s/l Capilight change seen on serum immunoelectrophoresis. Help??
Posted By: MSmt on 2009-04-16
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Subject: s/l Capilight change seen on serum immunoelectrophoresis. Help??
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serum osm? doc is dictating serum osm and urine, sodium and osm. Is osm short for osmolality?
Subject: serum osm? doc is dictating serum osm and urine, sodium and osm. Is osm short for osmolality?
sorry should be serum kinase or serum creatine
Subject: sorry should be serum kinase or serum creatine
serum kinase or serum creatinine kinase
Subject: serum kinase or serum creatinine kinase
horse serum?
Subject: horse serum?
I have a pt allergic to horse serum. Could someone explain this to me?
Horse serum - sm
Subject: Horse serum - sm
Horse serum is used in some vaccines.
LOL it is horse serum
Subject: LOL it is horse serum
serum troponin
Subject: serum troponin
It should be serum troponin
serum olostrum?
Subject: serum olostrum?
Tp is to have serum PRA, s/l olostrum and serum cortisol level.
Yes serum osmolality nm
Subject: Yes serum osmolality nm
nm
Could he be saying serum factor? nm
Subject: Could he be saying serum factor? nm
nm
serum ammonia?
Subject: serum ammonia?
serum amylase
Subject: serum amylase
serum osmolal maybe?
Subject: serum osmolal maybe?
xx
s/l B12 serum ifix?
Subject: s/l B12 serum ifix?
we will obtain a B12 serum ifix sed rate
Serum folate?...nm
Subject: Serum folate?...nm
nm
serum-type? nm
Subject: serum-type? nm
serum-type? nm
Subject: serum-type? nm
listening again it isn't serum, it is urine. Still looking for R&S. Thanks
Subject: listening again it isn't serum, it is urine. Still looking for R&S. Thanks
homocysteine or hormone serum
Subject: homocysteine or hormone serum
Probably homocysteine or hormone serum level.
pt is allergice to s/l fore serum
Subject: pt is allergice to s/l fore serum
serum uric acid
Subject: serum uric acid
I think Nic is right, serum uric acid.
Subject: I think Nic is right, serum uric acid.
there are 2, serum osmolality or osmolarity...
Subject: there are 2, serum osmolality or osmolarity...
x
Serum markers are used to detect
Subject: Serum markers are used to detect
x
Icould be serum potassium depressed
Subject: Icould be serum potassium depressed
normal serum potassium levels are
males 3.5 to 4.5
females 3.4 to 4.4
Urine is 25-125
SPEP (serum protein electrophoresis) NM
Subject: SPEP (serum protein electrophoresis) NM
NM
serum gastrin 17 level was found to be nm
Subject: serum gastrin 17 level was found to be nm
serum protein electrophoresis (SPE) and immunofixation (IFE)
Subject: serum protein electrophoresis (SPE) and immunofixation (IFE)
nm
I found HSA (human serum antibody) and HLA-B nm
Subject: I found HSA (human serum antibody) and HLA-B nm
nm
found it (serum ascites [albumin] gradient)
Subject: found it (serum ascites [albumin] gradient)
alcoholic cirrhosis...lab test s/l serum fraction??
Subject: alcoholic cirrhosis...lab test s/l serum fraction??
Any ideas would be very helpful. Exact context....For the patient's alcoholic cirrhosis **serum fraction** was 32. No steroids were given.
SPEP stands for serum protein electrophoresis
Subject: SPEP stands for serum protein electrophoresis
n
serum *alkalase* did not show any muscle injury at 3.5
Subject: serum *alkalase* did not show any muscle injury at 3.5
wild guess - something like serum protein negative, colorless?
Subject: wild guess - something like serum protein negative, colorless?
transaminasemia? I googled it. elevated serum transaminase levels
Subject: transaminasemia? I googled it. elevated serum transaminase levels
Persistent transaminasemia and fatty liver. Their use in the diagnosis of presymptomatic Wilson's disease
A. E. Stillman and L. R. Rohr
A 41/2-year-old asymptomatic girl with persistent elevated serum transaminase levels for eight months was found to have Wilson's disease. The diagnosis was suspected by the presence of fatty liver and nonspecific chronic hepatitis on liver biopsy and was proved by studies of copper metabolism, including determinations of serum ceruloplasmin and hepatic copper concentrations. Unexplained persistent transaminase elevation in children demand investigation by needle liver biopsy. Th presence of fatty liver and hepatitis should raise the possibility of Wilson's disease, which may then be confirmed by more specific tests. Advantages to early diagnosis include the institution of specific therapy and prevention of progressive liver disease.
Patient may be pregnant, will check s/l serum beta quan. nm
Subject: Patient may be pregnant, will check s/l serum beta quan. nm
send the patient for serum "SOM" genetics testing.
Subject: send the patient for serum "SOM" genetics testing.
concerning for a diagnosis of amyotrophic lateral sclerosis. At this time, we plan on performing an EMG today to further evaluate his muscle and may consider a nerve conduction study. We may send the patient for serum SOM genetics testing.
A urinalysis in the office showed a moderate amount of blood. Serum was subsequently sent for sm
Subject: A urinalysis in the office showed a moderate amount of blood. Serum was subsequently sent for sm
A urinalysis in the office showed a moderate amount of blood. Serum was subsequently sent for an R&M C&S which returned unremarkable.
I know what C&S is. What is the R&M????? help please Donna
s/l Bez or all in change
Subject: s/l Bez or all in change
shows the patient in sinus mechanism 66 beats per minute, normal intervals, normal axis. Voltage criteria for LVH and s/l Bezoiorall is change in comparison to prior EKG dated
Thanks so much to both of you. I will change to 6, 90, and -1. nm
Subject: Thanks so much to both of you. I will change to 6, 90, and -1. nm
I change that to:
Subject: I change that to:
I change elicitable (which to my knowledge has never been a "real word" to "able to be elicited." My doctor dictator thanked me for this once (I was suprised that he noticed). I checked this out with several transcripitionists that I have worked with who have lots of experience and are CMTs and they also edit this word to "able to be elicited."
I'm not CMT and I change that the same way...nm
Subject: I'm not CMT and I change that the same way...nm
 
cc to mL - do you change cc to mL
Subject: cc to mL - do you change cc to mL
according to AAMT or do you type cc
Thanks
Would you change this...
Would you change CT head to say head CT? The doctor says CT head.
Thanx
VR change
Subject: VR change
He should point it out to his supervisor because it is wrong. I don't care what QA says unless they can show me a resource where they got their information and it checks out. I would also point out to the client this fact. If they don't want to have their transcription correct and concise then I don't want their work. Right is right, wrong is wrong. I am really strong on this especially since the "new AAMT" has made all their "changes" and believe their BOS is the bible. It is not. Many of their "rules" are correct. Many of the are not. Research some of their changes and you will see just how over the top they have gone (it seems to be a control issue and they WILL cram it down your throat). I say that we all research on our own and go to reliable trusted sources that have been proven over time to be correct. The "New AAMT" definitely has not proven itself over time and incidentally they are not there for Americans anymore, they are there for the "overseas community." Humbug on them! Anyone know who could take the place of AAMT for American transcriptionits? After all, we are all Americans here and the language is English.
I would change it to this
Subject: I would change it to this
patients blood pressure readings at home daily have been 90 percent plus. Would leave as is or change........looks wrong.
Patient's daily at home blood pressure readings have been 90%+.
they can change...
Subject: they can change...
depends on what the MD hears on auscultation; that being said, it usually is 3/6, 2-3/6...etc... six is the prime as there are standard 6 heart sounds and the first number being how many of the 6 they hear.
When did p.r.n. change to p.R.n. and why?
Subject: When did p.r.n. change to p.R.n. and why?
nm
I would change it to (sm)
Subject: I would change it to (sm)
CPKs as it appears these labs were done multiple times if they are dictating MBs. I hope I'm making sense.
I'd put, CPKs were high but his MBs were normal.
I would change it to
Subject: I would change it to
Mrs. Smith is a patient on whom I performed rhinoplasty. but that is just me.
Just like you have it, why change anything?
Subject: Just like you have it, why change anything?
x
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