also given an intermittent course of s/l za-fax-in by her gastroenterologist.
He's very clear. There's a "z" sound at the beginning and a very clear "fax" in there. I've tried spelling zo-fax-en, zi-fax-in, etc., and even spelling with "x" at the beginning.
Thanks for your help.
Rheumatology experts - please help!
Subject: Rheumatology experts - please help!
This is a 10-year-old with a previous history of ITP, minimally positive ANA and anticardiolipin antibodies.
Sentence in question:
Most recent blood work showed a s/l dirty urine, and she had antibodies to s/l La/SSB (is this correct way to type ?) while being ANA-negative.
Does sentence make sense? Thanks.
Ophthalmology / rheumatology s/l please see msg
Subject: Ophthalmology / rheumatology s/l please see msg
Patient is 11-year-old with pauciarticular juvenile rheumatoid arthritis and uveitis - increased problems with uveitis and she is on hourly drops.
Ophthalmologist has suggested in addition to this she may need oral prednisone and/or s/l some tee-non injections or sub-tee-non injections.
Thanks for any help.
Rheumatology s/l see message
Subject: Rheumatology s/l see message
Patient with serologic abnormalities. Negative ANA and antithyroid antibodies. Her most recent s/l A1A was negative. Thank you.
Actually I dont think that's it, this is rheumatology, SM
Subject: Actually I dont think that's it, this is rheumatology, SM
did a muscle biopsy
rheumatology - rash
Subject: rheumatology - rash
Help please. Patient with rheumatoid arthritis...s/l "no geofication of rash"....or maybe "judification of rash". Or something similar. Thank you so much.
is this dictator ESL (foreign dictator)?....
Subject: is this dictator ESL (foreign dictator)?....
if ESL, I would either blank him or give him that Avodart but the other one I haven't a clue and would have to blank there too. Sorry :(
Another pediatric rheumatology word below
Subject: Another pediatric rheumatology word below
The lesions do not appear to have a complete s/l on two desob connection, but appear in this general distribution.
www.rheumatology.org/educ/hir/7_multisystem_dis.ppt
Subject: www.rheumatology.org/educ/hir/7_multisystem_dis.ppt
a powerpoint presentation, but looks like it has quite useful information in it.
Rheumatology - Please see message for context.
Subject: Rheumatology - Please see message for context.
Patient is 5-year-old white male with recurrent episodes of high fever.
Impression is period fever syndrome. Giving brief trial of cimetidine to see if this will cut off his episodes, suggesting that they are in fact s/l foppa/FOPPA
Then s/l SMF gene testing was ordered. He says this part so fast that I'm not sure there could be more initials.
Thanks.
Need a good rheumatology site, anyone know of one?
Subject: Need a good rheumatology site, anyone know of one?
x
Rheumatology drug help needed - please sm
Subject: Rheumatology drug help needed - please sm
Diagnosis is multifocal osteomyelitis. Discussed risks and benefits of Enbrel. Also discussed s/l bisfosinase (or nate) - as far as first letter, can't tell if he's saying "v", "d", "b". Thanks!
Rheumatology - please see message for context
Subject: Rheumatology - please see message for context
Patient has a strongly positive ANA, but normal C3 and C4, with a normal CBC and sedimentation rate, but she has a weakly positive rheumatoid factor and a low-titer of s/l anti-phos-photetal serian (maybe serum) antibodies.
If any help, patient may have lupus.
Rheumatology/ortho - please see message
Subject: Rheumatology/ortho - please see message
Patient has juvenile rheumatoid arthritis.
Musculoskeletal exam revealed s/l cantalodactyly.
Rheumatology clinic labs ... psm
Subject: Rheumatology clinic labs ... psm
Patient is toddler who has had joint stiffness.
On initial blood tests, he had 4 IgG bands per line.
Does this sound correct? Thanks.
Rheumatology/pain medicine - need help with s/l
Subject: Rheumatology/pain medicine - need help with s/l
Diagnosis: Scleroderma with coronary involvement and Raynaud's phenomenon.
Plan: s/l Opthana ER 40 mg.
Stumped - rheumatology. Please see paragraph for context.
Subject: Stumped - rheumatology. Please see paragraph for context.
Patient is a little girl with an area of atrophic and hyperpigmented skin on her forehead (morphea/linear scleroderma en coup de sabra).
"In addition, there is a secondary area which is approximately 2 cm in diameter and 6 cm in length which is hyperpigmented and lateral to the s/l inituary/immisuary, with again subcutaneous atrophy, but without erythema or adherence."
Totally stumped but hate to give up --- Thanks for any help.
Rheumatology - pt has systemic lupus erythematosus... sm
Subject: Rheumatology - pt has systemic lupus erythematosus... sm
and a necrotic left neck mass. Doc thinks patient has a component of *cachooshi/kackoochy* syndrome.
Having a tough time finding this one. Thanks for any help!
Is this for rheumatology? There is anti-smooth antibody test. nm
Subject: Is this for rheumatology? There is anti-smooth antibody test. nm
x
Rheumatology/Ortho - positive scoli screen? sm
Subject: Rheumatology/Ortho - positive scoli screen? sm
Patient has spondyloarthropathy, back pain/stiffness with a positive s/l scoli screen.
I assume he means scoliosis screen but have never heard him say this and not sure if there is another meaning that s/l scoli. Thanks!
Help - not an ESL dictator.....sm
Subject: Help - not an ESL dictator.....sm
Anglo mushmouth cardiologist is saying:
This 85-year-old white male was admitted and had a posterior s/l *A to E* resection for rectal carcinoma.
I am not sure he is saying *A to E* and I already googled this to no avail.
TIA for any light anyone can shed on this....really appreciate it...
Dictator says ...
Subject: Dictator says ...
She has a history of being intolerant of an ACE and s/l RHAB. She says it like a word, so it s/l Are ab
I pretty sure it's an abbreviation like ACE, but I can't make out the exact letters to even know what to look up to be sure. TIA!
When a dictator says Cor S1 and S2, how...sm
Subject: When a dictator says Cor S1 and S2, how...sm
should that be typed? Coronary: S1 and S2?
This must be something the dictator often says. sm
Subject: This must be something the dictator often says. sm
Can "preson" be "perfusion?"
"perfusion to tissues?"
"present 2+ pulses?" (awkward)
What are the sentences before and after? Do you have any other PEs from this dictator?
Is this an orthopedic exam or general PE?
Dictator says...
Subject: Dictator says...
CBC showed WBC of fourteen point six thousand.
What is the correct way to type this number?
is the dictator ESL? perhaps not saying N
Subject: is the dictator ESL? perhaps not saying N
You could be right as the dictator is ESL. Thank you. NM
Subject: You could be right as the dictator is ESL. Thank you. NM
two more for same dictator pls sm
Subject: two more for same dictator pls sm
Patient without evidence of a left atrial s/l apinich thrombus.
The patient underwent s/l durakyto cardioversion.
VERY fast talker. Any ideas?
I bet you that you are right though, it is an ESL dictator
Subject: I bet you that you are right though, it is an ESL dictator
and I think he is just flipping through the chart giving me every med she ever had not realizing they are one in the same. I will flag it anyway. You are awesome thank you!
could the dictator be SM
Subject: could the dictator be SM
stumbling over words and saying something like:
First, today I am giving him Vicodin and Skelaxin.
?? Just guessing. Never heard of first aid being used in that way, but I suppose it could be...?
If dictator says
Subject: If dictator says
"blood pressure was in the 140s 150s". How do I type this?
But if the dictator is saying the "A" it has to be
Subject: But if the dictator is saying the "A" it has to be
x
Dictator says:
Subject: Dictator says:
Abdomen is nondistended. No 'LKF' felt. Then he says 'BJE', the patient's abduction is normal.
What is LKF or is the acronym something different?
What does BJE stand for? He is clearly saying 'BJE', but I am not sure about 'LKF'. I still would like to know what BJE means. Thanks
Could the dictator be saying "CU" as in sm
Subject: Could the dictator be saying "CU" as in sm
"cystourethroscopy?"
Need quick help with this dictator please
Subject: Need quick help with this dictator please
This doctor just said
"Initial white blood count was elevated at 12.7 thousand."
Do I transcribe it like that, or do I put 12,700?
TIA!
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