in assessment says Esoteric ??? failure, blunt chest trauma
Posted By: i dunno on 2007-10-07
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Subject: in assessment says Esoteric ??? failure, blunt chest trauma
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is it barro trauma or barrel trauma...thanks alot
Subject: is it barro trauma or barrel trauma...thanks alot
s/l blunt?
Subject: s/l blunt?
She has been very edematous and very sick for the first few days here. Her cardiac function seemed to recover and over several days, she was able to ______ sufficiently to decrease the amount of edema that she had had.
All I can hear is blunt?!
Thanks!
blunt-end? sm
Subject: blunt-end? sm
Minimally Invasive Procedures in Traumatic Brain Injury
provided by tube feeding may be necessary in those patients with TBI requir- ..... ing stylet, leaving the blunt- end cannula within the stomach. ...www.springerlink.com/index/q27573111241r03w.pdf - Similar pagesby
Blunt diet? Anyone?? nm
Subject: Blunt diet? Anyone?? nm
Editor said blunt...new to me! nm
Subject: Editor said blunt...new to me! nm
nm
s/l blunt homer...
Subject: s/l blunt homer...
'Once adequate exposure was maintained, the proximal tibia was dislocated anteriorly with a blunt s/l homer.'
This is total knee arthroplasty operation. TIA.
#10 obturatory...Blunt tip obturator???
Subject: #10 obturatory...Blunt tip obturator???
There is a #10 blunt tip obturator. Could this be it???
yep - baby Hohmann and blunt Weitlaner
Subject: yep - baby Hohmann and blunt Weitlaner
There are blunt and Blount retractors listed by Tessier. nm
rectum was moblilized from the sacral ala using blunt dissection
Subject: rectum was moblilized from the sacral ala using blunt dissection
Chest exam on H&P, chest is symmetrical, free of dull s/l dull suspence straight, and without pectus
Subject: Chest exam on H&P, chest is symmetrical, free of dull s/l dull suspence straight, and without pectus
excurvatum. No sure of "free of dull suspence straight"
trauma
Subject: trauma
Is this patient on a vent?
trauma
Subject: trauma
penetrative trauma?
trauma
Subject: trauma
penetrative trauma?
CXR: Trauma pt. SM
Subject: CXR: Trauma pt. SM
The patient has widening of the mediastinum. The doctor says: Given the history of trauma, I cannot exclude mediastinal s/l ZAPOLOGY or APOLOGY. Cannot correlate. Help?
track trauma
Subject: track trauma
I am not sure if he stumbles or if he actually says track trauma. The entire line is ...No track trauma.
The patient has hamstring pain from injuring himself playing a baseball.
s/l no ventative trauma
Subject: s/l no ventative trauma
HEENT: No s/l 'ventative' trauma.
ER Trauma MVA. Does anyone know what alcohol KZP is? sm
Subject: ER Trauma MVA. Does anyone know what alcohol KZP is? sm
Second diagnosis is: ALCOHOL ABUSE. The patient will be resuscitated overnight and started on alcohol s/l "KZP" in the a.m.
head trauma
Subject: head trauma
The patient had head trauma and a few months later was found to have a s/l flabomorphit adenoma.
This is an Asian dictator who is very difficult to understand. Any help would be appreciated.
trauma to the head?
Subject: trauma to the head?
Trauma patient with hemopneumoperitoneum.
Subject: Trauma patient with hemopneumoperitoneum.
A s/l VAS was performed that was negative initially of the heart as well as of the abdomen.
Thank you!
found Whitman on trauma site
Subject: found Whitman on trauma site
FAST scan in trauma patients
Subject: FAST scan in trauma patients
Focused Assessment with Sonography for Trauma (FAST) is a limited ultrasound examination directed solely at identifying the presence of free intraperitoneal or pericardial fluid. In the context of traumatic injury, free fluid is usually due to haemorrhage and contributes to the assessment of the circulation.
herniations possibly - not sure about 30 though unless a major trauma
Subject: herniations possibly - not sure about 30 though unless a major trauma
Abbrev or nickname of trauma facility-s/l "true".
Subject: Abbrev or nickname of trauma facility-s/l "true".
x
Found it - Trauma and Life Support Center
Subject: Found it - Trauma and Life Support Center
It's a unit at the facility the patient was transferred from.
Can sometimes get a clue from DX, infection +WBCs, stones/trauma + RBCs, etc. nm
Subject: Can sometimes get a clue from DX, infection +WBCs, stones/trauma + RBCs, etc. nm
s
IMaybe Ilizarov procedure? It's bone lengthening done after trauma, etc. nm
Subject: IMaybe Ilizarov procedure? It's bone lengthening done after trauma, etc. nm
s
s/l berra trauma left ear? (Patient has URI, ear pain from blowing nose) TIA
Subject: s/l berra trauma left ear? (Patient has URI, ear pain from blowing nose) TIA
Assessment
Subject: Assessment
ASSESSMENT: Family history of AAA. Will proceed with -- s/l "root" ----- to evaluate.
Anyone have any idea what this is?? I'm drawing a blank.
TY!!
Help with assessment
Subject: Help with assessment
Hypertension with s/l "realciaporosis"...??
Any ideas??
TIA
assessment ?
Subject: assessment ?
Patient had an s/l EIP - EPL transfer.
in the assessment i would, otherwise no
Subject: in the assessment i would, otherwise no
Assessment ?
Subject: Assessment ?
Assessment ?
Subject: Assessment ?
Can you have an abbreviation like URI in an assessment? Thx. Tina
Assessment
Subject: Assessment
Thank you for the assessment info!!
Possibly decerebrating, as in decerebrate posturing. Stroke/head trauma victim? (nm)
Subject: Possibly decerebrating, as in decerebrate posturing. Stroke/head trauma victim? (nm)
x
CAGE assessment?
Subject: CAGE assessment?
CAGE Assessment (Alcohol Abuse)
Powered by:. CAGE Assessment (Alcohol Abuse). For most people who drink, alcohol
is a pleasant addition to eating and to other social activities. ...
https://www.merck.healthinkonline.com/ merckTools/AssessMerckSourceCAGE.asp - 19k - Cached - Similar pages
screening questions - CAGE assessment
Aquarius - UK Midlands charity providing advice and counselling on alcohol and
drugs problems.
www.aquarius.org.uk/cage.htm - 14k - Cached - Similar pages
Livingston County Council Alcohol & Substance Abuse - Assessment
Here's another one: Under Assessment/Plan
Subject: Here's another one: Under Assessment/Plan
1. Erythrocytosis – the patient did have a hemoglobin of 17 on blood work one year ago. I asked him to repeat it, but he forgot. We will recheck his CBC with NORRIS REPREEDIN level today and work this up accordingly. He is not symptomatic.
I keep listening over and over to this, and this is all I can make out. Any clue what he might be referring to??? TIA
It was not a test. It was the assessment.
Subject: It was not a test. It was the assessment.
nm
assessment&plan help!
Subject: assessment&plan help!
If the doctor says assessment and plan together, do I put the header together? I am confused because when he gives the assessment he numbers them 1) 2) then when he gives the plan he numbers them as well but does not say plan any help?
ASSESSMENT:
- Bilaterally arm numbness.
- Nausea.
- Health maintenance recommendations.
PLAN:
- Patient’s critical examination was hyperreflexia suspicious for possible cervical lesion. She will be referred for MRI with cervical spine. Patient may need EMG to further access her numbness.
- Patient will be tried on Nexium, although she does not have any overt symptoms of heartburn. She does have chronic nausea and this may be a sign of stomach reflux. She will be tried on Nexium 40 mg one q.d. Other diagnostic possibilities include slow gastric emptying. The patient does not eat breakfast or lunch and has her largest meal at about 8:00 at night. We discussed the need to consume breakfast and ideally eat 3-5 meals per day, smaller meals to encourage her metabolism. ___ problem health maintenance and in regards to increase her exercise and changing her diet. Patient will be referred to OB/GYN for Pap and pelvic and also will be referred for a screening mammogram. When she follows up to see me we will discuss potential options for colon screening. Patient is to follow-up with me in approximately 1 month time.
assessment and plan
Subject: assessment and plan
I hate when docs do that - mine do it a lot. I think you're good either way but I would put "A&P" as the heading and then just type it the way the doc says it.
Assessment or Impression
Is it an AAMT rule to automatically number the diagnoses in the Assessment or Impression of an H&P or soap even if the dictator does not? TIA!
Should EKG be expanded in Assessment?
Subject: Should EKG be expanded in Assessment?
ASSESSMENT: Abnormal EKG.
question about assessment
Subject: question about assessment
Doc states CABG and mitral valve repair. He clearly states this together. Can this be listed as one assessment? Or should mitral valve repair be next number??
pulmonary assessment
Subject: pulmonary assessment
admitted for elective mediastinoscopy, s/l radio-gram-coscopy?? and left bronchotomy.
Assessment: Vaginitis DX. I never heard of DX?? thanks
Subject: Assessment: Vaginitis DX. I never heard of DX?? thanks
Under assessment: UNCOMPELLING EMG results
Subject: Under assessment: UNCOMPELLING EMG results
Is uncompelling a word?
Or is it noncompelling?
Thanks!
Assessment: Dry skin (s/l ictiosis).
Subject: Assessment: Dry skin (s/l ictiosis).
:-)
Geriatric Assessment Unit
Subject: Geriatric Assessment Unit
.
Oh...assessment is diagnosis..so I would type it out nm
Subject: Oh...assessment is diagnosis..so I would type it out nm
xx
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