Various possibilities were kept for altered mental status, like _______?, metabolic encephalopathy,
Posted By: mz on 2007-09-24
In Reply to: encephalopathy? What is the exact phrase. nm - Txczech
Subject: Various possibilities were kept for altered mental status, like _______?, metabolic encephalopathy,
Complete Discussion Below:  marks the location of current message within thread
The messages you are viewing
are archived/old.
To view latest messages and participate in discussions, select
the boards given in left menu
Other related messages found in our database
patient with altered mental status/sm
Subject: patient with altered mental status/sm
Laboratory studies.
dictates: COK is 1 (pause) 6. CMB is 3.6. Huh?
Mental Status Exam: Symptom Status?
Subject: Mental Status Exam: Symptom Status?
Here's the context: He smiles much of the time; he is cooperative. Symptom status revealed that he knew that George Bush was the current president and that Bill Clinton preceded him. He denies hearing any voices.....
Symptom sounds similar to System, Simple, etc., for this example. Any input?
it is mental status
Subject: it is mental status
They give lactulose with hepatic encephalopathy. Helps to lower ammonia level. Dad had cirrhosis so know first hand :-(
Mental status exam
Subject: Mental status exam
That is usually a mini-mental status exam. Could that be what he is saying?
Help with mental status term
"The patient did have difficulty following the procedure. She had some mental _____ and whether or not this is related to anesthesia or to her severe blood loss is not quite clear but she is doing very well now. She is pretty sharp. She is accompanied by her caregiver and seems to ask the appropriate questions."
It sounds something like it ends in "tion"
s/l fo? mini mental status exam
Subject: s/l fo? mini mental status exam
?
Fo-mini mental status was preformed, she scored 24/30.
Subject: Fo-mini mental status was preformed, she scored 24/30.
.
Pt's "fast" score has been scored either as a 7D or 7E (for mental status). nm
Subject: Pt's "fast" score has been scored either as a 7D or 7E (for mental status). nm
mental status exam - (s/l sasorium was clear) - nm
Subject: mental status exam - (s/l sasorium was clear) - nm
Mental status is as per normal with labile affect. or is it effect? thank you
Subject: Mental status is as per normal with labile affect. or is it effect? thank you
MMSE, Mini Mental Status Exam is correct
Subject: MMSE, Mini Mental Status Exam is correct
That would be correct,
I agree - simple mental status exam from my "psychiatric" days.
Subject: I agree - simple mental status exam from my "psychiatric" days.
Black?, as in the Strub-Black Mental Status Exam
Subject: Black?, as in the Strub-Black Mental Status Exam
This URL states the Strub-Black exam adds to 10 points but is based on questions about proverbs, and, of course, black doesn't sound like "blust."
URL: http://www.emory.edu/AAPL/newsletter/N271_proverbs.pdf
The html site of the above url is: http://72.14.209.104/search?q=cache:HXrwAcJRu_8J:www.emory.edu/AAPL/newsletter/N271_proverbs.pdf+black+mental+status+exam&hl=en&gl=us&ct=clnk&cd=13
kj
non-metabolic? I hear hypometabolic quite a bit in MRIs, I suppose non-metabolic would be
Subject: non-metabolic? I hear hypometabolic quite a bit in MRIs, I suppose non-metabolic would be
similar in meaning.
Mental, mini-mental, cognitive? nm
Subject: Mental, mini-mental, cognitive? nm
xxx
Under long ROS - "denies altered KBS" (sm)
Denies chest pain, palpitations, or orthopnea. Denies abdominal pain, tenderness, nausea, vomiting, diarrhea or constipation, melena, hematemesis, or weight loss. Denies dysuria or hematuria. Denies loss of function, loss of sensation, or edema in any extremity. Denies altered mental status or mood changes. Denies altered "KBS"
I can't document this. Anyone know what it means?
I wouldn't change" status" to "with" here, performance status is, sm
Subject: I wouldn't change" status" to "with" here, performance status is, sm
a specific term to quantify the patient's well being, "performance with" doesn't mean the same thing.
Patient on Ovcon-35, _______, and Os-Cal. sm
Subject: Patient on Ovcon-35, _______, and Os-Cal. sm
Patient has menorrhagia and is getting ready to undergo hysteroscopy, D & C. On OCPs to try and reduce blood flow.
Missing medication sounds like (or-pleva). Maybe wor or nor-pleva.
All help is greatly appreciated.
femoral _______ coagulation
Subject: femoral _______ coagulation
The patient has GI bleeding controlled with femoral "echo" or "anti" coagulation. Sounds more like echo but I've never heard of that.
Thanks! 
sentinel node _______ biopsy
Subject: sentinel node _______ biopsy
_______(septal) ointment t.i.d. to buttocks?
Subject: _______(septal) ointment t.i.d. to buttocks?
encephalopathy?
Subject: encephalopathy?
nm
"In the hospital, patient had _______ privileges that she used to continue smoking."
Subject: "In the hospital, patient had _______ privileges that she used to continue smoking."
S/l "papule" privileges??? Which is obviously not right, but those are the sounds, anyway...
Hartmann _______ procedure - general surgeon talking about colostomy
Subject: Hartmann _______ procedure - general surgeon talking about colostomy
He's definitely saying Hartmann's ________ procedure, and the blank sounds like "lung."
Thanks so much!
hepatic encephalopathy
Subject: hepatic encephalopathy
 Thanks for your help!
hepatic encephalopathy
Subject: hepatic encephalopathy
Xifaxan.
toxic encephalopathy? nm
Subject: toxic encephalopathy? nm
nm
s/l anostic encephalopathy due to a MVA
Subject: s/l anostic encephalopathy due to a MVA
s/l anostic encephalopathy
Subject: s/l anostic encephalopathy
anoxic encephalopathy
Subject: anoxic encephalopathy
Anoxic is an adjective that means without oxygen.
encephalopathy? What is the exact phrase. nm
Subject: encephalopathy? What is the exact phrase. nm
can you hear hepatic encephalopathy ??? (nm)
Subject: can you hear hepatic encephalopathy ??? (nm)
wild guess - left hemisphere encephalopathy ? nm
Subject: wild guess - left hemisphere encephalopathy ? nm
too many possibilities for AVD to be sure.
Subject: too many possibilities for AVD to be sure.
When in doubt, leave it out. could be aortic valve disease, arteriovenous disease, among others. I would leave it blank.
possibilities
Subject: possibilities
Could also be prothrombin time....
Possibilities...
Subject: Possibilities...
furosemide possibly, and the other one could be CellCept.
possibilities, sm
Subject: possibilities, sm
Some causes for hematemesis:
Peptic ulcer disease is the most common etiology of upper GI bleeding
–Increased risk with NSAID, steroid, or alcohol use; smoking, stress (e.g., ICU and trauma patients), or infections (Helicobacter pylori, CMV, herpes simplex virus)
Nasopharyngeal or oropharyngeal sources of bleeding
Esophageal etiologies
–Esophageal varices (common in alcoholics and cirrhotic patients)
–Erosive esophagitis: Infectious (e.g., Candida, HSV, CMV), corrosive ingestion, or pill-induced
–Esophageal or gastric carcinoma
–Esophageal or gastric polyps
Gastric etiologies
–Gastric ulcer
–Gastritis
–Arteriovenous malformations: Osler-Weber-Rendu syndrome (cutaneous telangectasias, recurrent nosebleeds), idiopathic angiomas, radiation-induced telangectasias, blue rubber bleb nevus syndrome
–Mallory-Weiss tear secondary to repetitive vomiting
–Dieulafoy's lesion: Erosion of the mucosa overlying an artery in the stomach causes necrosis of the arterial wall and resultant hemorrhage
–Gastric varices: Secondary to splenic vein thrombosis
–Benign or malignant tumors
Duodenal etiologies
–Duodenal ulcer
–Erosion of a pancreatic tumor into the duodenum
–Aortoenteric fistula: Must be suspected in any patient with a known aortic graft (e.g., prior AAA repair or occlusive aortic disease)
Systemic etiologies
–Coagulopathies (e.g., hemophilia)
–Thrombocytopenia
–Anticoagulation therapy (e.g., warfarin)
–Hereditary hemorrhagic telangiectasia
–Leukemia
–Connective tissue disease
possibilities, sm
Subject: possibilities, sm
Some causes for hematemesis:
Peptic ulcer disease is the most common etiology of upper GI bleeding
–Increased risk with NSAID, steroid, or alcohol use; smoking, stress (e.g., ICU and trauma patients), or infections (Helicobacter pylori, CMV, herpes simplex virus)
Nasopharyngeal or oropharyngeal sources of bleeding
Esophageal etiologies
–Esophageal varices (common in alcoholics and cirrhotic patients)
–Erosive esophagitis: Infectious (e.g., Candida, HSV, CMV), corrosive ingestion, or pill-induced
–Esophageal or gastric carcinoma
–Esophageal or gastric polyps
Gastric etiologies
–Gastric ulcer
–Gastritis
–Arteriovenous malformations: Osler-Weber-Rendu syndrome (cutaneous telangectasias, recurrent nosebleeds), idiopathic angiomas, radiation-induced telangectasias, blue rubber bleb nevus syndrome
–Mallory-Weiss tear secondary to repetitive vomiting
–Dieulafoy's lesion: Erosion of the mucosa overlying an artery in the stomach causes necrosis of the arterial wall and resultant hemorrhage
–Gastric varices: Secondary to splenic vein thrombosis
–Benign or malignant tumors
Duodenal etiologies
–Duodenal ulcer
–Erosion of a pancreatic tumor into the duodenum
–Aortoenteric fistula: Must be suspected in any patient with a known aortic graft (e.g., prior AAA repair or occlusive aortic disease)
Systemic etiologies
–Coagulopathies (e.g., hemophilia)
–Thrombocytopenia
–Anticoagulation therapy (e.g., warfarin)
–Hereditary hemorrhagic telangiectasia
–Leukemia
–Connective tissue disease
I see two possibilities.
Subject: I see two possibilities.
One possibility is that he is saying extended length of flight
Another possibility is that he is saying extended legs of flight. That is a word that is used to describe a portion of a journey, like the last leg of the trip, etc. So he could mean an extended portion of a journey during which she will be flying.
here is a list of possibilities
Subject: here is a list of possibilities
http://www.rxlist.com/cgi/rxlist.cgi?drug=*cet
couple of possibilities (sm)
Subject: couple of possibilities (sm)
If you're sure you're hearing "radio" that could be a "short-speak" way of saying radiograph.
Another possibility is RDI (respiratory disturbance index).
possibilities for 1st term (sm)
Subject: possibilities for 1st term (sm)
It's probably simply 'vertebral' or possibly 'vertebral height' - can't think of anything else that would work here and sound like "mediumphyge"
With this many possibilities, a blank is
Subject: With this many possibilities, a blank is
x
There are a couple of possibilities. Context?
Subject: There are a couple of possibilities. Context?
too many possibilities, maybe get more info further in report??...sm
Subject: too many possibilities, maybe get more info further in report??...sm
If you could find out what some of the symptoms are, maybe we could be more helpful. Sorry!
perhaps "pericolic abscess," though there are probable other possibilities nm
Subject: perhaps "pericolic abscess," though there are probable other possibilities nm
I'll add Bactrim to the list of possibilities.. nm
Subject: I'll add Bactrim to the list of possibilities.. nm
Found a few possibilities but they would all be vague and would be too much of a guess. Sorry.
Subject: Found a few possibilities but they would all be vague and would be too much of a guess. Sorry.
Do you have a disease or diagnosis we can go by as there are thousands of infusion possibilities
Subject: Do you have a disease or diagnosis we can go by as there are thousands of infusion possibilities
I did - (s/l) the-mental
Subject: I did - (s/l) the-mental
nm
Mental retardation.
Subject: Mental retardation.
Mental retardation is a medical condition. The doctor is not using the term in a derogatory manner, he is merely describing the patient's condition. You have no right to change this to anything other than what was dictated!
|
