Pulmonary Medicine Consultation Report

working on a psychiatry consulation report and there are only a few headings dictated. "History of Present Illness", "Review of Past Medical Records", "Developmental Background", and "Diagnosis". Under "Review of Past Medical Records" there are several paragraphs dictated without headings and each one starts out with "Doctor (doctors name is cut off) diagnosed (or indicates) etc....., examples: Doctor diagnosed head injury, loss of consciousness, bilateral clavicle fractures, right scapula ...

On a consultation report, under the heading "past medical history" is there a specific order of sub headings according to the AHDI standards? ...

s/l Doctor with an accent is dictating Database: Chect x-ray slander cardiac silhouette. Please help. Thanks ...

which of the 2 is correct: a.) Lasix 60 mg present by EMF b.)Lasix 60 mg present by EMS? ...

PROCEDURE PERFORMED: Brachytherapy implant. Now, where does "PROCEDURE ABORTED" go, so patient isnt charged for it, etc, and no errors are made? And, should it be all caps? In name of procedure or as a separate "Please Note:" Its dictated as name of procedure but Dr. is indecisive and stutters dictation ambiguously. ...

"A 1:1 solution of corticosteroid" Would this sentence be correct? Thanks! ...

I saw the patient for an extended neurological consultative on this day. Dr. Says Consultative twice in the report.. would you use that term? ...

Because of the combination of illnesses and particularly because of left arm weakness and s/l ("front coordination") as well as memory impairments she fells she cannot return to work doing clerical duties. ...

talking about infected cysts under her arm in the axilla. would this go under trunk or extremities? Thank you ...

At the end of the report the doctor says Axis I -Adjustment disorder with anxiety, moderate in degree. Then he says "New paragraph, Psychogenic amnesia", then he says Axis II . Do I skip a line after Axis I, then write Psychogenic amnesia? How do I set that up? Please help, Thanks. ...

"The turbinates were pink and there was no mucopurulence. Afrin/________ was applied." It sounds like "PONT-uh-geen", but I've tried every spelling variation I can come up with. Thanks in advance! ...

The patient is quite ____pathic with an INR of 10. It almost sounds like the doc is saying overpathic or homopathic....TIA ...

He says it pretty clearly but I haven't been able to find anything resembling. Thanks for helping!! ...

Cannot make sense of what dr is dictating here...gave a few of the sentences before and after so you can get the context from this consultation report. Recurrent severe chest pain attributed to mitral valve prolapse increasing in frequency and intensity. History of global poor left ventricular function. Cannot rule out cardiomyopathy so I will be careful as regards negative. No trophic agents such as Inderal. Suggest that Inderal and Isordil be discontinued.&n ...

Doc is describing telemery strip and says "tachycardia which appears to be multiple calachional tachycardia. Any ideas? thanks. ...

She brings with her a very good detailed consultation notes and other medical records from the Air Force including evaluation at the S/L FEZDA. ...

Under pulmonary in PE it s/l EDI ration 1.5:1. ...

biopsy filamentous bacterium question Nocardia versus s/l actino ...

I'm having huge problems with this pulmonary dictation. "Chest CT 2010, no interstitial fibrosis. Mild linear (s/l clinical) scarring in the lower lobes, right middle lobe, and lingual. PFTs-moderate restrictive lung disease. (s/l Mild decrease and diffuse in capacity.) Repeat PFTs - no significant change - (s/l duke) pulmonary - diffusion problem. (s/l also 2 homo 2.) Desats." On the 'also 2 homo 2', she does seem like she is stumbling over her word ...

"She continues to require O2. She did see a pulmonologist who agreed with the management of pulmonary s/l processees. She feels that her left arm is actually less stiff now that she has had the EMG." I was wondering if the word could be either processes or prostheses. This is a rheumatologist, so she doesn't cover much on the subject of the patient's pulmonary issues. ...

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

Here is what I hear... I have ruled out associated aspiration pneumonia and s/l deb pulmonary emboli. ...

Right upper lobe anterolateral segment irregular noncalcified mass, size 2.5 cm with a pleural tag and local pleural inflammatory reaction versus infiltration with possible small right S/L *PRE-CORE-I-NAL" at 2 o'clock, small lymph node as well as a right lower lobe prominent pulmonary artery. ...

could be MSC or MSE pulmonary. Thank you for any help. ...

What I hear: Moderate cylindrical bronchiectasis with normal alpha92%, subchloric and the IDG studies. The highlighted words I cannot figure out. Help please! Thanks! ...

Under discharge medicatons, the doctor dictates: s/l "pin needles kit b.i.d." I've no idea if this is right but it is pretty clear. Help? ...

S/L prazazine. He is using it for decreasing nightmares. Thanks! ...

Could somebody help me. I'm trying to understand the name of a cream used for tinea corporis and it sounds like N&T cream, but I can't find it on drugs.com. ...

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

This pt has pulmonary nodules. As dictated: Repeat CT of the chest shows no change in these bilateral small areas of s/l ground valescent opacification. and I repeat...I am not a radiology MT and appreciate your help!!!!!! ...

Pulmonary Medicine Consultation Report - padiddy

respiratory distress is what I get out of that. nm - MTSella

severe respiratory distress - dsauverwald

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