patient undwent menarche and s/l sealarche at 15. Has asymmetry of breasts. nm
Posted By: Paula on 2005-12-06
In Reply to:
Subject: patient undwent menarche and s/l sealarche at 15. Has asymmetry of breasts. nm
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Breast exam - She does have asymmetry in both breasts from previous s/l brain ansatangias. please sm
Subject: Breast exam - She does have asymmetry in both breasts from previous s/l brain ansatangias. please sm
I know that makes no sense at all but that's what it sounds like. This doctor is from Puerto rico. Up until this point, she has been pretty clear. Thanks for any help
menarche
Subject: menarche
xx
menarche ? nm
Subject: menarche ? nm
Maybe menarche 15 for first menstruation at age 15? nm
Subject: Maybe menarche 15 for first menstruation at age 15? nm
s
prob menarche
Subject: prob menarche
:)
menarche age 13, **co-char-key** age 20... NM
Subject: menarche age 13, **co-char-key** age 20... NM
x
Definitely not asymmetry, thanks though. nm
Subject: Definitely not asymmetry, thanks though. nm
asymmetry?
Subject: asymmetry?
Maybe scapular asymmetry. nm
Subject: Maybe scapular asymmetry. nm
.
Can you hear asymmetry? nm
Subject: Can you hear asymmetry? nm
nm
Possibly...no asymmetry in the neck?
Subject: Possibly...no asymmetry in the neck?
Breasts on male?
Subject: Breasts on male?
This new doctor has a review of systems normal. It includes a 'Breasts' normal. Do I keep that if it is a man? I'm confused because I've heard men can get breast cancer. should I leave it/delete it?
s/l "galding or gualding" under breasts sm
Subject: s/l "galding or gualding" under breasts sm
but not in Stedman's (of course) and unable to verify online either. These are elderly nursing home patients (female). Thanks kindly.
The problem is that I can never tell whether he is saying breast OR breasts.
Subject: The problem is that I can never tell whether he is saying breast OR breasts.
Men do have breasts, oftentimes doctors
Subject: Men do have breasts, oftentimes doctors
include their breast exam in a report.
So...does it s/l a foraneous salve going under the breasts or what? Sentence, please! nm
Subject: So...does it s/l a foraneous salve going under the breasts or what? Sentence, please! nm
s
after a birth, breasts were non-tender, non s/l ag-ra-nay-shish
Subject: after a birth, breasts were non-tender, non s/l ag-ra-nay-shish
BOS2 says both breasts removed - mastectomies. nm
Subject: BOS2 says both breasts removed - mastectomies. nm
nm
mycotic ? (does she have any fungal infection under the breasts?)
Subject: mycotic ? (does she have any fungal infection under the breasts?)
mastomegaly (large breasts) http://forums.obgyn.net/ob-gyn-l/OBGYNL.0705/0464.html
Subject: mastomegaly (large breasts) http://forums.obgyn.net/ob-gyn-l/OBGYNL.0705/0464.html
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 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.
A1c; patient is to follow up in 2 weeks; patient has a followup in 2 weeks.
Subject: A1c; patient is to follow up in 2 weeks; patient has a followup in 2 weeks.
nm
Patient given PPD - sm pls
Subject: Patient given PPD - sm pls
Patient given PPD S/L "agreed" or "read" within the next 72 hours.
Patient does have a UTI but would it
Subject: Patient does have a UTI but would it
same doc. same patient
Subject: same doc. same patient
the lesion was vascular in natureand most likely _____ malformation.
S/L avio-lymphatic
HIV patient. Please sm.
Subject: HIV patient. Please sm.
Doc is dictating a test in relationship to patient's HIV. He states s/l "firal row"is negative and T-cell count has actually risen since last visit.
Thanks for any/all help!
do you have a Dx on this patient, and
Subject: do you have a Dx on this patient, and
if not, what is the chief complaint?
new patient
Subject: new patient
 On a new patient is this how it should be put? the doctor says it with chief complaint~~~~CHIEF COMPLAINT: New patient, arm pain.
OD q.d.? Is it for the patient's eye? nm
Subject: OD q.d.? Is it for the patient's eye? nm
x
cc: the patient
Subject: cc: the patient
then he said, note to the transcriptionist, make sure that a copy of the mri scan results is sent to the patient with this letter.
What is the patient's dx? nm
Subject: What is the patient's dx? nm
Are you sure the patient isn't
Subject: Are you sure the patient isn't
very spiritual, and is hoping for healing through a prayer line? Many churches do have prayer lines and pray for sick people. Usually they don't intend that the person shouldn't seek medical help like it sounds like this patient would be talking about.
How old is this patient?
Subject: How old is this patient?
The patient has a ... (sm)
Subject: The patient has a ... (sm)
. . . distal radius fracture. It s/l the doctor dictates *there is a cast and flink* to right arm. I thought it might be *splint*, but it really does not sound like that. Any idea?
Thanks, Melissa
Patient is p.o.ing well??????
Subject: Patient is p.o.ing well??????
POing??? or just change to eating? It's a 3-month-old baby girl.
What is the patient
Subject: What is the patient
in the hospital for? Main symptoms? Specialist seeing the patient?
Is patient ill otherwise? sm
Subject: Is patient ill otherwise? sm
I know you say it is not positive exudate but if the patient is ill or has upper respiratory symptoms, positive could actually be right.
Doc is saying the patient is this PDI-3 or
Subject: Doc is saying the patient is this PDI-3 or
Peduli-3? Never heard of a patient being that, but I have heard of a resident doctor being a PGY-3 after their name. Otherwise, I have no idea. Sorry.
The patient has both, so you must be...
Subject: The patient has both, so you must be...
correct!!! THANK YOU!!!!!! 
but patient has URI, not UTI, yes? (nm)
Subject: but patient has URI, not UTI, yes? (nm)
nm
Patient with AML,
Subject: Patient with AML,
Sentence reads: We have been watching her counts closely due to the fact that she has blood antibodies and requires s/l "spark of platelets" OR "sparkle platelets". Any ideas? TIA.
Thank you but the patient..sm
Subject: Thank you but the patient..sm
only came in for refill of birth control. She was out of insurance for a time period. No infections or anything.
Thank you for trying though. I do appreciate it. This dictator loves to ramble and sometimes not very clear.
The patient is on s/l T P.
Subject: The patient is on s/l T P.
It is definitely some sort of ventilator.
patient
Subject: patient
It is difficult to say whether his shortness of breath is secondary to coronary artery disease. Ventricular function, underlying pulmonary disease, i.e. s/l a-co-sis, or his weight.
What is patient seen for?
Subject: What is patient seen for?
Perhaps it has to do with what he is seeing the patient for..
Subject: Perhaps it has to do with what he is seeing the patient for..
?
Patient on s/l flo-air
Subject: Patient on s/l flo-air
could he mean the patient
Subject: could he mean the patient
can CONTINUE routine regimen of Prelief with these other meds?
is this patient HIV?
Subject: is this patient HIV?
Sustiva and Epizicom are given in conjunction for HIV
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