There was no history of s/l kinitis? or weakness. nm
Posted By: mm on 2007-08-16
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Subject: There was no history of s/l kinitis? or weakness. nm
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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
sorry weakness...
Subject: sorry weakness...
just a typo, late in the day (don't tell QA :)
I type it as weakness of
Subject: I type it as weakness of
3.5/5 of the bilateral lower extremities. susan
s/l balgar weakness?
Subject: s/l balgar weakness?
Give-way weakness or give-away weakness? Tks!
Subject: Give-way weakness or give-away weakness? Tks!
nm
Could it be no giving way or weakness? sm
Subject: Could it be no giving way or weakness? sm
This is something my ortho docs dictate a lot, usually in a series, i.e., no giving way, weakness, swelling, patellar pain, etc.
It could also be as you have it - give-way or giving-away weakness, just depending on the doc.
or chorioretinal weakness? nm
Subject: or chorioretinal weakness? nm
A significant relative weakness?
Subject: A significant relative weakness?
He has a significant relative weakness with executive functioning...
Is 'significant relative' correct?
I agree - I think it might be bulbar weakness nm
Subject: I agree - I think it might be bulbar weakness nm
bilateral caloric weakness
Subject: bilateral caloric weakness
The caloric test is a part of the ENG. It reflects an attempt to discover the degree to which the vestibular system is responsive and also how symmetric the responses are, between left and right. It is a test of the lateral semicircular canals alone -- it does not assess vertical canal function or otolithic function. While not as good as we would like, the caloric test is the best that we have.
weakness, fatigue, anorexia and malaise
Subject: weakness, fatigue, anorexia and malaise
systo/assisto weakness or numbness???
Subject: systo/assisto weakness or numbness???
Ortho file:
She denies ____(systo) weakness or numbness.
TIA
Do you hear focal weakness and paresthesias? nm
Subject: Do you hear focal weakness and paresthesias? nm
nm
might be caloric weakness. Found this site. sm
Subject: might be caloric weakness. Found this site. sm
This test should be abnormal in patients with bilateral vestibular weakness ... Eye movements – When testing cranial nerve function, the examiner should evaluate ... Patients with vestibular weakness will rotate to the side of the weak ... Electronystagmography ( ENG) – ENG is the most widely used vestibular tests ...www.utmb.edu/otoref/grnds/Vestibular-051214/Vestibular-051214.htm - 55k - Cached - Similar pages
[PDF]
File Format: PDF/Adobe Acrobat - View as HTMLabnormality was bilateral caloric weakness (that is, the sum of peak ... BPPV – simply not available with ENG. • Eye movements can be taped for later review
Abdomen with midline s/l rafay weakness without hernia
Subject: Abdomen with midline s/l rafay weakness without hernia
Thanks!
weakness in both *palmers* related to shoulder injuries. Thanks. nm
Subject: weakness in both *palmers* related to shoulder injuries. Thanks. nm
nm
pt. does not have HIV/AIDS, admitted with gen weakness, has hypertension, dementia with Parkinson&#
Subject: pt. does not have HIV/AIDS, admitted with gen weakness, has hypertension, dementia with Parkinson's
Neurologic: No headaches or seizures. Focal weakness of all ??parathesis??
Subject: Neurologic: No headaches or seizures. Focal weakness of all ??parathesis??
history
Subject: history
s/ true, screw, tew.
A 20 gauge____ guide monoptic coaxial system was employed to obtain 2 core biopsies of the lesion
OB history
Subject: OB history
CAMT- In my BOS second edition- page 290: Separate GPS sections by commas:
G4, P3, A1 
History of?
Subject: History of?
Could the dictator be saying "history of" cholecystectomy," instead of "her 'seri' cholecystectomy?
history of **leg TB**? sm
Subject: history of **leg TB**? sm
it's on a numbered list so i really dont have anything else to work on. THANKS!
not sure but her history is.....
Subject: not sure but her history is.....
pt had a surgery recently from a MVA and had several broken bones, also history of hypertension, diabetes and peripheral vascular disease. thanks
??? not sure, not really any history
Subject: ??? not sure, not really any history
sounds just like Caprix
Social history
Subject: Social history
I forget the proper transcription for this regarding numbers--
Occasional tobacco use, 1-2 half-packs per day.
Should 1-2 be spelled out and is half-pack hyphenated? Thanks a lot!
patient history
Subject: patient history
Patient presents with history of ***Lemure*** disease? s/l Lemirro
family history
Subject: family history
7yo girl with pneumonia. no family history of asthma or other chronic lung disease, immune deficiency or decreased sl-fertility.
H & P- history and physical...nm
Subject: H & P- history and physical...nm
m
history of ?ceilingectocies
Subject: history of ?ceilingectocies
Family history
Subject: Family history
Internal Medicine clinic notes:
Family history: S/L Vonastroms with accent on "strums" at the end of the word. Tape cuts out on the first part, but I can hear the strums at the end.
Thanks
s/l atremic history
Subject: s/l atremic history
PATH history
Subject: PATH history
Past history would cover you on all corners. Did the doc dictate any history? Unless she has significant OB/GYN pathology, which the doc would probably make note of, vaginal bleeding and "path" history don't go together. Hope that helped.
HELP-- pt has history of heroin and
Subject: HELP-- pt has history of heroin and
s/l aniculary drug use???????
It may be, but I don't know if she has a history of alcoholism. ..
Subject: It may be, but I don't know if she has a history of alcoholism. ..
I just left it blank for QA. Thanks for the suggestion, though.
Not really. Perhaps just "former history"?? nm
Subject: Not really. Perhaps just "former history"?? nm
x
pro forma history? See ref.
Subject: pro forma history? See ref.
Main Entry:pro for*ma
Pronunciation:(*)pr*-*f*r-m*
Function:adjective
: done or existing as a matter of form
says s/l history of DVD/PE ? - on anticoagulation
Subject: says s/l history of DVD/PE ? - on anticoagulation
Psychiatry - history of s/l TEE-H-SHE (sm)
Subject: Psychiatry - history of s/l TEE-H-SHE (sm)
history of s/l TEE-H-SHE times 2 years, ectasy times 2 years, and significant alcohol use. ??? TIA
Patient with history
of femoropopliteal bypass graft. Pulses palpable at s/l PTTP???? I am brain dead here. TIA
could it be history of hypertension?
Subject: could it be history of hypertension?
nm
history of pneumonia?
Subject: history of pneumonia?
Need help with two words please.
History of pneumonia and s/l bi-e-ma status post s/l e-cor-ti-cation
Bony______ (history)
Subject: Bony______ (history)
Chief complaint: Hit the wall with hand.
maybe infectious history
Subject: maybe infectious history
surgical history s/l all-tee
Subject: surgical history s/l all-tee
Patient is being seen for balance problems. There is a lot of focus in the report on various tests and her previous tethered cord, lumbar stenosis, laminectomy, etc.
Past surgical history includes: "repair of a spinal fluid leak and (s/l all-tee) then the lumbar spine fusion."
Any ideas as to what the all-tee might be? At first I thought it was the doctor stumbling over her words, but upon re-listening, I'm not so sure!
as in he personally has history of.... NM
Subject: as in he personally has history of.... NM
7-year history.....
Subject: 7-year history.....
I get confused, too! well-defined hypen; the hyphen is well defined. That is how I think of the hyphens, but I'm no BOS guru - just been in the biz for a long time.
I do not in surgical history. I only
Subject: I do not in surgical history. I only
expand it if in an op report heading of Procedure Performed:
Surgical History
Subject: Surgical History
"significant for hip replacement, "appy"????
1-year history
Subject: 1-year history
How would you type the patient has a 1-year history of pain....tia.
Pt with history of LGSIL Pap sm
Subject: Pt with history of LGSIL Pap sm
A: History of LGSIL Pap, s/l ***full colpscopy*** with 1 directed biopsy obtained.
I don't have much experience at all in anything related to GYN procedures and not sure if there is a distinction between a colposcopy and a full colposcopy - the only other thing it s/l is ***for colposcopy*** with 1 directed biopsy obtained.
Hope I made sense here. Thanks for any help.
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