patient's prior surgeries---states THA/BA1 or VA1 or ?? What would be assoc with THA
Posted By: PRiddy on 2008-10-22
In Reply to:
Subject: patient's prior surgeries---states THA/BA1 or VA1 or ?? What would be assoc with THA
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Thought it had more to do with her sources of information on the patient prior to initial visit. nm
Subject: Thought it had more to do with her sources of information on the patient prior to initial visit. nm
x
Patient states the pain is located in the posterior lower back or **box** region. This is a new PA
Subject: Patient states the pain is located in the posterior lower back or **box** region. This is a new PA
student dictating but I have never heard this term used. Any help would be appreciated. Thxs
By the way, also states in AAMT BOS2 that 0 is correct for sutures as per The United States Pharmaco
Subject: By the way, also states in AAMT BOS2 that 0 is correct for sutures as per The United States Pharmacopeia system sizes...
I find pilon fractures assoc. with the tibula. I will QA it and see b/c she clearly says fibula. T
Subject: I find pilon fractures assoc. with the tibula. I will QA it and see b/c she clearly says fibula. Thanks.
You taking over their surgeries or
Subject: You taking over their surgeries or
procedures for that day?
That's it! I knew I have seen it before, but I don't do many surgeries! Thanks so much!
Subject: That's it! I knew I have seen it before, but I don't do many surgeries! Thanks so much!
xx
s/l crouse surgeries
Subject: s/l crouse surgeries
This patient has had several s/l crouse surgeries.
Has anyone heard of this type of surgery?
Thanks!!
Abby
femoral surgeries ??
Subject: femoral surgeries ??
female surgeries
Subject: female surgeries
Give dates of any of the following female surgeries you have had performed:
Tubal ligation (tubes tied to prevent pregnancy)
Hysterectomy (removal of the uterus) Yes No
Abdominal or Vaginal
Removal of ovary (ies) Right Left Both Don’t know
Laparoscopy
Bladder surgery
Rectal Surgery
Cryotherapy (freezing) of the cervix
LEEP
Other female surgery
Give dates of any of the following female surgeries you have had performed:
Tubal ligation (tubes tied to prevent pregnancy)
Hysterectomy (removal of the uterus) Yes No
Abdominal or Vaginal
Removal of ovary (ies) Right Left Both Don’t know
Laparoscopy
Bladder surgery
Rectal Surgery
Cryotherapy (freezing) of the cervix
LEEP
Other female surgery
Give dates of any of the following female surgeries you have had performed:
Tubal ligation (tubes tied to prevent pregnancy)
Hysterectomy (removal of the uterus) Yes No
Abdominal or Vaginal
Removal of ovary (ies) Right Left Both Don’t know
Laparoscopy
Bladder surgery
Rectal Surgery
Cryotherapy (freezing) of the cervix
LEEP
Other female surgery
Part of Health Questionnaire on website: Have you had any female surgeries?
Tubal ligation (tubes tied to prevent pregnancy)
Hysterectomy (removal of the uterus) Yes No
Abdominal or Vaginal
Removal of ovary (ies) Right Left Both Don’t know
Laparoscopy
Bladder surgery
Rectal Surgery
Cryotherapy (freezing) of the cervix
LEEP
Other female surgery
Just listing her past surgeries?
Subject: Just listing her past surgeries?
If so, probably T&A.
No so much, but you are very welcome! Just typed a lot of eye surgeries in my time.
Subject: No so much, but you are very welcome! Just typed a lot of eye surgeries in my time.
maybe cryo surgeries for lesions etc? nm
Subject: maybe cryo surgeries for lesions etc? nm
s/l "female surgeries times 7"
Subject: s/l "female surgeries times 7"
Is there a surgery like this? It is listed under this patient's past medical history.
Thanks,
Abby
I just don't know, it sounds exactly like blue, he said it again during past surgeries. Thank you
Subject: I just don't know, it sounds exactly like blue, he said it again during past surgeries. Thank you both!
x
it is listed under past surgeries, thats all it says, has a L3 tumor. thanks
Subject: it is listed under past surgeries, thats all it says, has a L3 tumor. thanks
s/l surgeries include "hylanitive" cysts
Subject: s/l surgeries include "hylanitive" cysts
I am thinking it is through as all I have read the surgeries take the incision through all layers of
Subject: I am thinking it is through as all I have read the surgeries take the incision through all layers of burns down to the normal tissues which could be many layers; from www.burnsurgery.org "Escharotomies are usually not required in partial thickness burns"
I found a lot of articles by Steinbeck about foot tendon surgeries. Could that be your s/l?
Subject: I found a lot of articles by Steinbeck about foot tendon surgeries. Could that be your s/l?
Some of these docs do refer to "still living" docs that develop certain surgical procedures that haven't been recorded in the permanent annals of medicine.
Past surgeries: s/l "pyelo auto cystectomy." Any ideas? Tia!.000
Subject: Past surgeries: s/l "pyelo auto cystectomy." Any ideas? Tia!.000
Past surgeries: s/l "pyelo auto cystectomy." Any ideas? Tia!.000
Subject: Past surgeries: s/l "pyelo auto cystectomy." Any ideas? Tia!.000
H&H is prior.
Subject: H&H is prior.
Prior sentence - Serial Hematocris 42.4 and 40.4. "Endices" were normal. Electrolytes 128.
he had an EGD prior to his etc...
Subject: he had an EGD prior to his etc...
What is the sentence prior to this? Might help. nm
Subject: What is the sentence prior to this? Might help. nm
im not sure i just know that it prior to csect
Subject: im not sure i just know that it prior to csect
What was dictated just prior to that?
Subject: What was dictated just prior to that?
.
depending on what doc says prior to this, could the
Subject: depending on what doc says prior to this, could the
first one be ..."similarly" show marked congestion ??
surg hx: s/l pollanodal cyst surgery. Has had bone surgeries, possibly related.thanks
Subject: surg hx: s/l pollanodal cyst surgery. Has had bone surgeries, possibly related.thanks
No there was not any telling info prior to that. ..
Subject: No there was not any telling info prior to that. ..
I sent for QA, so I'll let you all know what it is :) Thank you though!!
had you read below prior to posting, I had reposted..
Subject: had you read below prior to posting, I had reposted..
that I was incorrect.......sheesh......fast fingers....slow take....
I don't think psoricystic exists - got cut off prior post
Subject: I don't think psoricystic exists - got cut off prior post
I was told NEVER to use a comma prior to the word that..sm
Subject: I was told NEVER to use a comma prior to the word that..sm
and if I leave my grammer checker on, which I do, it always lights up *green* if I do. Just my experience.
Prior post about asking test questions
Subject: Prior post about asking test questions
any info prior to P.E. that might give a clue?
Subject: any info prior to P.E. that might give a clue?
Is there a chief complaint or admission dx?
It IS menorrhagia, stent placement prior to TAH sm
Subject: It IS menorrhagia, stent placement prior to TAH sm
I feel pretty, I feel pretty and witty and anything, but wise! It is going to be a very long day.
Late, but maybe prior environmental exposure? nm
Subject: Late, but maybe prior environmental exposure? nm
s
Would make sense, especially if had prior surgery. Could be
Subject: Would make sense, especially if had prior surgery. Could be
s
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
just guessing - prior nasal steroids? nm
Subject: just guessing - prior nasal steroids? nm
No illnesses or prior surgery. NKDA. nm
Subject: No illnesses or prior surgery. NKDA. nm
his Coumadin be held s/l transilay prior to this
Subject: his Coumadin be held s/l transilay prior to this
nt
Can you give the whole sentence so that we can hear the word prior to that one?
Subject: Can you give the whole sentence so that we can hear the word prior to that one?
..who did last inguinal hernia? Meaning the prior surgeon? nm
Subject: ..who did last inguinal hernia? Meaning the prior surgeon? nm
s
oops - typo inside my prior post...CELEXA...sorry..
Subject: oops - typo inside my prior post...CELEXA...sorry..
*sigh* - sorry for my typo - I meant to type Celexa.....*lol*
That's great info - I did the prior post on no commas - see inside
Subject: That's great info - I did the prior post on no commas - see inside
and had done oncology for almost 10 years for a nationally known cancer center, but they were specific on NO commas, so it may be an account-specific rule (plus maybe cuts down on keystroke counting?)
Pt with multiple myeloma, have a "coronoscopy" performed prior to stem cell transplantation,
Subject: Pt with multiple myeloma, have a "coronoscopy" performed prior to stem cell transplantation,
score was 100%.
Just me, but I do not unless the CP states to do so.
Subject: Just me, but I do not unless the CP states to do so.
New standard states:
Subject: New standard states:
And I quote: "Numerals, or figures, stand out from the surrounding text and serve a functional purpose in medical reports, where they should be used almost exclusively as opposed to spelled-out numbers.
Exceptions: Judgment and discretion are need when deciding but adjacent numbers require one to be spelled out to avoid confusion.
Use a comma to separate adjacent unrelated numerals if neither can be readily expressed in words and the sentence cannot be readily reworded.
Use numerals for fractions.
Spell out numbers that begin a sentence.
Zero is always spelled out when it stands alone.
Spell out numbers used as pronouns.
That should get you started!
ENT always states S/L "verbrossi SM
Subject: ENT always states S/L "verbrossi SM
were clippped." It seems to mean nose hair, except I cannot document verbrossa. I have looked and looked. I could have spelling completely wrong. As stated, ENT doctor, doing sinus/ septal surgery, at the beginning of the report, along with prep and drape.
Thanks for any help.
HELP please!! Dr. states this 3 times
Subject: HELP please!! Dr. states this 3 times
It sounds like "Malin-body 4 airway." Any help would be greatly appreciated. Thanks
Pt with Raynaud's...doctor states sm
"without any identifiable primary *s/l pneumatic or pneumonic* disorder". Any one heard of this? TIA
Doc only states what s/l cervitol 15 mg at night...
Subject: Doc only states what s/l cervitol 15 mg at night...
dictates this with about 20 other meds....no mention of any stool issues. If it is sorbitol can it be a 15 mg dose?? May have to leave it blank.
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