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? ...
In the physical exam the dictator says "no perineum _______?______ " it sounds like hosslecourse. I know that's not a real word but that is what it sounds like, and I can't find anything that resembles it. ...
Typing on Physical Examination, I hear this: Abdomen was nontender; no liberetch, no spleen tip...
"liberetch"?! I think I am going crazy. What is this? ...
Cardiovascular system: Heart sounds regular. No murmurs. No gallops heard. s/l "percussed" respiratory sounds masking the heart sounds. Abdomen soft.
Patient with URI symptoms. Does this make sense in this context?
Thanks! ...
I've been thinking about going into coding, but what is it like physically? The immobility of transcription drives me crazy sometimes, as well as the eye strain of editing, so I am wondering if the actual physical work of coding includes the same stress. Or maybe I will just get a job on my feet, stocking in a warehouse? ...
I transcribing a dictation where "physical examination" was already dictated after the history of present illness and before the past medical history. Now she's dictated it again after the review of systems. Is it possible that the first one should have gone under the history of present illness heading? Also, in her review of systems, she numbers each heading...should I transcribe it as such or leave the numbers out? ...
Patient called ("on later heart exam") as late as 2000. No murmurs, rubs, or gallops ("----") and moderate entry. Clear abdomen, soft nontender.
It might say 1 over 2000? ...
The dictation talks about a blood culture, then a chest x-ray, then says glucose 78 and then after that i cant tell it sounds like they say few in 8, cracken 0.4 then goes on to talk about the electrolytes, please any help will be appreciated. ...
I am typing a new doc that does not dictate the headings in his physical exam, however i am required to add them in. I am horrible sometimes at determining the headings so i am hoping to get some input on this file.
A moderate hematoma persists over the proximal anterior tibial area which is somewhat fluctuant but not tender. Lumbar flexion is 60 degrees. Lumbar extension is 20 degrees. Lateral flexion is decreased to the left as compared to the right. The l ...