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Thx! I made it through a whole paragraph of tests, with this being the last one and couldn't get

Posted By: tracy on 2008-08-27
In Reply to: fibrinogen - Txczech

Subject: Thx! I made it through a whole paragraph of tests, with this being the last one and couldn't get the last one! :) Thx for your help!




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Here's the paragraph................
Subject: Here's the paragraph................

"The rest of his past history, review of systems, and social history is otherwise noncontributory, except that he is status post coronary artery bypass graft surgery and has had a pacemaker and is on Coumadin in conjunction with his cerebral vascular disease. He also takes amiodarone, s/l Trazadec, Toprol, Ambien, Cozaar, and Effexor."


The patient is being evaluated by a neurologist for leg and back pain.  Thanks.


does this fit at the end of this paragraph? See msg pls.
Subject: does this fit at the end of this paragraph? See msg pls.

Patient is getting back on his medications and will be following up with his psychiatrist Dr. X.  They are due within the next few weeks, he says, to recheck his Depakote levels, (Dr. take a drink and says)S/L hemolith normal.  (new paragraph) 
not sure, here's the paragraph...
Subject: not sure, here's the paragraph...

Neurologic exam/history and physical exam does reveal the patient with parkinsonian features.  We are going to go ahead and change him from Sinemet 25/100 mg to Stalevo 100 mg, one in the morning and one at midday, since he really only takes it twice a day.  If this does not help, we may try going back to the Sinemet and then trying Azilect for the freezing.  I think that may be of great benefit to him, despite the MALB inhibitor.


Here's the rest of the paragraph. I need someone to look at this.
Subject: Here's the rest of the paragraph. I need someone to look at this.

This is listed under the PMH:  Do these numbers look right?  My question is really the


"FEF 25 to 75 1.66 (65%).  "  Does this look right?  not sure how to type the 75 1.66. ... MD says it like this:   


"FEF 25 to 75 one point six six and parentheseses 65%"

Pulmonary – status post pulmonary embolus, status post a prolonged road trip.  Coumadin was discontinued in April and  MTHFR Heterozygote  with an elevated homocysteine level
.       She has been maintained on Folate.  She has also been treated for asthma.  Pulmonary function tests in December of 2002 demonstrated a FEV1 of 1.86 (79%), and FVC of 2.41 (83%) an FEV1 of 77% and FEF 25 to 75 1.66 (65%).  In March of 2004, a diagnostic polysomnogram demonstrated obesity, hypoventilation; no evidence of obstructive sleep apnea.  She has been maintained on 2 liters q.h.s.  A repeat study in June of 2005 confirmed that treatment.


if i give you the paragraph for this ....
Subject: if i give you the paragraph for this ....

could you be able to tell if it were a line infection?  I will send what they did.  thanks
Paragraph numbering
Subject: Paragraph numbering

1.
a.
b.
c.....etc.
When you get all the way through z, how do you number or letter after z? Thanks so much.


Here's the context paragraph...sm
Subject: Here's the context paragraph...sm

Patient recently had a positive culture infection with group B strep. He was treated with some Cipro and he says he is actually voiding better now than he has for some time. He probably has been having a little small "ring" prostatitis going on.
paragraph punctuation help..please...
Subject: paragraph punctuation help..please...

MRI scan indicates status post patellar tendon, bone, and anterior cruciate ligament construction, cystic degeneration of the graft with little remaining low signal fibers is noted, tendon enlargement in the tibial tunnel with cystic erosion through the anterior cortex medially to the patellar tendon, extension into the anterior subcutaneous fat of the proximal right lower leg.

Note the doctor does say construction, not reconstruction can this also be correct? TIA.
I'd just leave it a paragraph at the end. NM
Subject: I'd just leave it a paragraph at the end. NM


I found one paragraph re patients ...sm
Subject: I found one paragraph re patients ...sm

not sure but I found one paragraph thru google about dacron wool........being used on a patient:


Once cooling to -79 C was complete the patient was lifted out of the Silcool bath, the outer, Silcool wetted plastic bag was stripped off and the patient was placed within a polyester cloth bag which was in turn placed inside a standard aluminum neurocan which had been precooled to -90  and packed with dacron
wool.  Temperature probes were left externalized to the neurocan for subsequent cooling to -196 C.


I don't really think this is going to help you though but I tried!! 


 


your paragraph has many grammatical errors
Subject: your paragraph has many grammatical errors

along with punctuation - not sure if you just typed it fast and are aware or not? If you more help, let me know.
Go to format/paragraph and you'll see it. nm
Subject: Go to format/paragraph and you'll see it. nm


Based on the following paragraph written by
Subject: Based on the following paragraph written by

Vanderbilt University in relationship to Troubleshooting PICC problems, in particular; "My patient's arm is red, swollen, and/or painful."
A. How does the arm look in comparison to the arm without a PICC line.
B. If redness is involved, is it a red streak up the arm along the vein tract.
C. If swelling is involved, what is the difference in the girth of the two arms.

Your sound-alike brings to my mind: gorge; as engorged. Definition: gorge, glut; especially: to fill with blood to the point of congestion. Just an educated guess though. Good luck.

This paragraph shows AZT for baby -see message
Subject: This paragraph shows AZT for baby -see message

If an HIV positive woman is taking AZT then it will probably be recommended that her baby is given AZT (usually as a syrup) for the first six weeks of its life starting 8-12 hours after birth. Alternatively, if the mother has taken AZT and 3TC during labour then an effective regime for the baby would be one week of AZT and 3TC.

If only limited AZT is available then one week of AZT can be given to the baby. If only single dose AZT is available then the baby can have this combined with a single dose of NVP, and if no AZT is available then the baby can have a single dose of NVP to help protect it.
Here is the paragraph for the s/l line infection evaluation..
Subject: Here is the paragraph for the s/l line infection evaluation..

Patient here today for a post-op s/l line infection evaluation.  She has been doing daily wet to dry dressing changes and today the wound breadown area is less than a cm across and with probing with a Q-tip will not extend any greater than 2 cm in the area.  I do not think that this continues to require any packing.  I have recommended that she just keep gauze over the area for the drainage.  thank you
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.
does she want you to put in a heading, or include more in prior paragraph
Subject: does she want you to put in a heading, or include more in prior paragraph

nm
does this paragraph sound right and is it punctuated correctly
Subject: does this paragraph sound right and is it punctuated correctly

There were findings of a posterior horn tear of the medial meniscus, a small chondral injury of the medial tibial plateau, grade 4 out of 4, chondromalacia of the medial femoral condyle, grade 3 out of 4, chondromalacia patella and trochlea notch of the femur, grade 3 out of 4.

The doctor speeds through this paragraph at 75mph..does it make sense and is the punctuation correct? TIA.
s/l linear partial tear also does this paragraph
Subject: s/l linear partial tear also does this paragraph

make sense?


There is a focal tear of the posterior supraspinatus tendon noted. No other tear or retraction evident. There is also S/L linear partial tear of the long head of the biceps tendon noted. Mild degenerative changes to the glenohumeral joint also indicated. TIA.
Just make it the last paragraph in the report. Does it Have to have a title? Maybe Note, Comment,
Subject: Just make it the last paragraph in the report. Does it Have to have a title? Maybe Note, Comment,

s
Tests
Could it be Spurling?

http://www.slackbooks.com/view.asp?slackCode=45910


Lab tests
Subject: Lab tests

I cannot understand this doctor at all. Help me please!


Hematocrit, hemoglobin and protime partial thromboclastindime within normal limits.


What the heck is that supposed to be?


lab tests....sm
Subject: lab tests....sm

Here are 2 sites for lab tests.

http://www.labtestsonline.org/

and

http://health.ucsd.edu/labref/alpprea.html
tests
Subject: tests

Positive startle.  Postive s/l Munro.  Positive suck. 


 


tests
Subject: tests

No easy way to clue in for this without giving you the answer. Check out this web link for your tests.


 


http://www.suite101.com/blog/daisyelaine/anca_and_autoimmune_diseases


 


 


Lab tests
Subject: Lab tests

use commas because each is a separate lab test: rheumatoid factor, etc.
Rosie

tests, sm
Subject: tests, sm

From Stedman's Ortho:


Trendelenburg


Beckhterev OR Bekhterev sitting


Ely


Soto-Hall


Spurling


thanks, that's what I did, made it
Subject: thanks, that's what I did, made it

nitro paste. 
It just seemed like you also had made
Subject: It just seemed like you also had made

several posts to indicate the possibility this person was testing, which was exactly what you were singling her out for, making too many posts. Maybe she was not sure her post went through. gosh! talk about impatience.
LOL!!! That really made my day, too
Subject: LOL!!! That really made my day, too

Really needed a good laugh today, thanks for that one!!  Good Rx for a lot of men I've known...
LOL!!! Made my day!!! nm
Subject: LOL!!! Made my day!!! nm


thank you...u have made my day...I have
Subject: thank you...u have made my day...I have

been at this computer for a long time today, almost done. :0
It is still being made.
Subject: It is still being made.

x
Hearing tests
Subject: Hearing tests

There's a Lombard's test, and there's a Schwabach's test.
blood tests
Subject: blood tests

pro-time and  partial thromboplastin time, or PT/PTT.


 


 



  • Urine tests
    Subject: Urine tests

    On his last three urine tests beginning April 2005, he has had between 5 and 8 red blood cells (or RBCs) per high power field.


    Just my suggestion. The RBC depends on to whome you are writing the letter.
    You are right - referring to those 3 tests - and I would (sm)
    Subject: You are right - referring to those 3 tests - and I would (sm)

    transcribe it like this
    drop, can, and arc.

    antibody tests
    Subject: antibody tests

    any clues about "anti rivin, anti smith, antirivin" antibody tests/  What is a good web site for these things anyway?  Thanks !
    Ortho tests
    Subject: Ortho tests

    Negative CMC, Finkelstein, hitchhiker, LTShuck, ___ and rock. THANK YOU FOR ANY HELP
    ortho help tests
    Subject: ortho help tests

    eortho.com has finkelsteins related to hitchhiker's test for hand test de Quervain's. CMC (carpometacarpal) grind test is for hand/thumb.
    Ortho tests
    Negative CMC, Finkelstein, hitchhiker, LTShuck, ___ and rock. THANK YOU FOR ANY HELP>
    provocative tests
    Subject: provocative tests

    Minimally displaced radial head fracture of lue.

    Provocatives are equivocal with Finkelstein's and s/l valotin over the anatomic snuffbox.

    Thanks in advance


    Doc is listing lab tests for pt. (nm) TIA
    Subject: Doc is listing lab tests for pt. (nm) TIA

    x
    Sure. He could be ordering those tests for
    Subject: Sure. He could be ordering those tests for

    other problems the patient has.
    patch tests
    Subject: patch tests

    Sorry, yes it is allergy testing.


     


    Separating lab tests
    Subject: Separating lab tests

    Is there a website that tells you what lab tests go together?  For example, CBC: WBC, RBC, platelets, etc. AST, ALT.  I get so confused.  TIA
    cardio tests help
    Subject: cardio tests help

    echo, nuclear stress and "OH" ?

    i feel dumb but is OH a cardiac test?
    I always expand everything if CP says so, even lab tests..
    Subject: I always expand everything if CP says so, even lab tests..

    xx
    Two Medical Tests
    Subject: Two Medical Tests

    P-4 Function Test?  6-minute walk test? Are these to be hyphenated or capitalized in the report?


    State tests.
    Subject: State tests.

    Can anyone tell me how hard the tests are to become a CMT and RMT?


    They are not "state" tests. You take
    Subject: They are not "state" tests. You take

    them thruogh AHDI. In my opinion, they are not worth the cost unless your employer pays you extra money for having the credentials. It is a way for AHDI to make money more than anything else. With their nonsupport of MTs in this country, I would not give them 1 cent of my money.