yes, if the patient has come back more....s/m
Posted By: presentation....clinical presentation on 2007-02-27
In Reply to: could it be clinical representation? - debbie
Subject: yes, if the patient has come back more....s/m
Yes if it's not the first visit for this patient with this particular problem. If the patient was recently seen for the same thing, it's a representation......
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Patient has low back pain
Subject: Patient has low back pain
She has normal lumbar lordosis with tenderness at right PSI? and sacral sciatic notch?
Patient with low back pain. She is on ....sm
Subject: Patient with low back pain. She is on ....sm
She is on s/l oral phenadrin/fenadrine (may be saying orphenadrine) and Cataflam for this.
Patient in mid back pain
Subject: Patient in mid back pain
Bowel sounds are normal. No organomegaly. She does have some epigastric tenderness. She also has some left flank tenderness, but there is no s/l spleen dent or dip noted. Thanks!
cast being s/l pedaled back for the patient?
Subject: cast being s/l pedaled back for the patient?
The cast has some breakdown and abrasion and is getting loose. Doc says the cast has been s/l pedaled back for her
patient with chronic back pain on SENTINEL 75 every third day.
Subject: patient with chronic back pain on SENTINEL 75 every third day.
The patient has chronic back pain and has been in a detox program recently. The medication S/L SENTINEL 75 - any help??
Thanks, I went back and looked and the patient is on Effexor for depression.
Subject: Thanks, I went back and looked and the patient is on Effexor for depression.
nm
Patient had back surgery s/l *moss my me* stabilization rod?? Thanks. nm
Subject: Patient had back surgery s/l *moss my me* stabilization rod?? Thanks. nm
nm
Are you in the hands? The back? Doing an exam or talking about a patient's test? nm
Subject: Are you in the hands? The back? Doing an exam or talking about a patient's test? nm
f
patient with back pain, s/l policing eight paucet tumor??? nm
Subject: patient with back pain, s/l policing eight paucet tumor??? nm
nm
I went back and looked at other records of patient before I even posted . PT/INR never drawn before.
Subject: I went back and looked at other records of patient before I even posted . PT/INR never drawn before. sm
Patient is being seen for leg wound that was infected.
patient with back pain. s/l lichen does help but it makes him drowsy. Thanks. nm
Subject: patient with back pain. s/l lichen does help but it makes him drowsy. Thanks. nm
nm
Mumbling PA, medication s/l Ectodate. Patient only had back surgery in his PMH, no other
Subject: Mumbling PA, medication s/l Ectodate. Patient only had back surgery in his PMH, no other
medical problems and the other only other med is Flexeril. I keep thinking some type of NSAID, but I just went thru over 50 of them and nothing came close.
s/l Tiazine 2 mg at night. Patient with nack and back pain history
Subject: s/l Tiazine 2 mg at night. Patient with nack and back pain history
thank you
patient with failed back syndrome and s/l Shareet disk ?? Tried SH, CH, can't find. thx.
Subject: patient with failed back syndrome and s/l Shareet disk ?? Tried SH, CH, can't find. thx.
xx
Patient with failed back syndrome having an s/l Octek spinal cord stimulator.
Subject: Patient with failed back syndrome having an s/l Octek spinal cord stimulator.
I can't document anywhere. It is one of those days!!!!
Patient states the pain is located in the posterior lower back or **box** region. This is a new PA
Subject: Patient states the pain is located in the posterior lower back or **box** region. This is a new PA
student dictating but I have never heard this term used. Any help would be appreciated. Thxs
The knee was debrided, closed back up and patient was initiated on IV antibiotic therapy so as to s
Subject: The knee was debrided, closed back up and patient was initiated on IV antibiotic therapy so as to s
s/l ensure infection prior to placing the prosthetic knee implant. Thanks
Pt has low back pain. Patient exhibits no signs of "caudo-aquino syndrom"? I have no clue!!
Subject: Pt has low back pain. Patient exhibits no signs of "caudo-aquino syndrom"? I have no clue!! nm
back pain, given dura-back if needed for spasm. nm
Subject: back pain, given dura-back if needed for spasm. nm
s
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.
you should always try to back it up
Subject: you should always try to back it up
:)
Thx for the help. I just keep going back and forth on it. Now I know. nm
Subject: Thx for the help. I just keep going back and forth on it. Now I know. nm
X-ray of back
Subject: X-ray of back
x-ray of back.....
Subject: x-ray of back.....
It sounds like it might be spondylolisthesis, which would be descriptive of the L5-S1 joint; where as anterolisthesis refers to a subluxation of one vertebral body upon another would be stated as "there is anterolisthesis of L5 on S1"
Going to go w ith take-back
Subject: Going to go w ith take-back
cannot figure out what else this could be. Says this very clear. Thanks for those who were looking.
Went back...
Subject: Went back...
and it is clear as day! Geez...guess I just needed to talk it out! Thanks! :)
That was it, Thank you - I think I need to go back to bed!!!
Subject: That was it, Thank you - I think I need to go back to bed!!!
I put 110 to 120. Never had it come back yet....nm
Subject: I put 110 to 120. Never had it come back yet....nm
x
Just got it back from QA -
Subject: Just got it back from QA -
She has a long habit of only drinking...........
Wow! Call me homer simpson. d'oh!
Back strain
The doctor is giving instruction for a back strain. The blank s/l leg umes or rig umes. Thanks for any help!
The sentence is: Rest, ice, _______ for pain not controlled with ibuprofen.
Just wanted to get back and thank you
Subject: Just wanted to get back and thank you
Yuk-he's back. Will probably post something,,,,
Subject: Yuk-he's back. Will probably post something,,,,
nm
I take back the palladium..
Subject: I take back the palladium..
I didn't think about gadolinium, but it is used with MRIs.
I am back again with another question
Subject: I am back again with another question
I have never had so many questions and this is the same doctor I have always worked for. the patient has an actinic keratosis behind the ear along the hairline ove the "occioitent". He is not saying occipital...is it possible he is making this up?
thanks..going back and checking it out
Subject: thanks..going back and checking it out
Just got QA back, just wanted you to know that you were right! Thank you
Subject: Just got QA back, just wanted you to know that you were right! Thank you
x
as I go back and listen
Subject: as I go back and listen
it sounds like "Dilaudid hepta" but I can't make out "hepta". This is an ESL.
Just coming back on
Subject: Just coming back on
to say DUH, tragal pit.
Not thinking clearly today.
Thanks for the help though!
Hello back atcha ................nm
Subject: Hello back atcha ................nm
CC: Back pain
Subject: CC: Back pain
Thanks for taking the time on this . . .
While the CC: is back pain, the subjective describes . . .
This is an 81-year-old female who, for the last month, has had some intermittent pain next to her right shoulder blade. She is right-handed, and she has been doing a lot of gardening and weed whacking. It does not bother her much during the day, but at night when she sits, and then when she is lying in bed at night, she feels what she describes as a muscle spasm with twinges. She also at times has some diffuse pain from her elbow radiating up to her neck when she “overdoes it”, but that has been going on for quite some time, and she does not feel like that has recently changed.
thanks, I thought of that and went back
Subject: thanks, I thought of that and went back
and listened again, but he is definitely saying AS or AZ-vair, or something like that. To complicate matters, I'm having problems with the tape not playing correctly in that spot..it keeps stopping and slowing down,etc. I think the tape is just bad.
no offense, but what do either of these have to do with the low back? nm
Subject: no offense, but what do either of these have to do with the low back? nm
nm
I take that back...it could also be "tack"...sm
Subject: I take that back...it could also be "tack"...sm
there apparently is a sling "Tack" procedure, but could also just be saying bladder tact which is not naming the specific procedure.
Thank you . . . I was just coming back
Subject: Thank you . . . I was just coming back
It is PMR.
Thanks to all for taking the time.
Well, I went back and relistened,
Subject: Well, I went back and relistened,
proud flesh and then changed to pride flesh . . . I had never heard this term, but was able to find proud flesh (still cannot locate pride flesh, but this is a verbatim account and he clearly changes from proud to pride, so I'll give him what he says)
Thanks all!
QA sent it back as IPJ... guess I was way off.
Subject: QA sent it back as IPJ... guess I was way off.
I went back and relistened and thats what he said...
Subject: I went back and relistened and thats what he said...
I searched and searched for this sounding drug. Thank you.
I went back and listened . . .
Subject: I went back and listened . . .
It sounds like "reostis" or "reosis" to sight.  This is an ESL but he's not too hard to understand. Thanks for your help.
you could be right, I am going to back and relisten
Subject: you could be right, I am going to back and relisten
cause it sounds like valve plus ....... valve prolapse she talks really fast sometimes and funs her words together. Thanks
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