on exam, pt appears alert and s/l "infantating" (end of sentence)
Posted By: nm, thanks on 2009-03-28
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Subject: on exam, pt appears alert and s/l "infantating" (end of sentence)
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Phys exam on 2 yr old - Heart regular rate. ?? s/l vascularity appears intact or back appears int.
Subject: Phys exam on 2 yr old - Heart regular rate. ?? s/l vascularity appears intact or back appears int.
Phys. Exam on 2 yr - Heart regular rate. s/l vascularity or back appears intact? r
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alert and oriented? alert and in fine? something? nm
Subject: alert and oriented? alert and in fine? something? nm
On what? An exam? During a procedure? Please give us more of the sentence. nm
Subject: On what? An exam? During a procedure? Please give us more of the sentence. nm
s
Your sentence is part of a neurologic exam. N/M
Subject: Your sentence is part of a neurologic exam. N/M
Unless you have one of the neurologic docs that splits his neuro exam down into separate headings (CRANIAL NERVES, MOTOR, REFLEXES, ETC.), the sentence with orientation and fundi both describe neurologic findings.
alert?
Subject: alert?
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
how about alert and in no acute distress or some variation of this?
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.
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
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However at this time clinically, she appears....
Subject: However at this time clinically, she appears....
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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
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Ido not think that this sentence need a comma at all. It is 1 sentence.
Subject: Ido not think that this sentence need a comma at all. It is 1 sentence.
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