This is a patient involved in a MVA.
Posted By: MSmt on 2009-05-05
In Reply to: Any other info - Patty
Subject: This is a patient involved in a MVA.
The examination says . . . .
She flexes and extends the ankle and knee normally on the right. The left lower extremity is negative "raw growth." The knee is nontender. The ankle shows positive tenderness.
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This is a patient involved in a MVA.
Subject: This is a patient involved in a MVA.
The examination says . . . .
She flexes and extends the ankle and knee normall on the right. The left lower extremity is negative "raw growth." The knee is nontender. The ankle shows positive tenderness.
Involved?
Subject: Involved?
No, Coccidia isn't involved at all. SM
Subject: No, Coccidia isn't involved at all. SM
He is referring to a fracture of the coccyx. You're looking for coccygeal, meaning of the coccyx.
do you know if Law Enforcement is involved?
Subject: do you know if Law Enforcement is involved?
I've heard of psychiatric "postconviction" services or "pretrial" services...such as, "postconviction psychiatric evaluation by a forensic psychiatrist is a new factor warranting sentence modification"...perhaps that's what they meant (IF the patient is a prisoner/arrested, admitted involuntarily, etc.)
maybe involved field radiation? nm
Subject: maybe involved field radiation? nm
underwent procedures which involved dye infusion
Subject: underwent procedures which involved dye infusion
could be ... underwent procedures which involved dye infusion
Vascular surgery help needed--AV fistula involved
Subject: Vascular surgery help needed--AV fistula involved
Hi,
I've got a vascular surgery that I need help on. Most of the things I'm pretty sure of, but would like a seconding ear. TIA
Right wrist "rest"--?? assuming AV fistula.
ANESTHESIA: @@Local with monitored anesthesia s/l--montra--garis bolus 20 cc.
extremity was prepped and draped in a Pfannenstiel fashion. The patient was given a low grade--?? of Ancef
The artery was then carefully dissected out proximally and distally and little side--?? branches were clipped to help obtain hemostasis ofr the anastomosis. The
A pot--?? scissor was then used to form a hood. It had been marked with a marking pen prior to division
Markable--?? dogs were used to obtain control of the artery proximally and distally.
Th vein was sewn to the arteries using a 6-0 pulling suture in a circumferential--?? fashuion.
The wound was enclosed in layers using a 3-0 Vicryl suture in the subcutaneous layer in a running fashion and a 4-0 Vicryl running subventricular--?? closure.
The patient was brought out and monitored in anesthesia care--?? and taken to the recovery room in stable condition.
Sponge, needle, and instrument counts were reported to be correct at the end of the case--??.
Don't know if there are other diagnoses involved, but this is what the drug index states it is us
Subject: Don't know if there are other diagnoses involved, but this is what the drug index states it is used for:
to treat chronic hives, premenstrual depression, attention deficit hyperactivity disorder in children, and bedwetting.
25 mg would be the proper dosage also.
has had a physical job involved in the heating and air conditioning industry all of his life
Subject: has had a physical job involved in the heating and air conditioning industry all of his life
pt is involved in [s/l nee-uh] and drumming- doc says they are "body-mind aerobic exercises"?
Subject: pt is involved in [s/l nee-uh] and drumming- doc says they are "body-mind aerobic exercises"?
pt. developed progressive renal insuff & underwent s/l pro-sid-ious? which involved dye infusion
Subject: pt. developed progressive renal insuff & underwent s/l pro-sid-ious? which involved dye infusion
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
OB patient - s/l The patient has a 'null' sign.
Subject: OB patient - s/l The patient has a 'null' sign.
A1c; patient is to follow up in 2 weeks; patient has a followup in 2 weeks.
Subject: A1c; patient is to follow up in 2 weeks; patient has a followup in 2 weeks.
nm
Patient given PPD - sm pls
Subject: Patient given PPD - sm pls
Patient given PPD S/L "agreed" or "read" within the next 72 hours.
Patient does have a UTI but would it
Subject: Patient does have a UTI but would it
same doc. same patient
Subject: same doc. same patient
the lesion was vascular in natureand most likely _____ malformation.
S/L avio-lymphatic
HIV patient. Please sm.
Subject: HIV patient. Please sm.
Doc is dictating a test in relationship to patient's HIV. He states s/l "firal row"is negative and T-cell count has actually risen since last visit.
Thanks for any/all help!
do you have a Dx on this patient, and
Subject: do you have a Dx on this patient, and
if not, what is the chief complaint?
new patient
Subject: new patient
 On a new patient is this how it should be put? the doctor says it with chief complaint~~~~CHIEF COMPLAINT: New patient, arm pain.
OD q.d.? Is it for the patient's eye? nm
Subject: OD q.d.? Is it for the patient's eye? nm
x
cc: the patient
Subject: cc: the patient
then he said, note to the transcriptionist, make sure that a copy of the mri scan results is sent to the patient with this letter.
What is the patient's dx? nm
Subject: What is the patient's dx? nm
Are you sure the patient isn't
Subject: Are you sure the patient isn't
very spiritual, and is hoping for healing through a prayer line? Many churches do have prayer lines and pray for sick people. Usually they don't intend that the person shouldn't seek medical help like it sounds like this patient would be talking about.
How old is this patient?
Subject: How old is this patient?
The patient has a ... (sm)
Subject: The patient has a ... (sm)
. . . distal radius fracture. It s/l the doctor dictates *there is a cast and flink* to right arm. I thought it might be *splint*, but it really does not sound like that. Any idea?
Thanks, Melissa
Patient is p.o.ing well??????
Subject: Patient is p.o.ing well??????
POing??? or just change to eating? It's a 3-month-old baby girl.
What is the patient
Subject: What is the patient
in the hospital for? Main symptoms? Specialist seeing the patient?
Is patient ill otherwise? sm
Subject: Is patient ill otherwise? sm
I know you say it is not positive exudate but if the patient is ill or has upper respiratory symptoms, positive could actually be right.
Doc is saying the patient is this PDI-3 or
Subject: Doc is saying the patient is this PDI-3 or
Peduli-3? Never heard of a patient being that, but I have heard of a resident doctor being a PGY-3 after their name. Otherwise, I have no idea. Sorry.
The patient has both, so you must be...
Subject: The patient has both, so you must be...
correct!!! THANK YOU!!!!!!
but patient has URI, not UTI, yes? (nm)
Subject: but patient has URI, not UTI, yes? (nm)
nm
Patient with AML,
Subject: Patient with AML,
Sentence reads: We have been watching her counts closely due to the fact that she has blood antibodies and requires s/l "spark of platelets" OR "sparkle platelets". Any ideas? TIA.
Thank you but the patient..sm
Subject: Thank you but the patient..sm
only came in for refill of birth control. She was out of insurance for a time period. No infections or anything.
Thank you for trying though. I do appreciate it. This dictator loves to ramble and sometimes not very clear.
The patient is on s/l T P.
Subject: The patient is on s/l T P.
It is definitely some sort of ventilator.
patient
Subject: patient
It is difficult to say whether his shortness of breath is secondary to coronary artery disease. Ventricular function, underlying pulmonary disease, i.e. s/l a-co-sis, or his weight.
What is patient seen for?
Subject: What is patient seen for?
Perhaps it has to do with what he is seeing the patient for..
Subject: Perhaps it has to do with what he is seeing the patient for..
?
Patient on s/l flo-air
Subject: Patient on s/l flo-air
could he mean the patient
Subject: could he mean the patient
can CONTINUE routine regimen of Prelief with these other meds?
is this patient HIV?
Subject: is this patient HIV?
Sustiva and Epizicom are given in conjunction for HIV
Patient has hep C
Subject: Patient has hep C
treated with s/l pegasus and ribaviran. These are not listed in my drug book, nor the one online. Not sure of spelling or whether capped. Thank you for your help.
No, the patient is in her 40s.
Subject: No, the patient is in her 40s.
:-)
Patient needs I&D - please sm for s/l
Subject: Patient needs I&D - please sm for s/l
Patient has an abscess and will need I&D and IV antibiotics. Arranged for admission with s/l IPOF or IPOTH.
Thank you.
This is a patient whom/who I have been seeing??? nm
Subject: This is a patient whom/who I have been seeing??? nm
nm
Per patient, he has not been... (nm)
Subject: Per patient, he has not been... (nm)
nm
It's possible the patient could be sm
Subject: It's possible the patient could be sm
taking one VicodIn as needed or one every eight hours. This means that maybe she can take one Vicodin for pain and that works for that episode, but when she has a longer bout of pain she takes one every eight hours until the pain is gone.
patient's UA
Subject: patient's UA
nm
This patient has .......
Subject: This patient has .......
syptoms of diarrhea, vomiting, abdominal pain, and dehydration. Have you heard of a ___stasis word that could go with that problem? patient needs IV fluid hydration for ____? I really appreciate the suggestion!! Thank you!!
Abby
Patient also needs
Subject: Patient also needs
IV fluid hydration for venous stasis. Adquate hydration is advised to help prevent this problem.
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