mental status exam - (s/l sasorium was clear) - nm
Posted By: Alea on 2009-03-16
In Reply to:
Subject: mental status exam - (s/l sasorium was clear) - nm
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Mental Status Exam: Symptom Status?
Subject: Mental Status Exam: Symptom Status?
Here's the context: He smiles much of the time; he is cooperative. Symptom status revealed that he knew that George Bush was the current president and that Bill Clinton preceded him. He denies hearing any voices.....
Symptom sounds similar to System, Simple, etc., for this example. Any input?
Mental status exam
Subject: Mental status exam
That is usually a mini-mental status exam. Could that be what he is saying?
s/l fo? mini mental status exam
Subject: s/l fo? mini mental status exam
?
MMSE, Mini Mental Status Exam is correct
Subject: MMSE, Mini Mental Status Exam is correct
That would be correct,
I agree - simple mental status exam from my "psychiatric" days.
Subject: I agree - simple mental status exam from my "psychiatric" days.
Black?, as in the Strub-Black Mental Status Exam
Subject: Black?, as in the Strub-Black Mental Status Exam
This URL states the Strub-Black exam adds to 10 points but is based on questions about proverbs, and, of course, black doesn't sound like "blust."
URL: http://www.emory.edu/AAPL/newsletter/N271_proverbs.pdf
The html site of the above url is: http://72.14.209.104/search?q=cache:HXrwAcJRu_8J:www.emory.edu/AAPL/newsletter/N271_proverbs.pdf+black+mental+status+exam&hl=en&gl=us&ct=clnk&cd=13
kj
it is mental status
Subject: it is mental status
They give lactulose with hepatic encephalopathy. Helps to lower ammonia level. Dad had cirrhosis so know first hand :-(
Help with mental status term
"The patient did have difficulty following the procedure. She had some mental _____ and whether or not this is related to anesthesia or to her severe blood loss is not quite clear but she is doing very well now. She is pretty sharp. She is accompanied by her caregiver and seems to ask the appropriate questions."
It sounds something like it ends in "tion"
patient with altered mental status/sm
Subject: patient with altered mental status/sm
Laboratory studies.
dictates: COK is 1 (pause) 6. CMB is 3.6. Huh?
Fo-mini mental status was preformed, she scored 24/30.
Subject: Fo-mini mental status was preformed, she scored 24/30.
.
Pt's "fast" score has been scored either as a 7D or 7E (for mental status). nm
Subject: Pt's "fast" score has been scored either as a 7D or 7E (for mental status). nm
Mental status is as per normal with labile affect. or is it effect? thank you
Subject: Mental status is as per normal with labile affect. or is it effect? thank you
Various possibilities were kept for altered mental status, like _______?, metabolic encephalopathy,
Subject: Various possibilities were kept for altered mental status, like _______?, metabolic encephalopathy,
Mental, mini-mental, cognitive? nm
Subject: Mental, mini-mental, cognitive? nm
xxx
status post exam under anesthesia with an incision and drainage of his rectal abscess and (C-TOM)
Subject: status post exam under anesthesia with an incision and drainage of his rectal abscess and (C-TOM)
status post exam under anesthesia with an incision and drainage of his rectal abscess and (C-TOM) placement. Any help would be appreciated. Thank you in advance
Ear exam showed the canals s/l antiems to be clear? Thanks! nm
Subject: Ear exam showed the canals s/l antiems to be clear? Thanks! nm
Pelvic exam revealed normal external genitalia, s/l; *DUS*, clear vagina,... nm
Subject: Pelvic exam revealed normal external genitalia, s/l; *DUS*, clear vagina,... nm
I wouldn't change" status" to "with" here, performance status is, sm
Subject: I wouldn't change" status" to "with" here, performance status is, sm
a specific term to quantify the patient's well being, "performance with" doesn't mean the same thing.
It is so clear Fair a con FE, can't get Femcon FE, it is just so clear. :(
Subject: It is so clear Fair a con FE, can't get Femcon FE, it is just so clear. :(
I did - (s/l) the-mental
Subject: I did - (s/l) the-mental
nm
Mental retardation.
Subject: Mental retardation.
Mental retardation is a medical condition. The doctor is not using the term in a derogatory manner, he is merely describing the patient's condition. You have no right to change this to anything other than what was dictated!
Thanks- I was having a mental blank!
Subject: Thanks- I was having a mental blank!
mental injection is correct
Subject: mental injection is correct
there is something called a mental block injection that numbs the area.
s/l sigmecups...mental heath
Subject: s/l sigmecups...mental heath
'He described his mood as depressed and scored 7/9 on s/l sigmecups excluding the suicidal ideation and psychomotor agitation and depression.'
Hibiclens...LOL (thanks for the mental image of your S/L!" =) nm
Subject: Hibiclens...LOL (thanks for the mental image of your S/L!" =) nm
mental region lymphadenopathy? nm
Subject: mental region lymphadenopathy? nm
s
On Mini-Mental, s/l 3MSR. see message
Subject: On Mini-Mental, s/l 3MSR. see message
While his IQ testing was improved, his Mini-Mental Status Score dropped by three points on the basis of the “3MSR”, although it was higher today.
Pt with Alzheimer's.
As to what? Mental health? Rehab? Lab results? nm
Subject: As to what? Mental health? Rehab? Lab results? nm
s
meaning "scores" on mini-mental..
Subject: meaning "scores" on mini-mental..
Mental retardation with cerebral palsy (MRCP)
Subject: Mental retardation with cerebral palsy (MRCP)
I've honestly never heard it abbreviated like that, but I did google *MRCP cerebral palsy* and that's what came up. Given the symptom of hypotonia, it definitely makes me think of cerebral palsy. Was there any sort of mental status testing done (just as a check)?
Positive flexion signs on right with ______ and palmomental. (s/l) the-mental
Subject: Positive flexion signs on right with ______ and palmomental. (s/l) the-mental
nm
s/l mental topical to surgical site for hip fracture wound (nm)
Subject: s/l mental topical to surgical site for hip fracture wound (nm)
x
All I could fine is mental foramen and lesser palatine or nasopalatine nerves?
Subject: All I could fine is mental foramen and lesser palatine or nasopalatine nerves?
Hydergine is used for treating symptoms of declined mental capacity (memory, mood, and behavior prob
Subject: Hydergine is used for treating symptoms of declined mental capacity (memory, mood, and behavior problems) in certain patients older than 60 years of age.
Throat exam is normal, as were the rest of her neck, face, and skull exam.
Subject: Throat exam is normal, as were the rest of her neck, face, and skull exam.
Eye exam: s/l "sub-lamp" exam shows left side has multiple small punctations in the cornea.(t
Subject: Eye exam: s/l "sub-lamp" exam shows left side has multiple small punctations in the cornea.(thanks)
Physical exam on eye exam, s/l Cardinal Welk's space?? noted.NM
Subject: Physical exam on eye exam, s/l Cardinal Welk's space?? noted.NM
What kind of doc is doing the exam? And where in the exam is this test mentioned? nm
Subject: What kind of doc is doing the exam? And where in the exam is this test mentioned? nm
s
Question about eye exam...when everting lids on eye exam (sm)
Subject: Question about eye exam...when everting lids on eye exam (sm)
It is EVERT, not AVERT, right? I have always typed it with an E but I have a PA who keeps insisting it is A. I always thought Avert applied to gaze, as if to look away. Just want to make sure everting the eyelid is the right term. TIA.
Status post stent placement and status post s/l key-til? placement
Subject: Status post stent placement and status post s/l key-til? placement
DNR status
Subject: DNR status
In assessment if dictates DNR-how would you transcribe that? I know I have to expand, but would I capitalize it or just leave it do not resuscitate?
Status
Subject: Status
No, I said status means "with." Replace the word "status" with the word "with" since they mean the same thing and then you don't need a comma. :-)
Status
Subject: Status
Maybe you're getting a different vibe from the doc than I would. I would think that he meant decreasing performance in say- his activity level. If he meant decreasing performance status, he would actually be saying "decreasing performance condition." Really doesn't make much sense, even for an ESL, while a lot of them do put the noun before the adjective. :-) Status usually means at the present time where status post means the time afterwards. I wouldn't think he meant "decreasing performance status" meaning the condition of decreasing performance but rather "decreasing performance" with nausea, diarrhea, etc. It doesn't seem necessary for him to add the word "status" after "performance, where "decreasing performance," status, i.e, conditions of nausea, diarrhea, etc. would be necessary. But, the doc's ESL, so who really knows. :-)
Status Asthmaticus
Subject: Status Asthmaticus
Status Asthmaticus - Status asthmaticus is a medical emergency in which asthma
symptoms are refractory to initial bronchodilator therapy in the emergency
status post PCI
Subject: status post PCI
I see this all the time in cardiology.
status post TAB? SM
Subject: status post TAB? SM
Here is a link with some abbrevs for OB/GYN.
http://www.healthsystem.virginia.edu/internet/obgyn-clerkship/UVA/Abbreviations.cfm
patient status
Subject: patient status
Patient has COPD, recent MI, anemia, is nonambulatory but is stable. She is being discharged for physical therapy. Her prognosis from a cardiac standpoint is [s/l bare/there]. Thanks.
status post
Subject: status post
nm
a moribund status
Subject: a moribund status
Neurovascular status. NM
Subject: Neurovascular status. NM
Code status
Subject: Code status
Anyone know if code status is addressed in the AAMT BOS? I cannot find it but am not certain what to look under either. Wondering if this should always be set apart with all caps or separate line?
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