preop diagnosis s/l dis-hor-sis of the sacrum at 7-24.6???. nm
Posted By: minmin on 2007-10-03
In Reply to:
Subject: preop diagnosis s/l dis-hor-sis of the sacrum at 7-24.6???. nm
d
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Preop diagnosis -see msg
Subject: Preop diagnosis -see msg
Right knee stiffness with subacute ACL injury. Medial meniscal tear. Possible ??___________ fracture.
No mention in report of positive finding.
I type for a doc who always says L5-sacrum instead of L5-S1 sm
Subject: I type for a doc who always says L5-sacrum instead of L5-S1 sm
So I guess it's not much of a stretch when you're talking about a fusion to say L4-sacrum.
Docs invent their own words - they don't care about what's "correct". A lot of times it just depends on whether the account wants everything verbatim or if they expect you to clean things up and put them in proper format.
724.6 Disorders of sacrum
Subject: 724.6 Disorders of sacrum
ICD9CM coding
S/l tar-loff-sis is present in the sacrum.
Subject: S/l tar-loff-sis is present in the sacrum.
Can't give much more relative info than that. Any help would be appreciated. Thanks!
never mind. It is sacral agenesis. She says absent sacrum after it,. Thanks. nm
Subject: never mind. It is sacral agenesis. She says absent sacrum after it,. Thanks. nm
d
Is it preop or pre-op?
Subject: Is it preop or pre-op?
nm
Re preop
Subject: Re preop
And don't ya just love it when 'the patient was preopped'?
preop KUB
Subject: preop KUB
nm
For preop all I have is
Subject: For preop all I have is
the following:
In the preoperative area the patient recieved IV sedation followed by a peribulbar injection of Xylocaine, Marcaine, and hyaluronidase. A Honan balloon was placed on the eye.
scleral seroma sounds plausible ... but honestly, it sounds more like thera-scroma, or their scroma?
As preop antibiotic would be correct
Subject: As preop antibiotic would be correct
nm
When a doc says preop'd I transcribe prepared. nm
Subject: When a doc says preop'd I transcribe prepared. nm
.
Preop lumbar spondylosis...help!
Subject: Preop lumbar spondylosis...help!
Hi guys. I have a couple of questions on this report.
Under description of procedure: After sterile prepped and draped, local anesthetic wheals were raised. There were cephalocaudad and oblique projections of the intersections of the superior articular process of L5 and the sacral ala....
First of all, I'm sure he says "after sterile prepped and draped.... Even though this doesn't make much sense, is that correct?
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My second question is...local anesthetic wheals were raised. There were cephalocaudad and oblique projections.....
it sounds like he says over cephalocaudad and oblique projections....but that doesn't make much sense. Which way is correct? Is it with the period after wheals were raised?
==========================================================
Lastly, 22-gauge bend tip spinal needles were directed to these intersections.... Is bend tip spinal needles correct?
Thanks for any suggestions. I have been reading posts on here for awhile now but have never posted anything. You guys are the greatest and I hope that one day I can be the successful MT some of you are! Thanks for your help.
Preop H & P for foot. Missing 2 words below.....
Subject: Preop H & P for foot. Missing 2 words below.....
She has no paralysis, s/l vastusy or atrophy. Dermatologically, her temperature is warm, hair growth to the digits and s/l tergurus are supple.
s/l preop-robotic-cystolaparoscopic prostatectomy
Subject: s/l preop-robotic-cystolaparoscopic prostatectomy
ideas?
Could it be scleral seroma? Did he give a preop dx?
Subject: Could it be scleral seroma? Did he give a preop dx?
x
which was preop(eratively) popping through the skin??
Subject: which was preop(eratively) popping through the skin??
wild guess
I did Google it, but I don't see where it has anything to do w/surgery risk. Would it be preop l
Subject: I did Google it, but I don't see where it has anything to do w/surgery risk. Would it be preop labs
Preop robotic assisted laparoscopic prostatectomy?
Subject: Preop robotic assisted laparoscopic prostatectomy?
Diagnosis
Subject: Diagnosis
Diagnosis:
1. Corneoscleral laceration with lens rupture O.D. and intraocular foreign body O.D. status post vitrectomy, lentectomy and uveal excision.
Should that be two sentences? I always have a problem with status post. Thank you so much.
Diagnosis?
Subject: Diagnosis?
Do you have a diagnosis?
Subject: Do you have a diagnosis?
nm
Help with diagnosis
Subject: Help with diagnosis
Chronic swelling of the right lower extremity after partial (frustray or first rate) resection for osteomyelitis.
It would be diagnosis, because SM
Subject: It would be diagnosis, because SM
Axis I, Axis II, etc. are arms of the diagnosis.
diagnosis? nm
Subject: diagnosis? nm
this is the diagnosis
Subject: this is the diagnosis
1.Acute gastric tract.
2.Dehydration.
3.Urinary tract infection.
4.She was in motor vehicle accident.
5.Mental retardation.
It was diagnosis so just the
Subject: It was diagnosis so just the
sounded like posse vasculitis. Thanks
Do you know the diagnosis?
Subject: Do you know the diagnosis?
Diagnosis
Subject: Diagnosis
What is the patient's diagnosis?
Got a diagnosis on this pt? nm
Subject: Got a diagnosis on this pt? nm
s
Do you have a diagnosis that goes along with this? nm
Subject: Do you have a diagnosis that goes along with this? nm
s
Diagnosis that s/l.....
Subject: Diagnosis that s/l.....
Borgee borigme....possibly stomach illness related.
its just in the diagnosis..
Subject: its just in the diagnosis..
I swear its in the diagnosis just like the last time I typed this word! Does not help much. he has bone disease also plus a few other things! Can't win them all! Thank you if you find it!
diagnosis help
Subject: diagnosis help
Doctor says the patient has swelling and redness on the side of face. She has an S/L ___ar'a'sipalis' beginning.
Thanks
is that a diagnosis?
Subject: is that a diagnosis?
need more information... symptoms, a sentence, anything...
Do you have the diagnosis/es?
Subject: Do you have the diagnosis/es?
Need help with a diagnosis... SM
Subject: Need help with a diagnosis... SM
The patient has a red/hot/pain area on her nose and cheeks. She does not feel ill in any way.....
Her diagnosis s/l air sip-a-lis.
Thanks!!!!
diagnosis help
Subject: diagnosis help
The Doc is saying-
She has ark' a' sanilis' in both eyes.
Used for or diagnosis?
Subject: Used for or diagnosis?
diagnosis
Subject: diagnosis
I will be obtaining an EEG to rule-out S/L epileptic deformitis George’s._____
Thanks
What is the diagnosis?
Subject: What is the diagnosis?
x
Probably that's just the first diagnosis
Subject: Probably that's just the first diagnosis
that would be my guess without hearing it.
What is diagnosis?
Subject: What is diagnosis?
What is the diagnosis?
Subject: What is the diagnosis?
diagnosis is
Subject: diagnosis is
diagnosis is anaplastic mixed glioma who is currently being treated with adjuvant Temodar
The diagnosis is
Subject: The diagnosis is
x
Diagnosis?
Subject: Diagnosis?
Is there a diagnosis?
Is there a diagnosis?
Subject: Is there a diagnosis?
Is there a diagnosis?
Subject: Is there a diagnosis?
Skin cancer?
Do you know the diagnosis?
Subject: Do you know the diagnosis?
What is the diagnosis
Subject: What is the diagnosis
n/t
Um, is there a diagnosis? (sm)
Subject: Um, is there a diagnosis? (sm)
I think it would take a lot of context or experienced ear to listen to take a stab at this one. Could be an abbreviation such as PCP or an abbreviation of some local health clinic or something. For some reason the first thing that popped into my mind was CDC, as in Center for Disease Control, although I don't know if they give out drugs. With it being 5 drugs and the term "given", I was thinking AIDS, and then who might give those drugs to impoverished patients. But then again, maybe the patient had cancer and was given a 5-drug cancer regimen by some local cancer center. Can you see why context is sooooo important?
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