patient is a 15-year-old girl with history of significant
Posted By: charlie on 2008-01-30
In Reply to: Full sentence? - MT50
Subject: patient is a 15-year-old girl with history of significant
s/l Norwood degenerative type disorder. ???
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Patient is 12-year-old girl. Diagnosis mild s/l exosobesity.
Subject: Patient is 12-year-old girl. Diagnosis mild s/l exosobesity.
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 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
52-year-old in a big girl bed???
Subject: 52-year-old in a big girl bed???
Never heard that one before...
History significant for "IPP" at age 6?
Subject: History significant for "IPP" at age 6?
I don't see anything in my Abbr. book that might fit this. s/l IPP or IPT. Any ideas anyone? THanks!
Family history significant for s/l share-covery II. thank you
Subject: Family history significant for s/l share-covery II. thank you
Past medical history: Significant for s/l uterine CA.
Subject: Past medical history: Significant for s/l uterine CA.
Past medical history significant for s/l wrekal sinus excision
Subject: Past medical history significant for s/l wrekal sinus excision
7-year history.....
Subject: 7-year history.....
I get confused, too! well-defined hypen; the hyphen is well defined. That is how I think of the hyphens, but I'm no BOS guru - just been in the biz for a long time.
1-year history
Subject: 1-year history
How would you type the patient has a 1-year history of pain....tia.
pack year history of smoking
Subject: pack year history of smoking
Can a 65-year-old have a 75 pack year history of smoking? thought pack years meant how many years they have smoked a pack of cigarettes??
Wouldn't it also be 'several-year history'? nm
Subject: Wouldn't it also be 'several-year history'? nm
?? :D
"x" pack year smoking history
Subject: "x" pack year smoking history
How would the above be typed, esp. when it has the number of years included, such as "40 pack year..." ?? Thanks.
Agree, it is 25-pack-year history.
Subject: Agree, it is 25-pack-year history.
x
She had a history of an abnormal Pap smear and has had a _____ done last year.
Subject: She had a history of an abnormal Pap smear and has had a _____ done last year.
x
2-year medical s/l soul-journ (as in history)
Subject: 2-year medical s/l soul-journ (as in history)
Is it soldiering ??? This gentleman has a 2-year history of medical soldiering ???
A 54-year-old male with history of "church charles" disease TIA
Subject: A 54-year-old male with history of "church charles" disease TIA
xxx
when transcribing "baby girl Smith" should baby girl be capitalized?
Subject: when transcribing "baby girl Smith" should baby girl be capitalized?
Would not start the sentence with a number. Would type it as "A 20 pack-year smoking history."
Subject: Would not start the sentence with a number. Would type it as "A 20 pack-year smoking history."
I would type 5-pack/year smoking history..slash stands for 'per'..nm
Subject: I would type 5-pack/year smoking history..slash stands for 'per'..nm
nm
The patient has had an abdominal CT scan in January 2006 which showed significant intra- and extra b
Subject: The patient has had an abdominal CT scan in January 2006 which showed significant intra- and extra b
 The patient has had an abdominal CT scan in January 2006 which showed significant intra- and extra biliary tree dilatation, but this was unchanged from a previous scan of 2003.
I am specifically wondering about the hypen after intra. Thanks.
A 2-3/12-year-old patient. Is that the correct way to
Subject: A 2-3/12-year-old patient. Is that the correct way to
x
Definitely not CBC. Sounds more like UPT but patient is a 60-year-old.
Subject: Definitely not CBC. Sounds more like UPT but patient is a 60-year-old.
then why is it correct in your example of the patient, a 35-year-old?...sm
Subject: then why is it correct in your example of the patient, a 35-year-old?...sm
This is confusing so please do not think I am trying to pick a fight. By your own examples, these would be hyphenated. Why would the OP example not be hyphenated?
I wish, it is a 52-year-old patient and that is all he mentions she had uterine prolapse too
Subject: I wish, it is a 52-year-old patient and that is all he mentions she had uterine prolapse too
patient history
Subject: patient history
Patient presents with history of ***Lemure*** disease? s/l Lemirro
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.
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.
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?)
HEENT unchanged x1 year (been the same since year ago)
Subject: HEENT unchanged x1 year (been the same since year ago)
25-pack/year would mean 25 packs per year, but
Subject: 25-pack/year would mean 25 packs per year, but
25-pack-year is the amount equal to packs smoked per day x number of years smoking, as per BOS and Vera Pyle.
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.
history of colorectal history with metastasis to the liver and lymph nodes
Subject: history of colorectal history with metastasis to the liver and lymph nodes
Is year old still hyphenated as in 74-year-old? nm
Subject: Is year old still hyphenated as in 74-year-old? nm
you go girl!
Subject: you go girl!
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