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patient history

Posted By: Lemure disease? on 2006-02-21
In Reply to:

Subject: patient history

Patient presents with history of ***Lemure*** disease?  s/l Lemirro




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doc dictates "the patient has 120 pack year smoking history", patient is 75...is that right???
Subject: doc dictates "the patient has 120 pack year smoking history", patient is 75...is that right???? NM


Patient with history
of femoropopliteal bypass graft.  Pulses palpable at s/l PTTP????  I am brain dead here.  TIA
Patient has history of anemia..sm
secondary to s/l "naneocrosis".  Any suggestions? 
Patient with history of cocaine use -
Subject: Patient with history of cocaine use -

A "bowl" a day?? TIA!
Elderly patient has history of
Subject: Elderly patient has history of

recurrent falls with ***icular ***ium syndrome.  Can't make out the mumble.  Thanks for any help!
patient has a history of s/l 'skiffy'
Subject: patient has a history of s/l 'skiffy'


patient has a history of being positive
Subject: patient has a history of being positive

for s/l ossa drugs.  Any help with this would be appreciated!


TIA! 


Pregnant patient with a history of herpes, which was ...
Subject: Pregnant patient with a history of herpes, which was ...

~ s/l quiasen ~ throughout the pregnancy.  I think I know what it means, but I have no idea how to spell it.
Bet the PA is reading the patient's history sheet. sm
Subject: Bet the PA is reading the patient's history sheet. sm

9 times out of 10 it is  arthroscopy and meniscectomy.


Patient with history of s/l corporal monale. Thanks
Subject: Patient with history of s/l corporal monale. Thanks


Patient condition/medical history??? NM
Subject: Patient condition/medical history??? NM


Apparently part of patient's history, but not clear...
Subject: Apparently part of patient's history, but not clear...

MRI is reviewed confirming the presence of a full-thickness supraspinatus tendon tear with early glenohumeral arthritis. The patient apparently had a long head biceps tendon operation as well, perhaps s/l an or in acoa.

The patient has another orthopaedic surgeon in New York that has done a shoulder procedure (he says this in the HPI) and I can't tell if he's saying "an" or "in" acoa.

Thanks MT50.
med. help...dr lists like 18 medications for patient with no history given sm for 2 drugs pls.
Subject: med. help...dr lists like 18 medications for patient with no history given sm for 2 drugs pls.

A-mute-er-rone 200 mg daily


Carbetolol 27.5 mg twice a day.


The patient is a new patient being evaluated for pancytopenia.


patient is a 15-year-old girl with history of significant
Subject: patient is a 15-year-old girl with history of significant

s/l Norwood degenerative type disorder. ???
s/l patient denies history of *metachezia* or melena??? nm
Subject: s/l patient denies history of *metachezia* or melena??? nm

nm
No, this patient has a huge past history that varies
Subject: No, this patient has a huge past history that varies


Can you give us some info about the patient, i.e. past history, current complaint, etc?
Subject: Can you give us some info about the patient, i.e. past history, current complaint, etc?


patient pregnant with concomitant hemoglobinopathy denies *tagophasia nor does she have a history-sm
Subject: patient pregnant with concomitant hemoglobinopathy denies *tagophasia nor does she have a history-sm

of bleeding???  Thanks.
s/l Tiazine 2 mg at night. Patient with nack and back pain history
Subject: s/l Tiazine 2 mg at night. Patient with nack and back pain history

thank you
Patient has a history of s/l hyperpotassiumemia. I'm not finding any good hits on google and sm
Subject: Patient has a history of s/l hyperpotassiumemia. I'm not finding any good hits on google and sm

doc is known for making up his own words.
Patient presents with a several year history of pain and this is s/l dedscious referable to the left
Subject: Patient presents with a several year history of pain and this is s/l dedscious referable to the left


Duralith is used to treat the manic stage of bipolar disorder (does the patient have a psych history
Subject: Duralith is used to treat the manic stage of bipolar disorder (does the patient have a psych history?)


Under past medical history - history of abnormal s/l petatrie functioning. I really cannot make *sm
Subject: Under past medical history - history of abnormal s/l petatrie functioning. I really cannot make *sm

it out.  It is a foreigner.  He is saying it very fast.  History of abnormal petatrie functioning is what is sounds like to me.  I have no clue. 
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Subject: history of colorectal history with metastasis to the liver and lymph nodes


Patient is here for an s/l eflex injection. Patient previously had Orthovisc.
Subject: Patient is here for an s/l eflex injection. Patient previously had Orthovisc.

nm
OB patient - s/l The patient has a 'null' sign.
Subject: OB patient - s/l The patient has a 'null' sign.


history
Subject: history

s/ true, screw, tew.


A 20 gauge____  guide monoptic coaxial system was employed to obtain 2 core biopsies of the lesion


OB history
Subject: OB history

CAMT- In my BOS second edition- page 290: Separate GPS sections by commas:


G4, P3, A1 


History of?
Subject: History of?

Could the dictator be saying "history of" cholecystectomy," instead of "her 'seri' cholecystectomy?
history of **leg TB**? sm
Subject: history of **leg TB**? sm

it's on a numbered list so i really dont have anything else to work on. THANKS!
not sure but her history is.....
Subject: not sure but her history is.....

pt had a surgery recently from a MVA and had several broken bones, also history of hypertension, diabetes and peripheral vascular disease. thanks
??? not sure, not really any history
Subject: ??? not sure, not really any history

sounds just like Caprix
Social history
Subject: Social history

I forget the proper transcription for this regarding numbers--


Occasional tobacco use, 1-2 half-packs per day.


Should 1-2 be spelled out and is half-pack hyphenated? Thanks a lot!


family history
Subject: family history

7yo girl with pneumonia. no family history of asthma or other chronic lung disease, immune deficiency or decreased sl-fertility.
H & P- history and physical...nm
Subject: H & P- history and physical...nm

m
history of ?ceilingectocies
Subject: history of ?ceilingectocies


Family history
Subject: Family history

Internal Medicine clinic notes:
Family history: S/L Vonastroms with accent on "strums" at the end of the word. Tape cuts out on the first part, but I can hear the strums at the end.


Thanks


s/l atremic history
Subject: s/l atremic history


PATH history
Subject: PATH history

Past history would cover you on all corners. Did the doc dictate any history? Unless she has significant OB/GYN pathology, which the doc would probably make note of, vaginal bleeding and "path" history don't go together. Hope that helped.

HELP-- pt has history of heroin and
Subject: HELP-- pt has history of heroin and

s/l aniculary drug use???????
It may be, but I don't know if she has a history of alcoholism. ..
Subject: It may be, but I don't know if she has a history of alcoholism. ..

I just left it blank for QA. Thanks for the suggestion, though.
Not really. Perhaps just "former history"?? nm
Subject: Not really. Perhaps just "former history"?? nm

x
pro forma history? See ref.
Subject: pro forma history? See ref.

Main Entry:pro for*ma
Pronunciation:(*)pr*-*f*r-m*
Function:adjective


 : done or existing as a matter of form


says s/l history of DVD/PE ? - on anticoagulation
Subject: says s/l history of DVD/PE ? - on anticoagulation


Psychiatry - history of s/l TEE-H-SHE (sm)
Subject: Psychiatry - history of s/l TEE-H-SHE (sm)

history of s/l TEE-H-SHE times 2 years, ectasy times 2 years, and significant alcohol use.  ??? TIA


could it be history of hypertension?
Subject: could it be history of hypertension?

nm
history of pneumonia?
Subject: history of pneumonia?

Need help with two words please. 


History of pneumonia and s/l bi-e-ma status post s/l e-cor-ti-cation


Bony______ (history)
Subject: Bony______ (history)

Chief complaint: Hit the wall with hand.
maybe infectious history
Subject: maybe infectious history


surgical history s/l all-tee
Subject: surgical history s/l all-tee

Patient is being seen for balance problems. There is a lot of focus in the report on various tests and her previous tethered cord, lumbar stenosis, laminectomy, etc.

Past surgical history includes: "repair of a spinal fluid leak and (s/l all-tee) then the lumbar spine fusion."

Any ideas as to what the all-tee might be? At first I thought it was the doctor stumbling over her words, but upon re-listening, I'm not so sure!
as in he personally has history of.... NM
Subject: as in he personally has history of.... NM