how to write the mutation letters?
Posted By: MTkat on 2008-07-20
In Reply to:
Subject: how to write the mutation letters?
Does anyone know how to write what is in the parenthesis? Is that correct???
His clinic note from February 14, 2008 mentions that she has hemochromatosis with a "C2 A2y" mutation, but he does not mention whether or not she is heterozygous or homozygous.
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Genetic mutation
Subject: Genetic mutation
The doctor states, "This entity (focal segmental glomerulosclerosis) has been associated with a number of genetic mutations, most prominently for s/l potasin. TIA.
Need help with a gene mutation
Subject: Need help with a gene mutation
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BRCA2 mutation nm
Subject: BRCA2 mutation nm
HFQ or HF2 genetic mutation
Subject: HFQ or HF2 genetic mutation
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JAK2 mutation...that's it!!!! Thanks so much!
Subject: JAK2 mutation...that's it!!!! Thanks so much!
try BRAF mutation
Subject: try BRAF mutation
bracket ____ mutation
Subject: bracket ____ mutation
S/L bracket 2 mutation?
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H-terk mutation? Dyskeratosis congenita.
Subject: H-terk mutation? Dyskeratosis congenita.
He spelled "H hyphen T E R K" but I can't find H-Terk mutation anywhere. The patient has dyskeratosis congenita. This is an oncology report. Can anybody confirm this mutation type???
There is a gene mutation test done for Tay-Sachs called HEXA
Subject: There is a gene mutation test done for Tay-Sachs called HEXA
letters
Subject: letters
always the first for me, i do lots of consult letters,and this is the way all of them are set up
Since it's got so many letters (sm)
Subject: Since it's got so many letters (sm)
I put it in my expander, so now whenever I type in protime, prothrombin time automatically gets inserted and I score the extra letters in my line counts and never have to have it questioned.
I think those letters are SUV. Can
Subject: I think those letters are SUV. Can
you make that out at all?
Anything I can find with those letters
Subject: Anything I can find with those letters
would not be a diagnosis. Are you sure it isn't MVA? or something similar? Does the body of the report give any clues? I am stumped on that one too.
think you have letters transposed, it is
Subject: think you have letters transposed, it is
Just capitalize the first letters...
Subject: Just capitalize the first letters...
i.e. Gore Viabahn. Only all caps if it is an abbreviation.
I would just do the first letters of each word. nm
Subject: I would just do the first letters of each word. nm
x
He may have just transposed the letters. nm
Subject: He may have just transposed the letters. nm
nm
Thx. I was putting too many letters in. Thx again.
Subject: Thx. I was putting too many letters in. Thx again.
Thank You! That's it. He always swallows the first couple of letters when I need them the most.
Subject: Thank You! That's it. He always swallows the first couple of letters when I need them the most.
.
when doc states g-y-n, are all letters capped or only first? nm Thanks!
Subject: when doc states g-y-n, are all letters capped or only first? nm Thanks!
Here is what the letters stand for. From About.com: Special Needs Children
Subject: Here is what the letters stand for. From About.com: Special Needs Children
The initials in V.A.T.E.R. syndrome refer to five different areas in which a child may have abnormalities: Vertebrae, Anus, Trachea, Esophagus, and Renal (kidneys). There may also be cardiac and limb conditions, which changes the acronym to V.A.C.T.E.R.L. A child diagnosed with one of these syndromes will not necessarily have a problem in every area, but a constellation of birth defects involving many of the areas. There is no currently known cause, but a gene defect is believed to be involved.
Good idea, but there are definately 4 letters.
Subject: Good idea, but there are definately 4 letters.
Thanks very much for the help!
Abby
you have the first five letters of the correct term. easy lookup from here.
Subject: you have the first five letters of the correct term. easy lookup from here.
:)
No, just the 2 letters to give you some direction. ABduction or ADduction.
Subject: No, just the 2 letters to give you some direction. ABduction or ADduction.
s
Are you reading this off of doc notes or is he/she giving you these single letters in dictation? nm
Subject: Are you reading this off of doc notes or is he/she giving you these single letters in dictation? nm
s
nope, doctor spells it out: T-A-S-A-N. Thought maybe got one of the letters wrong, like P instead of
Subject: nope, doctor spells it out: T-A-S-A-N. Thought maybe got one of the letters wrong, like P instead of
KRAS mutation how to format KRAS NM
Subject: KRAS mutation how to format KRAS NM
doesn't sound like BUN, she doesn't spell out the letters, it just sounds like "win". sm
Subject: doesn't sound like BUN, she doesn't spell out the letters, it just sounds like "win". sm
Her whole sentence is: Chemistries show a mild increase in the s/l WIN (22) suggestive of mild dehydration and a mild increase in calcium (10.2)
Thank you, I will also write this down.
Subject: Thank you, I will also write this down.
x
How do you write this....
Subject: How do you write this....
When the dictator says, "enclosure and copy cc to"...
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how to write this.....
Subject: how to write this.....
one more question for today.........
How do I correctly write the 1-to-100,000 in this sentence?.........
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how to write something please....
Subject: how to write something please....
MRA: Abdominal aorta. No evidence for renal artery stenosis. OR
MRA abdominal aorta. No evidence for renal artery stenosis.
The doctor started out with the ECG findings then went to this. Or would this go under the ECG heading? Thanks
How to write it:
Subject: How to write it:
1:1,000 as a ratio
How to write Q.o.d.
Subject: How to write Q.o.d.
q. o.d. or Q.o.d. or qod?
I cannot find that one in BOS.
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How would you write this? sm
Subject: How would you write this? sm
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Not sure how to write this
Subject: Not sure how to write this
generally a one-on-one student-faculty rotation. Should I have the hyphens between all of these or just one on one? Not sure which would be correct. This is a letter of recommendation and need to be correct with it.
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Write it out per BOS II. nm
Subject: Write it out per BOS II. nm
s
Thank you. I will write that one down!! nm
Subject: Thank you. I will write that one down!! nm
Don't know how to write this...
Subject: Don't know how to write this...
Patient has had recent diagnosis of diabetes with recent hemoglobin A1c over 12.
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Subject: how to write JVP
JVP is estimated at 8-10 cm of water at 90 degrees? Is this correct? I have never heard this type of description before.
how would you write this?
Subject: how would you write this?
The final diagnosis was a "grade 2 of 3" mixed glioma
Would you write "2 of 3" or would you write 2/3?
I wasn't sure...thanks!
How do you write....
Subject: How do you write....
an expression of solution such as if dictated like one to one thousand, would I write is like this 1:1000?
how do I write this?
Subject: how do I write this?
How do I write the "eight two fraction" part???
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How to write this . . . SM
Subject: How to write this . . . SM
Platelets are elevated at "twelve sixty eight"
12.68 ?
PSA - do you write this out?
Subject: PSA - do you write this out?
I am working on a History and Physical Examination, he dictated after the History the following: PSA, on Nilandron 150 mg daily, has been elevated but stable with last PSA 4.8. Do I need tp type it like this? Prostate-specific antigen (PSA), on Nilandron 150 mg daily, has been elevated but stable with last PSA 4.8. Since this is the first mention of the PSA or is that LAB where it should be understood?
how would you write this?
Subject: how would you write this?
She has an approximately [25 pack year history] of smoking...
Would you leave it like that or would you write [25-pack year history] or [25-pack-year history?]
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How would you write this...
Subject: How would you write this...
This just isn't sitting right with me, and I think the doctor's old service (his nurse) has been doing this wrong for awhile now. I just took over this account and have been reviewing and comparing old notes with current dictation.
"The patient was injected with "a quarter percent" Marcaine and morphine."
She was typing this as 25% - It should be 0.25% shouldn't it. I'm so tired right now I need to go to sleep, but have to turn this job in first. Thanks for helping. ME
Thanks so much! Will write it in my book. nm
x
how to write "..well-corticated..."
Subject: how to write "..well-corticated..."
Just a general question: It seems a significant percentage of radiologists will use the term "well corticated" to describe an accessory ossicle or perhaps old trauma to differentiate what may appear to be an acute fracture. Since "corticated" is not an actual word, can anyone help with an appropriate way to rephrase this? eg "At the distal tip of the fibula is a well-corticated bony lesion, likely an accessory ossicle or old trauma and not an acute fracture."
maybe "lesion with good cortical margins" or some such, but wondering if there are other suggestions.
Thanks.
yes, unless you want to write herniae instead.
Subject: yes, unless you want to write herniae instead.
x.
I would write it out even if it is verbatim
Subject: I would write it out even if it is verbatim
PPD is a test for tuberculosis. You aren't just writing a document to appease the doctor. You are writing a legal document that many other people may want to read, including an insurance auditor or a lawyer, neither of which may have any clue what PPD means EVEN IN THE CONTEXT OF THE SENTENCE and will have no inclination to look it up.
That's just me, someone who audits physician records and slaps them on the wrists for this like this, but you do want you want.
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