brain freeze..in ROS: what heading would polyphagia go under? thank u
Posted By: Deborah on 2007-10-14
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Subject: brain freeze..in ROS: what heading would polyphagia go under? thank u
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having a brain freeze
Subject: having a brain freeze
is 8/10 of a cc written 0.8, .08, or .8 Thanks!
BRAIN FREEZE FOR ME.. thats exactly what it was. thank you...
Subject: BRAIN FREEZE FOR ME.. thats exactly what it was. thank you...
brain freeze!
Subject: brain freeze!
This is driving me crazy! I cannot get the spelling correct and I know the word!
"infected left index finger with a perinicula lymphangiits to nearly the elbow"
What is the correct spelling of perinicia?
Duh on me. I knew that but think I must have had a brain freeze or something. Thanks again
Subject: Duh on me. I knew that but think I must have had a brain freeze or something. Thanks again
No, you are not dumb. We have all had a brain freeze. LOL
Subject: No, you are not dumb. We have all had a brain freeze. LOL
Enjoy your day.
temporary brain freeze:) Thanks!
Subject: temporary brain freeze:) Thanks!
double brain freeze!
Subject: double brain freeze!
Lunate s/l intra-arquetrium? I hvae no clue. None. Nothing. And this isn't even a medical report just a doctor making a list of things, which by the way I do not feel is my job to type. Ugh 
brain freeze. Is it mass effect or mass affect (CT of brain) THANKS
Subject: brain freeze. Is it mass effect or mass affect (CT of brain) THANKS
I'm having a brain freeze! Is it cord or chord?
Subject: I'm having a brain freeze! Is it cord or chord?
Talking about testicles - both testicles are down. Tender right chord.
Thanks!!! Lost my mind.
I've used this many times but I am having a brain freeze! sm
Color Doppler is an s/l intracle component of an echocardiogram study. Can't find this word in the dictionary! Help!
In diag. s/l "inimission". Having brain freeze. TIA nm
Subject: In diag. s/l "inimission". Having brain freeze. TIA nm
nm
Thanks, felt like I should recognize it, but just had a brain freeze
Subject: Thanks, felt like I should recognize it, but just had a brain freeze
s/l 'axillae are stable', but his exam is on liver area. Brain freeze here? nm
Subject: s/l 'axillae are stable', but his exam is on liver area. Brain freeze here? nm
..
-2 degrees dorsiflexion, or minus 2 degrees dorsiflexion--brain freeze thanks
Subject: -2 degrees dorsiflexion, or minus 2 degrees dorsiflexion--brain freeze thanks
Polyphagia is the word, not polyphasia.
Subject: Polyphagia is the word, not polyphasia.
Hope this helps.
how about typing Past Medical History heading and then typing what he says under the heading nm
Subject: how about typing Past Medical History heading and then typing what he says under the heading nm
xx
Freeze-Eze??
Subject: Freeze-Eze??
Used Freeze-Eze followed by lidocaine and bupivacaine Any help appreciated.
Can't find this .. only found Freezone, he's clearly saying Freeze-Eze (SP?)
Can you hear freeze in that second s/l at all?
Subject: Can you hear freeze in that second s/l at all?
Liquid nitrogen 'freezes,' and I think your second s/l probably has the word freeze in it somehow, but I just can't quite figure out the ending. I'm stumped by your first s/l but still working on it.
May be Verruca-Freeze.
Subject: May be Verruca-Freeze.
Thank so much, but I freeze under pressure, can't remember my name and such...
Subject: Thank so much, but I freeze under pressure, can't remember my name and such...
cor is the heading. sm
Subject: cor is the heading. sm
Some say Cardiac: S1 S2 etc. Some say COR: which means heart. They are just using that heading instead of CARDIAC, HEART,etc.
What heading would you use?
Subject: What heading would you use?
Okay to add headings on OP report. MD states: "Staples for skin" in the upper area with diagnoses, complications, condition....
Thanks.
Under what heading would you SM
Subject: Under what heading would you SM
put inguinal hernia in a PE? Would it be abdomen?
TIA
EKG can be a Heading
Subject: EKG can be a Heading
I would put under EKG alone as
EKG: EKG today show no ST wave changes.
Heading?
Subject: Heading?
This is for a psych. consult. After saying "New paragraph", he says "Review of past medical records." and then launches into: Doctor diagnosed tachycardia..etc.
I haven't seen a consult. with a heading, main or sub, with Review of Past Medical Records. Past Medical History, yes, but not the other. Any ideas?
Oops, used same heading, need help
Subject: Oops, used same heading, need help
Sterile vaginal exam of 3 cm dilatation, 50% s/l "patient moderest through eustachian".
Thanks
IV abbreviated in heading
Subject: IV abbreviated in heading
Can IV FLUIDS be a heading or does it need to be INTRAVENOUS FLUIDS per the BOS?
under abdomen heading
Subject: under abdomen heading
s/l "the PICC was created" or "the tic was created"
Angie
Is it in the heading or in a sentence?
Subject: Is it in the heading or in a sentence?
I wouldn't change it in the heading, but if it sounds awkward in the sentence and your client doesn't want verbatim....
Thanks! But which book under what heading? I tried with
Subject: Thanks! But which book under what heading? I tried with
s
I think doc left heading out sm
Subject: I think doc left heading out sm
He dictates, "Skull does reveal evidence of hydrocephalus with enlarged cranium. Asymmetrical, moving equally with respiration. HEART: PMI could not be localized. S1 and S2, distant heart sounds. No S3 gallop. No murmur. LUNGS: Clinically clear.
What would be asymmetrical here?
I would put it under a heading of NECK. sm
Subject: I would put it under a heading of NECK. sm
One of the tests for meningitis is to bend your chin to your chest or to your shoulders. So if the pateint can to this, they have no meningeal signs or meningismus.
MUSCULOSKELETAL heading?
Subject: MUSCULOSKELETAL heading?
Newbie here. I'm typing an H&P and under instruction to supply appropriate headings & subheadings if they are not dictated, esp. in an H&P.
Under the Physical Examination, the Dr. dictated most headings, but under ABDOMEN, she continued with what I think is more of a musculoskeletal exam:
ABDOMEN: His abdomen is rotund, nontender, nondistended, and soft. He has no costovertebral angle (CVA) tenderness to percussion. He has no thoracic tenderness to palpation. His pain begins at approximately L2 down to his sacrum, with pain greater down his right gluteus versus his left, but does have pain. He has slow movement and grimaces with any movement. He is able to stand. Decreased range of motion secondary to pain. Straight-leg reflex painful in both legs. Reflexes are diminished bilaterally.
Here is my question: I cannot find a precedent for adding the MUSCULOSKELETAL subheading. Yet beginning from "His pain" and following is not really under an ABDOMEN exam, is it? At the very least, I feel I should start a new paragraph, but then my format is messed up b/c everything else has a subheading!
Needless to say, it stresses me out a bit. Any advice is definitely appreciated!
A lot of facilities use the heading
Subject: A lot of facilities use the heading
"laboratory" or "laboratory data" to include labs, EKGs, radiology, etc.
what PE heading would you put pilonidal under?
Subject: what PE heading would you put pilonidal under?
Just wondering under what physical exam heading other MTs put this finding under.
TIA!
No it is definetly not a heading.
Subject: No it is definetly not a heading.
I believe he is trying to say bladder urine was obtained. It could be his mis-spoke. I just wasn't sure. Thanks for your help.
A doctor can put in any heading they
Subject: A doctor can put in any heading they
want. I would use it and go on.
Followup as heading?
Subject: Followup as heading?
I'm embarrassed to have to ask this, but as a heading, which is correct--followup, follow-up, or follow up?
Sorry, this should have been under heading Physical Examination.
Subject: Sorry, this should have been under heading Physical Examination.
In my opinion, should be spelled out in heading
Subject: In my opinion, should be spelled out in heading
nm
Not the OP, but a skin prep would be under a different heading
Subject: Not the OP, but a skin prep would be under a different heading
s
Heading in exam? COR: Cardiac etc.
Subject: Heading in exam? COR: Cardiac etc.
Make INFORMANT a new heading.
Subject: Make INFORMANT a new heading.
CHIEF COMPLAINT:
Lump on the side of the neck.
INFORMANT:
Mother and patient.
i would say Examination and Evaluation needs to be put as a heading.
Subject: i would say Examination and Evaluation needs to be put as a heading.
just my thoughts.
I use IMAGING as the heading for EKG, CAT scans, etc.
Subject: I use IMAGING as the heading for EKG, CAT scans, etc.
Hi, Julia, capitalize when used as heading, otherwise, SM
Subject: Hi, Julia, capitalize when used as heading, otherwise, SM
it is part of the sentence and should not be capizalized, somewhat like saying that patient is coming in for a complete physical exam, would not need to capitalize.
Not saying COR as a heading? for heart exam etc? nm
Subject: Not saying COR as a heading? for heart exam etc? nm
H&P exam heading questions
Subject: H&P exam heading questions
doctor is dictating in paragraph form on the PHYSICAL EXAMINATION part sometime subheadings are givenhere it is: His vital signs his pulse is 112, his respirations are 14, his blood pressure is 157/86. His general appearance is he appears quite comfortable, his face is flushed. Non-toxic and no respiratory distress. His neck is supple, he demonstrates full motion of his neck without pain s/l orshe finds tenderness to palpatation. I believe this should be typed this way: VITAL SIGNS: Pulse is 112, respirations are 14, blood pressure is 157/86. GENERAL APPEARANCE: He appears quite uncomfortable, his face is flushed. Non-toxic and no respiratory distress. NECK: His neck is supple, he demonstrates full range motion of his neck without pain Or she finds tenderness to palpation. I would ask my instructors about these, it seems like every time I get graded each assignment it different.
Dee tra emphasis? heading under neurologic..
Subject: Dee tra emphasis? heading under neurologic..
Under physical exam, neurologic, this is given as a subheading....
s/l dee tra emphasis:
sounds like should be under "neurologic" heading
Subject: sounds like should be under "neurologic" heading
Not a typical heading, but how about "question etiology." nm
Subject: Not a typical heading, but how about "question etiology." nm
x
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