progress note--right lower lobe pneumonia
Posted By: df on 2006-11-15
In Reply to:
Subject: progress note--right lower lobe pneumonia
this is what the doctor is saying--"She has been on half-normal. Her (saline/sodium) drop will change to normal saline of 50cc an hour." in the second sentence of this I am not sure if he is saying saline or sodium? any help?
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The right upper lobe, right middle lobe, right lower
Subject: The right upper lobe, right middle lobe, right lower
x
lower lobe?? NM
Subject: lower lobe?? NM
x
progress note
Subject: progress note
On this progress note it sounds like the doctor says "blood pressure 167/82, heart rate is 90, resperate 20, T max is 100.8."
Should that be respirations 20, temperature at max 100.8? thanks
progress note
Subject: progress note
thanks so much for your help you are right!!!
progress note
Subject: progress note
thanks for your help!!!
progress note help please!!!
Subject: progress note help please!!!
Blood pressure 167/82. Heart rate is 90, respiratory rate 20, Temperature at max is 100.8. No JVD lungs and expiratory wheezes. There are some rales in the right base. Heart without ** and edema. **120, **3.4, chloride 94, ** 25, glucose 91, BUN 9, creatinine .6, calcium 8.5, white count is 5.7, hemoglobin 8.9 down from 10 yesterday, platelet count 234,000, 6 lymphs, 10 minus 1 basophiles, 7 bands, 76 segs.~~~~ after heart without--it sounds like a extremity then ssss sound. the other sounds like Sims 120. the other sounds like seven and a 3.4. the other sounds like bacum. ANY HELP WOULD BE GREATLY APPRECIATED!!!!
Progress note help
Subject: Progress note help
Heart: Without? lower extremity edema. Sodium 120, potassium 3.4, chloride 94, bicarb 25.
Also, probably should be temperature T-max is 100.8. No JVD. Lungs: End-expiratory wheezes.
progress note help
Subject: progress note help
You are wonderful. I can't thank you enough!!!!!!!!!!
help with progress note
Subject: help with progress note
This pat has a cough and post-nasal drip, as well as GERD
Begins s/l *effuncting* nausea and abnormal liver enzymes. This could be a title or description of the nausea, but I can’t find anything.
Then,
s/l *Cardiovicular*. She reports the nausea has resolved. . . . has post-nasal drip .. .cough is not constant. Reflux is under good control
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Progress Note headings?
Subject: Progress Note headings?
I really want to hear Chief Complaint, but I’m sure he starts with Cardio. Thanks anyway.
Progress Note headings?
Subject: Progress Note headings?
I can’t hear the “tat” part, but that sure makes sense. I like the cardiovascular, too, except this is talking about GERD - could that be connected to Cardiovascular system?
Progress Note: Heart without ?, Help please
Subject: Progress Note: Heart without ?, Help please
Heart without _____ (s/l extra absoftness) without edema.
Also in same report, dictator says:
Urine shows 5-10 red cells, occasional white cells, moderate bacteria, negative glucose, negative
_____ (s/l glucoside esterase).
Does anyone know what those 2 blanks might be? I see “glucosylceramidase assay” in the Stedman’s Lab Words book, but I don’t hear that in the dictation.
I would appreciate any help at all.
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Subject: CT thorax:...new subsegmental [s/l collastro] in the lower lobe associated with bronchiectasis
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Is how I would do it.
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Subject: Making progress
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making a little progress
Subject: making a little progress
with this one, thanks to your answers... still hearing something like "Pradus" but instead of obturate, was saying on THE RIGHT. definitely NOT piriformis or sure does not sound like it, then goes on to gluteus medius and maximus.
It could be. If there is failure to progress. sm
Subject: It could be. If there is failure to progress. sm
I had to have an emergency C-section and they ruptured my membrane. They used this crochet hook looking thing. So it could possibly be assisted or even abrupt.
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Subject: Psych note Axis III s/l VPS and neuropathy. No health history in the note. Only meds listed psych
Work under progress on Word Board...
Subject: Work under progress on Word Board...
You may experience posting problems on Word Help Board only for next couple of hours.
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MTStars Administration.
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Subject: intravesical lobe ? nm
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Subject: could that be aberrant lobe? nm
nm
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Subject: lobe predilection? sm
The temporal lobe predilection, lack of neuronal differentiation, presence of xanthomatous cells, smaller tumor size and older age of patients with ...
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Subject: Thanks! I think intravesical aberrant lobe is it.
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Subject: 5-lobe infiltrate is good
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I'm stuck in this word =)
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dd
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d
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