Labile Hypertension - Chart Note

How do you add a cholesterol profile in a chart note? There are no headings being used. Do you do as below: CHOLESTEROL PROFILE: Total cholesterol: 182, LDL: 120, HDL: 82, Triglycerides: 75 ...

Gotta question - I work in-house for a group practice that oursources the transcription to a service, then I work as an editor for the final review before the paper copy goes for signature. The paper copies are faxed to the cc list of doctors on that note. The original is then scanned into an EMR, with the paper copy then shredded. There is talk of an electronic signature, but we're not there yet. So my question is this - what would be the best way to deal with ...

Could someone that is experienced please proofread the following Cardiology chart note for me. I would like to make sure the format is correct, and also if I could get some input on what ("Bardoto") rales could be. I would greatly appreciate some help. The patient has had 2 myocardial infarctions, and is essentially a cardiac cripple. His ejection fraction is quite low. Blood pressure 136/66, pulse 80, respirations 24, temperature 97.6. Heart: Regular sinus ...

I work for 9 specialty docs so I type a lot of letters. Two of the docs have me stamp their outgoing letters with their name. One doc has a manual signature line. Our physician insurance company representative was recently here doing an audit and said that is not legal and that the docs must sign each and every letter or at least initial them. Can you tell me if she is correct? Is there somewhere where I can actually get some documentation as to the ...

Affect is labile and _____ (S/L sil-lian). She is also manipulative. Any ideas? ...

Anyone have any current info on Fast Chart, good, bad, ugly? Checked the Archives, not much recent info. Thanks! ...

Does anyone work for Fast Chart and what can you tell me about them? ...

Any ideas on a hypertension med that comes in 30 mg? Hypertension. Lasix 40 mg orally daily, metoprolol 100 mg twice a day, s/l nafrovit 30 mg orally daily, hydralazine 50 mg three times a day. ...

It sounds like theyre saying "Hypertension, well controlled on duo therapy" Any ideas? Is that right? ...

"Lower extremity edema - pulmonary hypertension. Most likely s/l 'claws up'." ...

ESL doc says patient has hypertension, probably secondary hypertension from hyper----ism. Cannot understand the middle part of that word. Any guesses? Thanks. ...

neuro doc is saying something that sounds like "axillary hypertension." I have found axillary swelling and pulmonary hypertension and axillary vein thrombosis, but not axillary hypertension itself. Also tried "ancillary hypertension" but didn't get far with that either. Anyone have an idea? Any help will be greatly appreciated. ...

is there such a thing as cephalic hypertension? If yes, what is it?? ...

Grateful for any help. S/l Flonil, flonel, flonelle ...

I can't document this anywhere and have never heard of it. TIA ...

CONTEXT: "Hypertension – patient is to keep a blood pressure log, which will be reviewed in approximately three weeks. MJNC7 guidelines will be mailed to the patient as well. " Any ideas? Thank you! :) ...

This sounds like "adawhit parameters" Sentence: Will place the patient on low-dose beta-blocker for cardio protection with _____ parameters for hypotension and bradycardia. ...

"CTAPSE ??? or CTA PSE was reduced 1.3 to 1.6 (Sounds like he is saying TAPS...??? Tricuspid annular plane systolic excursion (TAPSE) - BEX ...

Patient has pulmonary hypertension and is on sildenafil and s/l lethirus. What is it?? I feel like I should know what this is, but I just can't get it. Can anyone help? Thanks. ...

Meds in list for H&P s/l ABDICOR? Any ideas? ...

Just wanting to know if anyone has used Chart Net before and if so, did you like it? Also, is it compatible to Dictaphone ExText platform? ...

what all the different medical coder levels are? CCS, CCA, CPC, etc. What they are, how to get each one, where they can work, how much they make. Any info appreciated as it is very confusing. ...

Any info on this company? ...

Anyone know anything about Fast Chart? Thanks! ...

When you are using a SOAP Chart style, do you every use PHSYICAL EXAMINATION in the headings? I have a doctor that added it in today with his dictations. I have never used it before in a SOAP. Thanks ...

I got a job offer from both companies today. One is for night's with much better pay and the other is during the day with some weekend hours in a month, but really low start out pay. Not sure which company is better. I read the posts, but still need a job right now. Any input would be soooo appreciated. ...

I'm trying to transcribe an ER chart for a baby and in her Physical Exam part the Dr. says her sallic is what it sounds like??? is normal fontanel is normal.. Any suggestions or anyone have any clue?? I'm fried and can't figure out a simple word ...

Labile Hypertension - Chart Note - Carrie

rare would be correct, as is very few. do not know - the s/l. NM

sounds like might be epithelial cells - Olive

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Thank You! - Carrie

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