how would you write this vital sign
Posted By: ermt on 2008-06-02
In Reply to:
Subject: how would you write this vital sign
How would you write this so it looks okay - "The blood pressure came down to one-teens to 130s over 70s to 80s" ?
Thanks
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? vital sign machine
Subject: ? vital sign machine
Vital sign progression in dying patient
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Vital signs quickly declined and went from ST to SR to V-tach to V-fib then "estoley". Can anyone give me the final word?
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Subject: vital signs
He said something like apicar rate is 85, rhythm regular. Any suggestions?
vital blue?
Subject: vital blue?
help with vital signs - s/m
Subject: help with vital signs - s/m
Dictated: heart rate in the "1 teens to 120s" How do I write 1 teens? If I write 110s is that correct since the teens don't start till 13? Why can't they just keep it stupid simple?
Vital Signs
Subject: Vital Signs
Is there such a thing as "rest rate" temperature or "respirator" temperature??
vital signs
Subject: vital signs
When a doctor dictates the vital signs with only the values and no headings, does anyone fill in headings or do you just give them what they dictated. For example, they say VITAL SIGNS: 110/80, 72, 20, 97.9.
2 separate vital signs nm
Subject: 2 separate vital signs nm
nm
yes FVC is forced vital capacity and you are right. nm
Subject: yes FVC is forced vital capacity and you are right. nm
In Vital SIgns, doc dictates "MAP 77". ?? sm
Subject: In Vital SIgns, doc dictates "MAP 77". ?? sm
VITAL SIGNS: Temperature 36.0, pulse rate 62, respiratory rate 16, systolic 112, diastolic 160, MAP 77.
Vital signs: Pulse 85 s/l via VS machine??
Subject: Vital signs: Pulse 85 s/l via VS machine??
Afebrile, vital signs stable.
Subject: Afebrile, vital signs stable.
Good site for abbreviations.
http://mt911.com/site/search/abbreviation_search.asp
AVSS: Afebrile, vital signs stable. nm
Subject: AVSS: Afebrile, vital signs stable. nm
Okay - could be "vital" - but cannot confirm a vital heart monitor when I google it
Subject: Okay - could be "vital" - but cannot confirm a vital heart monitor when I google it
I've heard of AFVSS (afebrile, vital signs stable)
Subject: I've heard of AFVSS (afebrile, vital signs stable)
Dunno if that might be what your're hearing or not. 
Pediatrics, on vital signs. Pt is 47 inches, 46 pounds in weight, has an s/l "LFC" of 21.5 in
Subject: Pediatrics, on vital signs. Pt is 47 inches, 46 pounds in weight, has an s/l "LFC" of 21.5 inches.
abdominal exam: obturator sign, and positiv s/l Zoe-is sign
Subject: abdominal exam: obturator sign, and positiv s/l Zoe-is sign
grind test or Galeazzi sign, Gower sign
Subject: grind test or Galeazzi sign, Gower sign
Cullen sign, Grey Turner sign. No s. nm
Subject: Cullen sign, Grey Turner sign. No s. nm
Lloyd's sign. Look in medical dictionary under sign. NM
Subject: Lloyd's sign. Look in medical dictionary under sign. NM
:
She has a positive Tinel's sign, positive Phalen's sign, and positive s/l Durkin's sign.
Subject: She has a positive Tinel's sign, positive Phalen's sign, and positive s/l Durkin's sign.
:-)
J sign or Jay sign?? Ortho - knee. TIA, nm.
Subject: J sign or Jay sign?? Ortho - knee. TIA, nm.
s/l watiers sign or goiters sign? nm
Subject: s/l watiers sign or goiters sign? nm
nm
Myerson's sign or Meyerson's sign
In the physical exam, neurology doc is spelling Meyerson's sign. In two books I find Myerson under signs and cannot verify Meyerson's anywhere. Any thoughts? Thank you in advance for your help!
Patient has a negative wrist extension sign on the right and a negative s/l 3rd finger sign on the R
Subject: Patient has a negative wrist extension sign on the right and a negative s/l 3rd finger sign on the R
IDK, should be forced vital capacity, or forced expiratory volume (FEV)
Subject: IDK, should be forced vital capacity, or forced expiratory volume (FEV)
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"...
Thanks!
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?.........
2% Xylocaine with 1-to-100,000 epinephrine was injected subcutaneously
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.
Thanks!
How would you write this? sm
Subject: How would you write this? sm
"When he Valsalvas I can appreciate the hernia..." Would it be Valsalva's or valsalvas, or what? TIA
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.
Thanks in advance!
how to write JVP
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???
The patient does have a hypochromic microcytic anemia and her hemoglobin electrophoresis does show a reduced hemoglobin A with an increased "8, 2 fraction" and increased hemoglobin F, all compatible with her history of beta thalassemia
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?]
Thanks!!!!
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.
i always write the word out nm
Subject: i always write the word out nm
x
I write it as such, 3490
Subject: I write it as such, 3490
is the doc saying 3,490? I have been told no commas.
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