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how about alert and in no acute distress or some variation of this?

Posted By: MDmt on 2006-05-17
In Reply to: gen exam - lola

Subject: how about alert and in no acute distress or some variation of this?

hang in there - you'll get the new doctor's "habits" down.


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alert and oriented? alert and in fine? something? nm
Subject: alert and oriented? alert and in fine? something? nm


The costophrenic angles are acute. Acute?
Subject: The costophrenic angles are acute. Acute?

Does acute make sense?  Doctor with accent.


Thanks!


Perhaps a variation of
Subject: Perhaps a variation of

sensation, motor function, temperature?


child with respiratory distress
Subject: child with respiratory distress

He says, "The pulse oximetry is showing 95% on room air. 


The s/l <T4 or P4?> was around 150 to 200 over s/l <260 or 20 60?>  at this time." 


Are you giving 3 different s/l or just a variation of one?
Subject: Are you giving 3 different s/l or just a variation of one?

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could be postural variation. sm
Subject: could be postural variation. sm

In other words, the blood pressure doesn't change when the patient stands up or lies down.
Dr. Mumbler - infant with respiratory distress SM
Subject: Dr. Mumbler - infant with respiratory distress SM

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Subject: Are you sure this is a GI medication. There is Surfaxin, but this is for respiratory distress.


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Subject: discectomy is a variation of diskectomy

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I do "repeat CT" or a variation to fit the sentence
Subject: I do "repeat CT" or a variation to fit the sentence

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alert?
Subject: alert?


S/L-Atyptic pleasant female in no apparent distress.
Subject: S/L-Atyptic pleasant female in no apparent distress.


ALERT AND ORIENTED x 3
Subject: ALERT AND ORIENTED x 3

YES!

That's the one! Thanks so much! I'm rather new, and some of these doctors...I wonder if they're even speaking English.

Thanks for all the help!
might be saying A&O X3 (alert and oriented) X3. nm
Subject: might be saying A&O X3 (alert and oriented) X3. nm


Alert and oriented x1-1/2? or 1.5?
Subject: Alert and oriented x1-1/2? or 1.5?


alert and oriented x3
Provider dictates alert and oriented to time, place, and person but transcribed as alert and oriented x3.  I think should be typed as dictated but would appreciate your opinion.  Thanks.  QA person
alert and oriented. nm
Subject: alert and oriented. nm

nm
alert and oriented X3? nm
Subject: alert and oriented X3? nm


baby has some respiratory distress, and humidified s/l glow buy? air was started
Subject: baby has some respiratory distress, and humidified s/l glow buy? air was started


sentences are "He was also tachycardic, but in no respiratory distress. He is not s/l T tipnic.
Subject: sentences are "He was also tachycardic, but in no respiratory distress. He is not s/l T tipnic. NM

nm
I would type C34 a 2 mm; annular is the preferred sp; anular a variation.nm
Subject: I would type C34 a 2 mm; annular is the preferred sp; anular a variation.nm


I found arthrorheumatism in my ortho book, so probably a variation of that nm
Subject: I found arthrorheumatism in my ortho book, so probably a variation of that nm

.
uptitrating good word, as in just a variation of uptitrate
Subject: uptitrating good word, as in just a variation of uptitrate

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ALWAYS flag something like this. It's part of our job as MTs to be alert to these things. nm
Subject: ALWAYS flag something like this. It's part of our job as MTs to be alert to these things. nm

x
attentive and alert? pleasant and cooperative? nm
Subject: attentive and alert? pleasant and cooperative? nm


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on exam, pt appears alert and s/l "infantating" (end of sentence)
Subject: on exam, pt appears alert and s/l "infantating" (end of sentence)


depends on context: acute-on-chronic renal insufficiency or renal insufficiency, acute on chronic.
Subject: depends on context: acute-on-chronic renal insufficiency or renal insufficiency, acute on chronic.

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acute and....... sm
Subject: acute and....... sm

Try "acute and chronic."
maybe acute?
Subject: maybe acute?

Could they be saying "acute hyperarousal"?
acute
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x
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Subject: One of the times he says acute before it but...

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Subject: acute on chronic


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