|
|
Mar 8 05:50
• Colposcopic biopsies at 12 and 6 o’clock show s/l 'salient' 2 to 3 TIA - hh
Fri Mar 12 03:59:36 2010 hh
|
Fri Mar 12 04:31:24 2010 d f l l n n
|
Fri Mar 12 04:30:57 2010 nmt
|
• allergies to Ceftin, clindamycin and /sl "gad" + Kathy
Fri Mar 12 03:15:23 2010 Kathy
It sounds so clear, but I can't imagine what it is. I know it's an allergy so I'll flag it if necessary, just thought I'd see if anyone knows what that would be. Thanks.
|
Fri Mar 12 03:57:56 2010 nm
|
Fri Mar 12 04:21:53 2010 Kathy
|
• This does not make sense to me. What do you think? + ME
Fri Mar 12 02:54:50 2010 ME
Hypertrophic spondylosis and syndesmophytes in the thoracic spine *both in effective* ankylosis of several mid thoracic vertebral bodies.
I can't really tell what he wants here.
|
Fri Mar 12 03:53:29 2010 nm
|
• Blood pressure med that s/l endopa - rnk
Fri Mar 12 02:20:37 2010 rnk
|
• listen to wav + pls
Fri Mar 12 01:23:24 2010 pls
Most recent echocardiogram in December 2009 shows LVH and mildly enlarged left ventricle. This was consistent with _____. Prosthetic valve is okay.
|
Fri Mar 12 02:25:47 2010 pls
|
Fri Mar 12 01:46:40 2010 what i hear
|
• S:This patient has history of lower lip "lis is" for the past 3 days. Also has a sore + throat. SM
Thu Mar 11 23:38:47 2010 throat. SM
In physical she states patient with lower lip ulcers. She is not saying that though in subjective. And, can not hear abscess either.
|
Thu Mar 11 23:44:35 2010 nm
|
Thu Mar 11 23:43:07 2010 h c l o k c
|
Thu Mar 11 23:45:15 2010 of blisters. TY OP
|
• Left a message with the crisis unit to call mother in the morning to "sessimatate" + services and sm
Thu Mar 11 23:23:43 2010 services and sm
foresight evaluation. Patient is 14 years old with ADHD and oppositional defiant disorder.
Thanks.
ESL doctor
|
Thu Mar 11 23:30:04 2010 h c l o k c
|
Thu Mar 11 23:30:57 2010 ESL. Thanks OP
|
Thu Mar 11 23:29:09 2010 OP
|
• s/l puffy test + k n a o f j
Thu Mar 11 23:07:15 2010 k n a o f j
X is a XX-year-old individual who approximately 3 days ago noticed some area of swelling on the right side of his face. Over his right cheek. He thought he was bit by an insect. Pain has slowly been getting worse. He put some bacon on this, and then this morning his mother opened up the wound and got a few drops of pus out. He otherwise is feeling better now than he did yesterday. <puffy test> is not worse than before. Pain is made worse when he vigorously closes his eyelids. He has a history of MRSA abscess in the past, on his leg.
|
Fri Mar 12 00:03:32 2010 paragraph
I do hope you plan to proofread it before submitting it. Just a suggestion.
|
Fri Mar 12 00:04:32 2010 too
|
Thu Mar 11 23:27:57 2010 h c l o k c
|
Thu Mar 11 23:27:20 2010 WAG
|
• s/l "eminition" + n n e p n m
Thu Mar 11 22:33:40 2010 n n e p n m
Complains of abdominal pain and nausea. His main concern is the weight loss and "eminition"
may s/l ammunition, eninition, emanation
|
Thu Mar 11 22:42:10 2010 billybob
|
Thu Mar 11 23:10:17 2010 n n e p n m
|
Thu Mar 11 22:40:36 2010 n n e p n m
|
• pls help with wav + gene
Thu Mar 11 22:27:49 2010 gene
4. Continue Coreg and Monopril on day of surgery.
5. Suggest ______ monitoring following surgery if necessary.
6. Resting EKG. This will be done in the near future. Copy will be given to the patient.
|
Fri Mar 12 01:13:15 2010 gene
|
Thu Mar 11 23:40:08 2010 d f l l n n
|
• s/l "redisent" + n n e p n m
Thu Mar 11 21:54:22 2010 n n e p n m
If they do not improve or she deteriorates (fever or worsening pain, etc.), further imaging versus intervention may be required. Given the fact that there is overall progress though, I am "redesent" to do this
cant get this term
|
Thu Mar 11 22:02:17 2010 billybob
|
Thu Mar 11 22:23:26 2010 n n e p n m
|
• The Amplatz wire was passed through the existing *Clinton* catheter - nm
Thu Mar 11 21:25:43 2010 nm
|
Thu Mar 11 22:06:23 2010 .
|
• pls help with wav + gene
Thu Mar 11 21:21:14 2010 gene
She is tapering her Neurontin. She feels better. She has no lightheadedness or dizziness. ______ of the problem. Holter was not done yet.
|
Thu Mar 11 21:33:12 2010 gene
|
Thu Mar 11 21:22:56 2010 ?
|
• she has been on s/l cyclic, Premarin, and ProVera. + Can't document.
Thu Mar 11 21:02:00 2010 Can't document.
Can't find that it's the name of a med, just a type of a med is what I find.
|
Thu Mar 11 21:24:19 2010 nm
|
Thu Mar 11 21:04:45 2010 t
|
Thu Mar 11 21:14:24 2010 Can't document.
|
• Her uterus appears normal in size. s/l Neconegesity is retroverted. The endometrial s + ESL
Thu Mar 11 20:43:42 2010 ESL
Her uterus appears normal in size. s/l Neconegesity is retroverted. The endometrial stripe appears uniform but measures 1.67 cm.
|
Thu Mar 11 20:53:18 2010 ESL
|
Thu Mar 11 20:53:04 2010 wag
|
Thu Mar 11 20:53:32 2010 ESL
|
• wrinkles on the face.... + sm
Thu Mar 11 20:29:12 2010 sm
She comes in today for management of dynamic rhytides on the forehead, _____ (s/l "clavella"), lateral orbit, and marionette lines.
|
Thu Mar 11 20:30:18 2010 sm
|
• med help, wav sent. pls sm + sn
Thu Mar 11 20:24:13 2010 sn
The patient is off of Mobic, "??" and the pain levels are still controlled.
|
Thu Mar 11 20:26:34 2010 generic version
|
Thu Mar 11 20:27:21 2010 sn
|
Thu Mar 11 20:32:32 2010 :)
|
• Obtain records of HIV testing, viral hepatitis testing, s/l "H of C" and CMV testing + Kathy
Thu Mar 11 20:06:53 2010 Kathy
The "C" is the clearest part. Almost sounds like "agent C" also
"Obtain a repeat CBC and chemistry panel, along with review again the peripheral blood smear. Also obtain an iron panel and reticulocyte count, quantitative immunoglobulins, IgG, IgA and IgM, as well as IgG subclass and serum protein electrophoresis. Obtain an ESR and CRP, lymphocyte panel for quantification of CD4, CD8 and CD3 count by flow cytometry, as well as flow cytometry for leukemia/lymphoma panel. B-cell surface immunoglobulin rearrangement study and T-cell receptor beta gene rearrangement studies will also be performed. Obtain an IgE level and C3 and C4 level. Obtain records of HIV testing, viral hepatitis testing, H of C and CMV testing as well."
|
Thu Mar 11 20:11:16 2010 wag
|
Thu Mar 11 20:17:05 2010 Kathy
|
• A s/l spinder was used to gently dilate the os and uterus was sounded to 10 cm. - j l f g i m
Thu Mar 11 19:59:03 2010 j l f g i m
|
Thu Mar 11 20:23:41 2010 j l f g i m
|
Thu Mar 11 20:12:24 2010 wild guesses
|
Thu Mar 11 20:14:49 2010 t
|
Thu Mar 11 20:06:26 2010 j l f g i m
|
• keloid formation + sm
Thu Mar 11 19:49:24 2010 sm
The rest of the exam revealed the tracheostomy site has a keloid, which is a 2 x 2 cm _____ (s/l "hanging pediculoid") keloid. He has a small keloid forming on the left earlobe where......
|
Thu Mar 11 19:52:11 2010 kl
|
Thu Mar 11 19:56:35 2010 sm
|
• Mirena IUD placement. indications, sl affalased potential side effects as well as ris + GYN
Thu Mar 11 19:42:55 2010 GYN
discussed how the Mirena works, its indications, sl affalased potential side effects as well as risks, also discussed risks of placement including cramping, bleeding, and uterine perforation.
|
Thu Mar 11 19:49:01 2010 GYN
|
• pls listen to wav + thanks
Thu Mar 11 19:26:52 2010 thanks
Extremely abnormal scalp electroencephalogram indicative of diffuse encephalopathy--electroencephalogram grade 4/5--hypoxemic burst ___ etiology.
|
Thu Mar 11 19:34:52 2010 t
|
Thu Mar 11 19:47:54 2010 op
|
• most likely consistent with *fixed defect* asthma + ?
Thu Mar 11 19:23:49 2010 ?
Impression: 1.) Mild obstructive lung disease, most likely consistent with __ asthma: No significant change from 2006. Stable on the QVAR.
|
Thu Mar 11 19:34:05 2010 nbe
Pulmonary Function Tests - University of Michigan Health SystemIn addition, PFTs can help determine the location of a defect. ... this indicates a fixed defect (i.e. lung tumor, tracheal stenosis). ... Because asthma is a reversible obstructive defect, the spirometry may be normal at the time of ...
www.med.umich.edu/intmed/allergy/edu/syllabus/.../pft.htm - Cached - Similar
|
Thu Mar 11 19:39:55 2010 Thanks :o)
|
• Deformity of eyelid... + gr
Thu Mar 11 19:05:03 2010 gr
He developed significant cicatricial _____ (s/l "lack of stalmus") and ectropion of the upper eyelid, with keratitis and recurring conjunctivitis.....
|
Thu Mar 11 19:22:35 2010 gr
|
Thu Mar 11 19:16:12 2010 e h g k b h
|
• s/l bozel obstructive sleep apnea + sm
Thu Mar 11 19:01:57 2010 sm
Impression: 1.) Abnormal CT of the chest: For repeat CT in three months.
2.) Status post prior chest surgery: The scarring is stable in the left chest.
3.) _____ obstructive sleep apnea: The patient is not interested at this point. We will table this for the future.
|
Thu Mar 11 19:23:17 2010 t
|
Thu Mar 11 19:25:36 2010 nm
|
• s/l "heenan:" Routine bilirubins were checked, no phototherapy needed. + l o j a o e
Thu Mar 11 18:45:16 2010 l o j a o e
This is under Hospital Course:
5. s/l "heenan:" Routine bilirubins were checked and were trending down at time of discharge. The patient did not require any phototherapy.
6. Neuro: The patient was stable from a neurologic standpoint. The patient did not show any seizure-like activity. No further issues.
7. Social: Placed in foster care.
|
Thu Mar 11 18:58:14 2010 billybob
|
Thu Mar 11 18:48:35 2010 mlk
|
Thu Mar 11 18:49:58 2010 nm
|
• Her-2 and *C E P*19. FISH was 1.1, negative + ?
Thu Mar 11 18:40:03 2010 ?
No lymphovascular invasion was identified. ER was positive at 90%. PR was positive at 40%. Her-2 and CEP 19. FISH was 1.1, negative. E-cadherin was noted to be positive. The patient had elected to undergo a right mastectomy, left simple mastectomy, and right sentinel lymph node biopsy which was performed on 01/21/2010.
|
Thu Mar 11 18:46:14 2010 sm
and CEP 19 probe on google
|
Thu Mar 11 18:53:02 2010 sm
Modern Pathology - HER-2//neu in Breast Cancer: Interobserver ...by TA Thomson - 2001 - Cited by 123 - Related articles
The HER-2/neu gene was considered amplified when the FISH signal ratio of HER-2/CEP-17 was greater than or equal to 2.0. Blocks from all hospitals and of ...
|
• She was found to have findings. Geeze, ya think?? lol - lol
Thu Mar 11 18:27:25 2010 lol
|
• Pediatric supplement s/l "nutragen 22" - nm
Thu Mar 11 18:27:06 2010 nm
|
Thu Mar 11 18:28:33 2010 two words. nm
|
Thu Mar 11 18:28:01 2010 nm
|
Thu Mar 11 18:37:08 2010 OP
|
• Followup endoscopy ________ to the lesser curvature. + wav
Thu Mar 11 18:20:21 2010 wav
IMPRESSION:
1. No gross esophagitis.
2. Small ulcers and erosion in the gastric antrum.
3. A thickened fold and submucosal polyp on the lesser curvature.
RECOMMENDATION:
1. PPI.
2. Check pathology.
3. Followup endoscopy ________ to the lesser curvature.
|
Thu Mar 11 18:30:40 2010 sm
doc is about to say colonoscopy and changes to "with (the) possibility" and then not sure if there's another valid word or he's just stuttering a bit right before "to the lesser curvature."
|
Thu Mar 11 18:42:08 2010 -
|
• X-rays demonstrated a distal fibula--a fractured s/l messaneu fracture. Thanks - meg
Thu Mar 11 18:15:45 2010 meg
|
Thu Mar 11 20:16:47 2010 darlene
Maisonneuve fracture - Wikipedia, the free encyclopedia
The Maisonneuve fracture is a spiral fracture of the distal third of the fibula associated with a tear of the distal tibiofibular syndesmosis and the ...
en.wikipedia.org/wiki/Maisonneuve_fracture -
|
Thu Mar 11 21:02:50 2010 right?
|
Thu Mar 11 18:19:39 2010 meg
|
Thu Mar 11 18:38:31 2010 yep
|
Thu Mar 11 18:17:42 2010 help yourself
|
• The patient has indicated he would prefer to go ahead and have any teeth that SM + seth
Thu Mar 11 18:05:47 2010 seth
need to be removed removed at the same time. Is a comma needed between removed and removed? TIA
|
Thu Mar 11 18:27:24 2010 sm
accidentally type removed twice. Definitely needs something between the same words, and I think a comma is best.
|
• breast surgery, 11 o'clock s/l "rayon" + sm
Thu Mar 11 17:57:57 2010 sm
He says it twice very clearly but I can't document it.
I made an incision in the nipple and onto the breast going about 3 cm on that 11 o'clock s/l "rayon" using a 15-blade we resected this at the subcutaneous tissue.
There is a small vascular tumor at the 11 o'clock position in the right nipple. There is also a little pigmented lesion in the same s/l "rayon."
|
Thu Mar 11 18:00:08 2010 op
|
Thu Mar 11 17:58:44 2010 nm
|
• Just wondering if I have this right on bacteria. I have lots of bacteria named in + Kathy
Thu Mar 11 17:53:08 2010 Kathy
this report. So if he just says aspergillus it is not capped, but when it is Aspergillus fumigatus it is? Do I have that right? Also "staph aureus" is typed just like that, correct? No cap? And if you italicize, I know not everyone does, but do you italicize only the full name, like Aspergillus fumigatus, or would you italicize just aspergillus when that comes up?
|
Thu Mar 11 17:56:20 2010 ll
do not see that in medical reports, reserved for abstracts and formal documents.
|
Thu Mar 11 18:01:17 2010 Kathy
|
Thu Mar 11 18:04:38 2010 nm
that. oh well. more power to 'em I guess.
|
Thu Mar 11 18:06:15 2010 height. nm
|
Thu Mar 11 17:54:31 2010 nm
expand to Staphylococcus aureus. and you never ever italicize anything in medical transcription.
|
Thu Mar 11 18:02:08 2010 Kathy
|
Thu Mar 11 18:03:04 2010 nn
|
Thu Mar 11 18:06:02 2010 Kathy
|
• knee arthroscopy --- s/l high band ? + ann
Thu Mar 11 17:53:04 2010 ann
Left lower extremity was prepped and draped in sterile orthopedic fashion. H_______ band was used covering all skin. Inferior, medial, and lateral port sites were created.
|
Thu Mar 11 17:55:04 2010 nm
|
Thu Mar 11 18:02:08 2010 ann
I was so far off...........long day.....thanks
|
• s/l hiss? + sls
Thu Mar 11 17:45:14 2010 sls
I have talked to her about transseptal catheterization, possible origination of the tachycardia close to the s/l hiss with increased risk of permanent pacemaker.
|
Thu Mar 11 18:03:34 2010 nm
|
• pls listen to wav (repost from below) + thanks
Thu Mar 11 17:40:59 2010 thanks
At the onset of her symptoms, she had an MRI done in October 2009 and then subsequently went to visit a chiropractor by the name of Dr. X because she was told the MRI of the lumbar spine showed a "bulging disk and leak." After getting chiropractic treatment and ___ treatment, her pain continues, so she went to see Dr. X.
|
Thu Mar 11 17:58:36 2010 op
|
• closed the s/l "end with an LS 60" oversewed with 3-0 silk Lemberts. + sm
Thu Mar 11 17:19:19 2010 sm
I isolated this area of bowel, fired 2 GIA staple loads to section the bowel and then took the mesentery down with 2-0 silk ties, fashioned the bowel together with 3-0 silk side-to-side, opened the bowel, inserted another GIA fork, fired the GIA 60, then closed the s/l "end with an LS 60" oversewed with 3-0 silk Lemberts.
At this point I was satisfied with the mobilization.
Exploratory laparotomy, massive lysis of adhesions, takedown of enterocutaneous fistula.
|
Thu Mar 11 17:36:53 2010 nm
|
Thu Mar 11 17:48:30 2010 nm
|
• s/l abruptive + n b n f g h
Thu Mar 11 17:15:24 2010 n b n f g h
is a very pleasant 64-year-old woman who has a long history of low back pain, which over the past 6 months has increased in severity and ______ symptoms.
|
• anybody heard of an asthma nebulizer called var aw squel, can't find - .
Thu Mar 11 17:13:55 2010 .
|
• seen in the s/l "poff" + Shari
Thu Mar 11 17:12:05 2010 Shari
We have a new doctor dictating ED reports, who keeps saying "The patient was seen in the poff," "the nurse was in the poff," etc. Any ideas on what this could be?
|
Thu Mar 11 17:17:57 2010 abigguess
|
Thu Mar 11 17:20:29 2010 g f l c b j
I thought of that too, but he's extremely clear and says "poff". thanks though.
|
• Followup endoscopy ________ to the lesser curvature. + wav
Thu Mar 11 17:11:57 2010 wav
IMPRESSION:
1. No gross esophagitis.
2. Small ulcers and erosion in the gastric antrum.
3. A thickened fold and submucosal polyp on the lesser curvature.
RECOMMENDATION:
1. PPI.
2. Check pathology.
3. Followup endoscopy ________ to the lesser curvature.
|
Thu Mar 11 17:13:41 2010 ?
|
• pls listen to wav + thanks
Thu Mar 11 17:05:39 2010 thanks
At the onset of her symptoms, she had an MRI done in October 2009 and then subsequently went to visit a chiropractor by the name of Dr. X because she was told the MRI of the lumbar spine showed a "bulging disk and leak." After getting chiropractic treatment and ___ treatment, her pain continues, so she went to see Dr. X.
|
• areola tattoing s/l "4 bar" + pls sm
Thu Mar 11 16:58:28 2010 pls sm
PROCEDURE: The area was cleansed with alcohol and then tattooing was done with a sterile ___________ (4-bar) needle in multiple directions including shading. The area was cleansed and dressed with bacitracin ointment and gauze.
Thanks.
|
Thu Mar 11 17:08:58 2010 op
|
Thu Mar 11 16:59:56 2010 nm
thing?
|
• swallowing certain food substances but really unable to qualify this *ingestion* + ?
Thu Mar 11 16:41:34 2010 ?
There is no history of any nausea, vomiting, lightheadedness, dizziness, or dysphasia. She does intermittently state that she has had problems swallowing certain food substances but really unable to qualify this
*ingestion*.
|
Thu Mar 11 16:55:44 2010 sigh
Ingestion - Definition and More from the Free Merriam-Webster ...Etymology: Latin ingestus, past participle of ingerere to carry in, from in- + gerere to bear. Date: 1620. : to take in for or as if for digestion ...
|
Thu Mar 11 16:58:57 2010 e.
|
Thu Mar 11 17:00:30 2010 yw
|
Thu Mar 11 17:02:57 2010 Thanks
|
• s/l steel? riding + thanks
Thu Mar 11 16:37:56 2010 thanks
She is employed as a horse trainer and says she has not been able to do any ___ riding because of the pain.
CHIEF COMPLAINT:
Back and right lower extremity pain.
|
Thu Mar 11 18:16:48 2010 a horse lover
|
Thu Mar 11 17:03:40 2010 op
|
Thu Mar 11 16:55:34 2010 lmgtfy
|
Thu Mar 11 16:58:16 2010 got a real answer?
|
• HRT bioidentical, *zyphomed*, fish oil, flaxseed, multivitamin, Q10, omega, turmeri + ?
Thu Mar 11 16:31:58 2010 ?
PAST MEDICAL HISTORY:
Includes having HRT, breast cancer noninvasive five years ago, status post radiation and lumpectomy. There is no history of any stroke, cholesterol, diabetes, or hypertension.
CURRENT MEDICATIONS:
HRT bioidentical, ________, fish oil, flaxseed, multivitamin, Q10, omega, turmeric.
|
• med s/l "Don-nex-a-pril" 10 mg q.d. sm for dx + thanks
Thu Mar 11 16:21:53 2010 thanks
Dx include..
1. Weakness with left hemiparesis.
2. Benign hypertension.
3. Cough.
4. Reactive airway disease.
|
• Lap chole. s/l "hava da havy ta obtain the critical view of safety" + sm
Thu Mar 11 15:52:33 2010 sm
A Maryland dissector was used to identify and dissect out the cystic duct and cystic artery s/l "hava da havy ta obtain the critical view of safety" 2 clips were applied proximally and 1 clip distally on the cystic duct and cystic artery. These were 10-mm clips.
He's stuttering there, but I can't figure out what he meant to say.
This is a lap chole.
|
• s/l "D&G" forceps + sm
Thu Mar 11 15:47:40 2010 sm
An 11-mm bladed trocar was placed in the subxiphoid position and 2 bladed 5-mm trocars were placed lateral to this, one at the anterior axillary line, and one at the nipple line. With the assistance of 2 s/l "D&G" forceps for retraction, a Maryland dissector was used to identify and dissect out the cystic duct and cystic artery.
These were 10-mm clips. Laparoscopic Metzenbaum scissors were then used to transect these structures.
|
• Doctor dictates "nitrates" but my research tells me "nitrites"...see below + Oasis
Thu Mar 11 15:46:24 2010 Oasis
Doctor dictates: A bit of a messy urine with WBC esterase at +2 and NITRITES that were positive, but she does have uterine prolapse, a few bacteria, no WBCs, and no symptoms of urinary tract infection.
The following is a description of a test for nitrite in the urine: Nitrates, normally excreted in the urine, are converted to nitrites by bacteria. Positive nitrite is indicative of bacterial UTI. Thanks for your input!
|
Thu Mar 11 17:04:31 2010 Lo
made an expansion so that if I type nitrates I get nitrites. (I don't think I have ever had a dictator say nitrates for the right reason.)
|
Thu Mar 11 16:14:01 2010 Oasis
|
Thu Mar 11 15:58:53 2010 ?
|
Thu Mar 11 16:13:42 2010 Oasis
From WebMD:
Leukocyte esterase (WBC esterase). Leukocyte esterase shows leukocytes (white blood cells [WBCs]) in the urine. WBCs in the urine may mean a UTI is present.
|
Thu Mar 11 16:07:47 2010 NM
|
Thu Mar 11 15:50:17 2010 nm
|
Thu Mar 11 16:14:38 2010 Oasis
|
Thu Mar 11 15:47:38 2010 nItrIte in urIne
notice a growing trend especially with newer dictators, either they don't know the difference any longer, or they just think we'll fix it for them. It's bad, bad.
|
• phalanx fracture + wordless x1
Thu Mar 11 15:34:16 2010 wordless x1
Two 0.045 K-wires were placed from the ulnar aspect of the proximal phalanx to the radial aspect. Clinically, there was good rotational alignment. Radiographically, there was good angular alignment. The pins were cut. (s/l When*jerk*in*ball) was placed.
|
Thu Mar 11 15:36:20 2010 nm
|
Thu Mar 11 15:38:11 2010 wordless x0
Thank you very much!
|
cut and paste characters:
α
β
γ
μ
π
²
³
¼
½
¾
¢
°
±
×
÷
≥
≤
©
®
™
•
À Á Â Ã Ä Å à á â ã ä å
È É Ê Ë è é ê ë
Ì Í Î Ï ì í î ï
Ò Ó Ô Õ Ö Ø ò ó ô õ ö ø
Ù Ú Û Ü ù ú û ü
Ç ç Ñ ñ
|
|
