possibly a phlegmon, a pocket of infected yuck. Do they give ABX or plan some kind of
Posted By: I&D to treat? nm Psg Thru on 2005-09-23
In Reply to: Need help with a word - Newbie
Subject: possibly a phlegmon, a pocket of infected yuck. Do they give ABX or plan some kind of
s
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- Need help with a word - Newbie
- possibly a phlegmon, a pocket of infected yuck. Do they give ABX or plan some kind of - I&D to treat? nm Psg Thru
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is this under procedures? plan? could you give the whole sentence?
Subject: is this under procedures? plan? could you give the whole sentence?
Pocket-wise or pocket-like fashion?
Subject: Pocket-wise or pocket-like fashion?
I do think I hear pocket, now that you mention it, but there is something right after it. Have you ever heard pocket-wise fashion or pocket-like fashion?
What kind of procedure? Please give the sentence right before this one.
Subject: What kind of procedure? Please give the sentence right before this one.
Not sure but comprehensive 65 plan, may be referring to age/healthcare plan?
Subject: Not sure but comprehensive 65 plan, may be referring to age/healthcare plan?
Sorry, tried to help. Have a nice weekend.
Could you possibly give the whole sentence?
Subject: Could you possibly give the whole sentence?
Could you possibly give us a sentence please? thanks...
Subject: Could you possibly give us a sentence please? thanks...
Ascenda? anyone hear of this medication, give possibly as a psychiatric med
Subject: Ascenda? anyone hear of this medication, give possibly as a psychiatric med
Thanks and yuck!
Subject: Thanks and yuck!
nm
yuck...
Subject: yuck...
hope I never went out with this guy! lol
yuck, just posted and it scrambles everything all together sm
Subject: yuck, just posted and it scrambles everything all together sm
Can't possibly READ he darn thing so Google.com enter your terms but leave out some
clincal trials ALS + area of nation is known.
s/l fom-a-nent-ly infected
Subject: s/l fom-a-nent-ly infected
Patient has URI
Oh yuck...I'm already feeling my skin crawl now lol
Subject: Oh yuck...I'm already feeling my skin crawl now lol
xx
I think it's the name of a heavy metal band too. Yuck!
Subject: I think it's the name of a heavy metal band too. Yuck!
Infected s/l *calbi* on the right third metacarpal.
Subject: Infected s/l *calbi* on the right third metacarpal.
TIA!
phlegmon
Subject: phlegmon
Could it be phlegmon????
Yes, phlegmon! Thank you both very much!! nm
Subject: Yes, phlegmon! Thank you both very much!! nm
x
phlegmon ...nm
Subject: phlegmon ...nm
.
phlegmon
Subject: phlegmon
phlegmon nm
Subject: phlegmon nm
phlegmon
Subject: phlegmon
phlegmon (fleg´mon),
n 1. an intense inflammation spreading through tissue spaces over a large area and without definite limits.
n 2. clinically, a hard, boardlike swelling without gross suppuration. See also cellulitis.
phlegmon?
Subject: phlegmon?
nm
ever heard of a port being infected with lice???
Subject: ever heard of a port being infected with lice???
Infected abdominal _____ (alloderm?)
Subject: Infected abdominal _____ (alloderm?)
He became infected and he subsequently had an Alloderm inserted about 2005
Fluctuance - presence of pus in an infected site - nm
Subject: Fluctuance - presence of pus in an infected site - nm
Patient with infected pilon fracture. please sm
Subject: Patient with infected pilon fracture. please sm
Exam reveals "clinically **planta grade to sinuses** which are clean"
Can you hear anything like pocket?
Subject: Can you hear anything like pocket?
They actually make a pocket to implant the pacemaker. Don't know if that helps or not. Can't think of anything else.
pocket-like fashion..nm
Subject: pocket-like fashion..nm
x
s/l constifees with phlegmon
Subject: s/l constifees with phlegmon
doctor is talking about "right lower quadrant pain with right lower quadrant mass with abscess....the differential diagnosis includes "s/l constifees" with phlegmon and also distal small bowel tumor.
the pocket would fall under a solid
Subject: the pocket would fall under a solid
xx
Talking about irrigating the pacemaker pocket sm
Subject: Talking about irrigating the pacemaker pocket sm
with antibiotic solution
Tympanic membrane with retraction pocket and s/l fluid stranding.
Subject: Tympanic membrane with retraction pocket and s/l fluid stranding.
Anything about this on the physical? Scars? Tics? Lacerations? Breast surgery? Pacer pocket? nm
Subject: Anything about this on the physical? Scars? Tics? Lacerations? Breast surgery? Pacer pocket? nm
s
Sentence reads: A 20 cc subcutaneous pocket was formed. My question relates to cc versus mL - sm
Subject: Sentence reads: A 20 cc subcutaneous pocket was formed. My question relates to cc versus mL - sm
mL refers to liquid measures, and cc (or cubic centimeters) to solid measures. For some reason, I cannot get my brain to differentiate whether this 20 cc subcutaneous pacemaker pocket falls into the solid measure or liquid measure category. I THINK it would be solid measure, but it's been a long day and my brain is totally zapped. Appreciate any input!
You hear trialed all the time. Give 'em what they give you! Can't drive yourself friggin'
Subject: You hear trialed all the time. Give 'em what they give you! Can't drive yourself friggin'
s
Plan
Subject: Plan
CBC with differential, type and cross for 20 units, electrolytes P3, P4, PT, PTT, EKG, PA and lateral chest pulmonary function test.
I'm just in school for Med Trans. I love this website. I'm always confused when it comes to listing labs. I need help on the above. Thank you so much.
Plan help please!
Subject: Plan help please!
I am a new, and need some help. after the doctor says plan he lists the medications he has prescribed. He does not number them and I am used to them saying medications and then listing (1, 2, 3) Do they usual do that? Should I leave it like he says it? Example:
PLAN:
Ecotrin 1 p.o. b.i.d. with meals. Keflex 500 mg p.o. q.i.d. for 4 days.. Follow-upl with me within the next 10 days.
thanks!
Plan help please!
Subject: Plan help please!
That all depends on the QA person reviewing the report.
I have been told both are correct and both are wrong, other than if there is only one item (in which case you never number).
I have been audited and smacked down (points) for NOT numbering when the dictator did not number on meds and on diagnoses, etc., even on a verbatim account. I would love if someone could explain why. The client profile for the account says "do not number" if the dictator does not number.
Plan.... UA and CNS or C&S?? thank you
Subject: Plan.... UA and CNS or C&S?? thank you
Do you have to have a plan?
Subject: Do you have to have a plan?
Where I work, if they don't say "plan", they don't get a "plan".
That's what I plan to do.
Subject: That's what I plan to do.
I do not like to guess. Now it says for prostate cancer, so it might be. I will just flag it and put a s/l, just in case. I don't want them to think I didn't try to look it up either.
Here's another one: Under Assessment/Plan
Subject: Here's another one: Under Assessment/Plan
1. Erythrocytosis – the patient did have a hemoglobin of 17 on blood work one year ago. I asked him to repeat it, but he forgot. We will recheck his CBC with NORRIS REPREEDIN level today and work this up accordingly. He is not symptomatic.
I keep listening over and over to this, and this is all I can make out. Any clue what he might be referring to??? TIA
assessment&plan help!
Subject: assessment&plan help!
If the doctor says assessment and plan together, do I put the header together? I am confused because when he gives the assessment he numbers them 1) 2) then when he gives the plan he numbers them as well but does not say plan any help?
ASSESSMENT:
- Bilaterally arm numbness.
- Nausea.
- Health maintenance recommendations.
PLAN:
- Patient’s critical examination was hyperreflexia suspicious for possible cervical lesion. She will be referred for MRI with cervical spine. Patient may need EMG to further access her numbness.
- Patient will be tried on Nexium, although she does not have any overt symptoms of heartburn. She does have chronic nausea and this may be a sign of stomach reflux. She will be tried on Nexium 40 mg one q.d. Other diagnostic possibilities include slow gastric emptying. The patient does not eat breakfast or lunch and has her largest meal at about 8:00 at night. We discussed the need to consume breakfast and ideally eat 3-5 meals per day, smaller meals to encourage her metabolism. ___ problem health maintenance and in regards to increase her exercise and changing her diet. Patient will be referred to OB/GYN for Pap and pelvic and also will be referred for a screening mammogram. When she follows up to see me we will discuss potential options for colon screening. Patient is to follow-up with me in approximately 1 month time.
assessment and plan
Subject: assessment and plan
I hate when docs do that - mine do it a lot. I think you're good either way but I would put "A&P" as the heading and then just type it the way the doc says it.
starts plan
Subject: starts plan
it starts the plan then says ??? flonase 2 sprays each nostril
Sounds like a plan to me!!
Subject: Sounds like a plan to me!!
Thanks!!
s/l her-plan-jet-ick lesions
Subject: s/l her-plan-jet-ick lesions
s/l her-plan-jet-ick lesions in the mouth and throat
this is a 17 month old with excessive drooling and fever.
that sounds like a plan
Subject: that sounds like a plan
nm
Is this directions for something or what? A plan at the end of a scan? nm
Subject: Is this directions for something or what? A plan at the end of a scan? nm
s
In plan he very plainly says says need to rule out
Subject: In plan he very plainly says says need to rule out
Patient fell and injured right ankle. Sentence in question: She is significantly tender in the s/l coronal ligament s/l and the (or in the) right ankle.
Plan: MRI to rule out coronal ligament tear.
This is very clear - just cannot document it anywhere and don't want to flag it as it's very clear - just unsure and hoping for documentation or someone that has heard it.
Where would you begin the PLAN if the dictator does not say so?
Subject: Where would you begin the PLAN if the dictator does not say so?
ASSESSMENT: We discussed options for Jeff. At this point, a month after the injury, an MRI, potential surgical interventions, etc., ultimately doing as well as he is, he is just going to keep it in mind and be careful with his lifting. He drives a forklift, apparently on a regular basis, but we are going to forego further work up at this point. We also got int a discussion of routine health care maintenance. He will plan on complete physical in October, starting this year. I will put a standing order at lab at this point for him, for a UA basic metabolic fasting lipid panel and PSA. We will go from there.
Help with sentence. This is doc's treatment/plan: sm
Subject: Help with sentence. This is doc's treatment/plan: sm
The sentence just doesn't seem right to me. Any input appreciated!
" Examination, evaluation, simple avulsion nail plate, 3rd left lateral aspect nail plate avulsed paronychium performed under anesthesia."
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