Using fluroroscopy, the markedly enlarged gastric bubble was apparent, as was some enlargement of the dudenal bulb with very s/l "puff-a-teal" gas beyond where the head of the scope was located.
Cannot find a reference. Help if you can please. Thanks! ...
Doctor performing a:
Repair of rectovaginal fistula and peritoneoplasty.
FINDINGS: A fistula at the posterior s/l forchus just outside of the hymenal ring. ...
On MRI findings of lumbar spine, doctor says "discogenic degenerative changes and moderate s/l diskite loss at L3-4. Can't find any reference to diskite or disckite. ...
Laboratories on admission include sodium 127, potassium 6.0, chloride 98, bicarbonate 19, calcium 7.9, phosphorus 6.8, glucose 54, BUN 39, uric acid 3.1, creatinine 1.8, alkaline phosphatase 315, total protein 6.9, albumin 2.5, total bilirubin 1.6, direct bilirubin 0.7, LDH 630, ALT 47, AST 122, protime 34%, hemoglobin 13.6, hematocrit 39.9, white blood cells 4,300 with 26% polys, 56% bands, 14% lymphocytes, 1% monocytes and "2% els". Is this how it is written? ...
For those quitting their jobs right now are you having any luck as an IC finding other jobs or is it getting impossible. This is for IC and critical care work. ...
ALt 47, AST 122, _____ 34% (sounds like he's saying "chrotom"). He follows with hemoglobin 13.6, hematocrit 39.9, white blood cell 4,300 with 26% ___ (sounds like "paulies") 56% bans, 14% lymphocytes...
Any help you can offer with my two blanks would be greatly apprecaited.
Cheers ...
Doctor dictates:
Radiographs show a right total hip arthroplasty that is in place and demonstrates good alignment and version.
I clearly hear "version." Is this term used to discuss x-ray findings for a total hip arthroplasty? To what does "version" refer?
Thanks! ...
History on patient: multinodular goiter and thyroid nodule.
Ultrasound scan reveals diffuse heterogenous A with multiple slightly (s/l) hyperchloic hyperechoic nodular area.
Not used to ultrasound terms. I usually just do geri evals and H&Ps for a nursing home. ...
She had a carotid duplex done, which showed no significant hemodynamic "althralitis " changes or flow restrictive disease.
cannot find anything on google - any help would be appreciated. ...
Just had an audit today returned saying "failed audit". Well I reviewed it with audio in DQM and the auditor was clearly incorrect, and in fact changed my sentence around to look pretty when the dictator in fact said exactly what I had via the ASR. So check, check and recheck each time you get an audit. This is the 3rd time this has happened to me in the last 30 days. Good luck ...
"There is diffuse s/l desenal adenopathy." This is a heavy ESL dictator, so if someone could even point th way to what kind of adenopathy or lymphadenopathy someone with lung problems might have, I'd appreciate it. ...
There is a large structure that is filling oral contrast that does not seem to connect to the bowel on this CT scan.
Does there seem to be a word missing, or does this make sense? ...
Patient has pain in the right submandibular triangle. It is recommended that he have a "sialadenosubmandibular duct endoscopy." Is there such a term? Thanks. ...
I think my problem with this issue is that once you are "caught" by QA/QC and given a 1.0 deduction (by which I mean I had the universally accepted HEENT and they heard HENT, thus I was docked 1.0 for that), I now must either listen carefully to determine if they are saying HENT or HEENT, then put one or the other, then still have a chance that my reviewer will give me the error because they hear something different.
If there is obviously ears and eyes that one is easy, but oftentimes it DOES s ...
From now on, I am blanking HEENT/HENT any time I am not 100%, absolutely, positively sure of what the doctor says. Especially if they don't say anything at all (which is the usual).
This is utter ridiculousness and I am not going to risk a QA (or QC or whatever it is!)'s subjective opinion about whether a dictator said (or meant) one E or two!
What's next? If they only dictate a finding on the right lung, do we have to label it as "RIGHT LUNG:" instead of ...