The patient did have a s/l UDM at the last visit that was positive for opiates.
Posted By: MT mom of 3 on 2008-06-09
In Reply to:
Subject: The patient did have a s/l UDM at the last visit that was positive for opiates.
Is UDM correct? If so what is spelled out?
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Thought it had more to do with her sources of information on the patient prior to initial visit. nm
Subject: Thought it had more to do with her sources of information on the patient prior to initial visit. nm
x
patient has a history of being positive
Subject: patient has a history of being positive
for s/l ossa drugs. Any help with this would be appreciated!
TIA! 
Patient with vertigo. s/l Nylan test was positive to the right.
Subject: Patient with vertigo. s/l Nylan test was positive to the right.
This was under neuro exam in addition to rapid alternating movements were normal. Romberg was negative.
Patient has IgM-positive s/l rabesia titer. He's usually so clear...
Subject: Patient has IgM-positive s/l rabesia titer. He's usually so clear...
nm
s/l testive care was sent. This patient has tested positive for chlamydia. Thanks
Subject: s/l testive care was sent. This patient has tested positive for chlamydia. Thanks
The patient was s/l "tope" positive. This improved dramatically with hydration.
Subject: The patient was s/l "tope" positive. This improved dramatically with hydration.
s/l cabanoids and opiates...sm
Subject: s/l cabanoids and opiates...sm
Urine drug screen is positive only for s/l "cabanoids" and opiates.
Thanks!
UDS (urine drug screen) for opiates??
Subject: UDS (urine drug screen) for opiates??
That would make sense. Can you hear that instead?
Patient has a positive drawer test and s/l wobble test (knee pain)
Subject: Patient has a positive drawer test and s/l wobble test (knee pain)
thanks so much!!!
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!!!
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
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.
:-)
This was an office visit. Thanks
Subject: This was an office visit. Thanks
Maybe RV for return visit? nm
Subject: Maybe RV for return visit? nm
s
Office visit H&P- Thanks! nm
Subject: Office visit H&P- Thanks! nm
Just guessing... RV as in return visit?
Subject: Just guessing... RV as in return visit?
Just in for a neurosurgery visit, but other meds not associated.
Subject: Just in for a neurosurgery visit, but other meds not associated.
Doc tends to slur a lot, so I may have to flag it.
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?
Context, please! What are you doing - xray, scan, office visit, etc.?
/
visit this link for options regarding suction cannula
Subject: visit this link for options regarding suction cannula
you can visit this link to see and search for options.
I think you were right, ECG 7-14 was abnormal, today's visit is normal in comparison
Subject: I think you were right, ECG 7-14 was abnormal, today's visit is normal in comparison
Boy with fevers and pain (rheum. visit). He does not have any *tempwella* with ... sm
Subject: Boy with fevers and pain (rheum. visit). He does not have any *tempwella* with ... sm
... the fevers or the presumed joint pains. He does not seem to have any morning stiffness.
Thanks.
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
..
Pediatric rheum visit. Med s/l soyametatine/solumetatine 400 mg daily sm
Subject: Pediatric rheum visit. Med s/l soyametatine/solumetatine 400 mg daily sm
I'm not sure what the med is for, but child has PFAPA syndrome. On my s/l, I hear the end better than the beginning, hence the two different beginnings.
Thanks!
When sis comes to visit she always gets good laughs reading the phobia pages in my Dorland's.
Subject: When sis comes to visit she always gets good laughs reading the phobia pages in my Dorland's.
nm
Drain was removed at this first postop visit- discontinued makes the most sense. Thanks!
Subject: Drain was removed at this first postop visit- discontinued makes the most sense. Thanks!
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
She will follow up with me(v)/will be seen in followup(n); will have a follow-up visit (adj)
Subject: She will follow up with me(v)/will be seen in followup(n); will have a follow-up visit (adj)
x
doc dictates "the patient has 120 pack year smoking history", patient is 75...is that right???
Subject: doc dictates "the patient has 120 pack year smoking history", patient is 75...is that right???? NM
Patient is here for an s/l eflex injection. Patient previously had Orthovisc.
Subject: Patient is here for an s/l eflex injection. Patient previously had Orthovisc.
nm
if you are positive that he what he/she is trying to say.
x
It is HER-2/neu positive
Subject: It is HER-2/neu positive
and node positive sounds right to me, meaning lymph node is positive.
Almost positive it's T max. This is how I have it in my
Subject: Almost positive it's T max. This is how I have it in my
x
possible? positive?
Subject: possible? positive?
ANA positive at 1-80 or 1:80....nm TIA
Subject: ANA positive at 1-80 or 1:80....nm TIA
x
DHC Positive ?
Subject: DHC Positive ?
Cold agglutinin induced hemoloytic anemia – DHC POSTIVE FOR 3CD ? -
any guesses
O positive
Subject: O positive
maybe "...and a positive S4" ??
Subject: maybe "...and a positive S4" ??
ER 3+ positive?
Subject: ER 3+ positive?
I have never seen the 3+ before...is this would you would write it? I can't find this...
"The prognostic markers in the biopsy specimen were ER 3+ positive, PR 3+ positive and HER-2/neu negative by FISH."
I positive?
Subject: I positive?
dictated phrase:
History of left breast cancer, stage I with extensive DCIS, T1 N0, I-positive sentinel lymph node on hormonal therapy
I've never run into I-positive before, and this surgeon has never used this phrase before. Am I typing it correctly?
OB patient - s/l The patient has a 'null' sign.
Subject: OB patient - s/l The patient has a 'null' sign.
heme positive
Subject: heme positive
The hospital I have worked at for 15 years says no. So we don't hyphenate heme positive. Don't know what the BOS says though, we don't really use it.
It's "heme positive"
Subject: It's "heme positive"
nm
ASCA and S/L OP-C positive
Subject: ASCA and S/L OP-C positive
DIctated: colitis ASCA and S/L OP-C positive since ......
TIA!!
Positive chandilier - sm
Subject: Positive chandilier - sm
CT pelvis....History was positive chandilier ...never heard of it, and cannot reference. In the body of the report he stated possible PID, bilateral tuboovarian abscesses...if that helps. The whole sentence was "Positive chandiler" ???anyone?? TIA
No, it wasn't positive (sm)
Subject: No, it wasn't positive (sm)
And I just meant I hadn't ever heard "plus" in front of S1, S2 before. That was what I was questioning. Thanks for taking the time to reply!
1/20 nodes positive
Subject: 1/20 nodes positive
nm
Positive lomberg?
Subject: Positive lomberg?
I have a follow up report that I am doing and in the physical exam, under CNS, she says "positive finger-to-nose test and negative lomberg". I cannot find the term lomberg see how it is spelled or even what it is. Any help is appreciated.
Thanks, Stacy
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