paragraph punctuation help..please...
Posted By: lost... on 2009-03-31
In Reply to:
Subject: paragraph punctuation help..please...
MRI scan indicates status post patellar tendon, bone, and anterior cruciate ligament construction, cystic degeneration of the graft with little remaining low signal fibers is noted, tendon enlargement in the tibial tunnel with cystic erosion through the anterior cortex medially to the patellar tendon, extension into the anterior subcutaneous fat of the proximal right lower leg.
Note the doctor does say construction, not reconstruction can this also be correct? TIA.
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Here's the paragraph................
Subject: Here's the paragraph................
"The rest of his past history, review of systems, and social history is otherwise noncontributory, except that he is status post coronary artery bypass graft surgery and has had a pacemaker and is on Coumadin in conjunction with his cerebral vascular disease. He also takes amiodarone, s/l Trazadec, Toprol, Ambien, Cozaar, and Effexor."
The patient is being evaluated by a neurologist for leg and back pain. Thanks.
does this fit at the end of this paragraph? See msg pls.
Subject: does this fit at the end of this paragraph? See msg pls.
Patient is getting back on his medications and will be following up with his psychiatrist Dr. X. They are due within the next few weeks, he says, to recheck his Depakote levels, (Dr. take a drink and says)S/L hemolith normal. (new paragraph)
not sure, here's the paragraph...
Subject: not sure, here's the paragraph...
Neurologic exam/history and physical exam does reveal the patient with parkinsonian features. We are going to go ahead and change him from Sinemet 25/100 mg to Stalevo 100 mg, one in the morning and one at midday, since he really only takes it twice a day. If this does not help, we may try going back to the Sinemet and then trying Azilect for the freezing. I think that may be of great benefit to him, despite the MALB inhibitor.
Here's the rest of the paragraph. I need someone to look at this.
Subject: Here's the rest of the paragraph. I need someone to look at this.
This is listed under the PMH: Do these numbers look right? My question is really the
"FEF 25 to 75 1.66 (65%). " Does this look right? not sure how to type the 75 1.66. ... MD says it like this:
"FEF 25 to 75 one point six six and parentheseses 65%"
Pulmonary – status post pulmonary embolus, status post a prolonged road trip. Coumadin was discontinued in April and MTHFR Heterozygote with an elevated homocysteine level. She has been maintained on Folate. She has also been treated for asthma. Pulmonary function tests in December of 2002 demonstrated a FEV1 of 1.86 (79%), and FVC of 2.41 (83%) an FEV1 of 77% and FEF 25 to 75 1.66 (65%). In March of 2004, a diagnostic polysomnogram demonstrated obesity, hypoventilation; no evidence of obstructive sleep apnea. She has been maintained on 2 liters q.h.s. A repeat study in June of 2005 confirmed that treatment.
if i give you the paragraph for this ....
Subject: if i give you the paragraph for this ....
could you be able to tell if it were a line infection? I will send what they did. thanks
Paragraph numbering
Subject: Paragraph numbering
1.
a.
b.
c.....etc.
When you get all the way through z, how do you number or letter after z? Thanks so much.
Here's the context paragraph...sm
Subject: Here's the context paragraph...sm
Patient recently had a positive culture infection with group B strep. He was treated with some Cipro and he says he is actually voiding better now than he has for some time. He probably has been having a little small "ring" prostatitis going on.
I'd just leave it a paragraph at the end. NM
Subject: I'd just leave it a paragraph at the end. NM
I found one paragraph re patients ...sm
Subject: I found one paragraph re patients ...sm
not sure but I found one paragraph thru google about dacron wool........being used on a patient:
Once cooling to -79 C was complete the patient was lifted out of the Silcool bath, the outer, Silcool wetted plastic bag was stripped off and the patient was placed within a polyester cloth bag which was in turn placed inside a standard aluminum neurocan which had been precooled to -90 and packed with dacron
wool. Temperature probes were left externalized to the neurocan for subsequent cooling to -196 C.
I don't really think this is going to help you though but I tried!! 
your paragraph has many grammatical errors
Subject: your paragraph has many grammatical errors
along with punctuation - not sure if you just typed it fast and are aware or not? If you more help, let me know.
Go to format/paragraph and you'll see it. nm
Subject: Go to format/paragraph and you'll see it. nm
Based on the following paragraph written by
Subject: Based on the following paragraph written by
Vanderbilt University in relationship to Troubleshooting PICC problems, in particular; "My patient's arm is red, swollen, and/or painful."
A. How does the arm look in comparison to the arm without a PICC line.
B. If redness is involved, is it a red streak up the arm along the vein tract.
C. If swelling is involved, what is the difference in the girth of the two arms.
Your sound-alike brings to my mind: gorge; as engorged. Definition: gorge, glut; especially: to fill with blood to the point of congestion. Just an educated guess though. Good luck.
This paragraph shows AZT for baby -see message
Subject: This paragraph shows AZT for baby -see message
If an HIV positive woman is taking AZT then it will probably be recommended that her baby is given AZT (usually as a syrup) for the first six weeks of its life starting 8-12 hours after birth. Alternatively, if the mother has taken AZT and 3TC during labour then an effective regime for the baby would be one week of AZT and 3TC.
If only limited AZT is available then one week of AZT can be given to the baby. If only single dose AZT is available then the baby can have this combined with a single dose of NVP, and if no AZT is available then the baby can have a single dose of NVP to help protect it.
Here is the paragraph for the s/l line infection evaluation..
Subject: Here is the paragraph for the s/l line infection evaluation..
Patient here today for a post-op s/l line infection evaluation. She has been doing daily wet to dry dressing changes and today the wound breadown area is less than a cm across and with probing with a Q-tip will not extend any greater than 2 cm in the area. I do not think that this continues to require any packing. I have recommended that she just keep gauze over the area for the drainage. thank you
Stumped - rheumatology. Please see paragraph for context.
Subject: Stumped - rheumatology. Please see paragraph for context.
Patient is a little girl with an area of atrophic and hyperpigmented skin on her forehead (morphea/linear scleroderma en coup de sabra).
"In addition, there is a secondary area which is approximately 2 cm in diameter and 6 cm in length which is hyperpigmented and lateral to the s/l inituary/immisuary, with again subcutaneous atrophy, but without erythema or adherence."
Totally stumped but hate to give up --- Thanks for any help.
does she want you to put in a heading, or include more in prior paragraph
Subject: does she want you to put in a heading, or include more in prior paragraph
nm
Thx! I made it through a whole paragraph of tests, with this being the last one and couldn't get
Subject: Thx! I made it through a whole paragraph of tests, with this being the last one and couldn't get the last one! :) Thx for your help!
does this paragraph sound right and is it punctuated correctly
Subject: does this paragraph sound right and is it punctuated correctly
There were findings of a posterior horn tear of the medial meniscus, a small chondral injury of the medial tibial plateau, grade 4 out of 4, chondromalacia of the medial femoral condyle, grade 3 out of 4, chondromalacia patella and trochlea notch of the femur, grade 3 out of 4.
The doctor speeds through this paragraph at 75mph..does it make sense and is the punctuation correct? TIA.
s/l linear partial tear also does this paragraph
Subject: s/l linear partial tear also does this paragraph
make sense?
There is a focal tear of the posterior supraspinatus tendon noted. No other tear or retraction evident. There is also S/L linear partial tear of the long head of the biceps tendon noted. Mild degenerative changes to the glenohumeral joint also indicated. TIA.
Just make it the last paragraph in the report. Does it Have to have a title? Maybe Note, Comment,
Subject: Just make it the last paragraph in the report. Does it Have to have a title? Maybe Note, Comment,
s
punctuation
Subject: punctuation
separate it, either a period or comma after cholecystectomy???
punctuation on this?
Subject: punctuation on this?
How would you punctuate this? Comma after esotropia? or more? ...........
Bob is a young boy who had an esotropia status post sixth nerve palsy secondary to hydrocephalus.
Punctuation help
Subject: Punctuation help
Have a question when typing 7 cm. Should there be a hyphen between 7 and cm or not have one. In the Book of style it shows it both ways.
Just wondering.
Thanks Carla
Punctuation
Subject: Punctuation
Thanks so much for the information. I can never remember when it comes to that. I will, hopefully, remember this time.
Carla
punctuation (sm)
Subject: punctuation (sm)
1. Fine as you have it.
2. She is doing that often, say in work situations and other situations, she is confirming that she is less passive.
OR
2. She is doing that often; in work situations and other situations she is confirming that she is less passive.
(notice I left the casual word "say" out.)
They actually are not fragments as they contain necessary parts, but punctuation shows how they are related to the other thought.
Punctuation help, please (sm)
Subject: Punctuation help, please (sm)
He has an eight-to-nine-year history of headaches.
Wondering about the "eight-to-nine-year history" part.
Thanks
Punctuation!?
Subject: Punctuation!?
How would you correctly punctuate this sentence?
IMPRESSION: Healing fracture proximal phalanx third digit right foot.
punctuation
Subject: punctuation
I would leave out all the commas in sentence #1.
Sentence #2, take out the comma after atrial fibrillation and after sinus rhythm.
help with punctuation please
Subject: help with punctuation please
She had a right frontal temporal parietal craniotomy for evacuation.
do I need commas after frontal, temporal? ty so much!!
punctuation ?
Subject: punctuation ?
Help, it is late and I cannot think straight.
How would this sentence be punctuated correctly?
One, we are going to try to rule out a stress fracture and two, we are going to try to rule out any pathology secondary to the possible cam impingement.
Any help would be appreciated. TIA
PUNCTUATION, ETC.
Subject: PUNCTUATION, ETC.
Capitalize first letter after a colon. Forgot an apostrophe to indicate possessive case,as the cough belongs to a smoker. Forgot serial comma after nose.
As to format, if they let you get away with each system starting on a separate line it will be clearer and give you a higher line count.
Finally, to quote my medical editing instructor at Cornell Medical School, "The addition of "al" to an adjective does not make it any more "adjectival" -- I always got a laugh out of that line. I've been correcting docs and transcriptionists for years about neurologic and hematologic.
Rosie
Punctuation
Subject: Punctuation
At that juncture, she would, despite her young age, be a candidate for supportive care only.
Punctuation
Subject: Punctuation
I would get rid of the semicolon and replace it with a comma and get rid of the comma after time.
punctuation
Subject: punctuation
It is
anesthetic fulguration, as anestethic is an adjective.
punctuation help please
Subject: punctuation help please
Evaluation of the plantar right foot shows minimal callus formation, it was pared back, no ulcer noted.
also
Plantar left foot over the first ray shows minimal callus formation pared back, no ulcer noted.
Are these correctly punctuated? tia.
punctuation...
Subject: punctuation...
Patient undergoing transplant.
Identified post transplant feeling;
includes wife and children.
First phrase should actually be:
Patient under - w e n t transplant, because he is already post transplant.
Punctuation
Hi there. I was wondering if separate departments in a hospital like "Dialysis Unit" or "pediatrics" needs to be capitalized. I think I have lost my memory.
punctuation question...sm
Blood sugar reading minus 120 divided by 40 which yields the units for coverage.
Do I need to add commas, etc.? Thanks!
question on punctuation.....
Subject: question on punctuation.....
Doppler reveals normal E prime A prime on tissue Doppler no aortic valve or mitral gradient is noted.
Do I put a period after A prime or Doppler, I am confused.
Thank you
Punctuation question
Subject: Punctuation question
Here is my sentence as dictated-
Study showed "fluid collection in the upper anterior midline abdominal wall was again noted with a similar appearance" (much thought was given to blah, blah, blah).
Do I have the second quotation marks in the right spot or should they go at the very end after the end parenthesis and period?
Thanks for any help you can give!
Punctuation question
Subject: Punctuation question
"COMMENT: Reviewed with Dr. Doe, III at the time of the exam." Is that right with the comma after Doe? TIA
Re: Punctuation question
Subject: Re: Punctuation question
Went without the comma. Needed to send.
Punctuation question
Subject: Punctuation question
I have heard different things on this issue...
Does punctuation, whether it be periods or commas or whatever, always go inside parenthesis or not? BOS shows they don't, but I've also heard that punctuation always go inside the end parenthesis.
Need cardio punctuation help!
Subject: Need cardio punctuation help!
These two are confusing me! Are these punctuated correctly??
The report then states correlate clinically for paroxysmal atrial fibrillation, as her diary entry showed sinus rhythm, with questionable episodes of atrial fibrillation.
It did reveal sinus rhythm, sinus tachycardia; suggested clinical correlation for atrial fibrillation, as some of her symptoms occurred with sinus rhythm, with a questionable atrial fibrillation.
Thanks!!!
grammar/punctuation help
"At that juncture she would despite her young age be a candidate for supportive care only."
How should this be punctuated? Help.
grammar/punctuation help
Subject: grammar/punctuation help
Doc dictates- Total time with the patient was 60 minutes and of that, 40 minutes was dedicated to the direct discussion and consultation of the logistics, risks and benefits, and rationale for radiation therapy.
Was or were 40 minutes? Should it be punctuated with a semicolon?
Total time with the patient was 60 minutes; of that, 40 minutes were dedicated.....
thanks
this sentence does not need ANY punctuation at all!..sm
Subject: this sentence does not need ANY punctuation at all!..sm
It is correct as you typed it.
Punctuation - see message
Subject: Punctuation - see message
Narrowing on the patella refers to the joint space, not the cartilage. At any rate, you need to go back to bed and get your nap out.
This needs some punctuation and pauses
Subject: This needs some punctuation and pauses
I think this must be either talking about the patient's caregivers after the transplant, or social/family history. Take another listen for pauses, I think it needs the sentence broken up.
The punctuation mark dash, maybe to sm
Subject: The punctuation mark dash, maybe to sm
separate the positive hx of heart murmur from the negatives following?
Punctuation for prenatal labs
Subject: Punctuation for prenatal labs
Hi
Can someone tell me a good site to reference the punctuation for prenatal labs??? I'm not sure if they should be all seperated by commas, periods, or semicolons. Also, would number of pregnancies, deliveries, and due date be seperated by these labs with a period????? Doctor just rattled them off all together, and I'm not sure the correct punctuation........ especially because the last lab value in the series requires a comma in itself (Pap smear abnormal, class II)
ty ahead of time
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