Pt had hernia surgery, now having urinary retention. Doc says "we did not INSTRUMENT the bladder, therefore, do not believe secondary to infection." I understand what he means here, but just never heard it worded this way. Could this be what he is saying? Any other ideas? ...
The dictator s/l he is saying:
the patient is a 71-year-old male with a history of increased frequency, urgency, and [blank] score of 27.
I sounds like CAPRA score of 27. But CAPRA is not in the BOS, but I can find it on the internet google.
Please help if possible. ...
Hi everyone, thanks for looking at this. I have a discharge summary with a patient with volume overload, renal failure, and electrolyte imbalances, among others. This is an ARNP dictating, and in the plan, she dictates 1500 mL fluid retention. She specifically says retention, but that isn't something they try to do, right? I think it should be fluid restriction, but I don't know if I should change it or flag it. What do you think? Thanks! ...
"Patient had s/l Dermidal/Damidol stent placed in the right coronary artery." I checked my Tessier book and it has nothing beginning with a "D" sound for this stent. Any ideas? This is an ESL doc so it could be anything. Maybe it's Damniitall?! ...
It sounds like glaremite's sensation, but I have no idea what that is nor can I find anything that could sound like that. Anyone have any ideas?
The full sentence is: Also reports *s/l glaremite's sensation* down both legs. Increasing numbeness in his left arm and hand, particularly from the elbow to his fourth and fifth digits on the left hand. ...
Patient with urinary tract problems. Doc says, "Patient has had percutaneous stone removal and s/l "ESAB welll." I'm not sure if I'm hearing the ESAB part right or even the "welll" part. Don't know if it a procedure or a device or neither. Anyone know? ...
How can a doctor say "benign prostatic hypertension" but yet I am penalized for transcribing "on Doppler" because someone is claiming it was dictated "by Doppler". The standards of healthcare across the board have horribly declined if the word "on" is what they are choosing as a focal point. I mean really, which one constitutes a patient safety issue? As a a potential patient someday or having someone near and dear to me who may potentially be a patient someday, this is seriously concerning. I ...
The dictator is an orthopedist, he is doing an orthopedic consultation.
Musculoskeletal examination demonstrates the patient to be neurosensory intact in the bilateral upper and lower extremities. In her right upper extremity she has sensation intact over the s/l "police" or "pleese" patch in the C4 distribution, as well as the remainder of the upper extremity with C5-T1 distributions.
I have been up since 2:30 this morning with my autistic son and my mind is just blank! I cannot understand wh ...
In a patient with mesenteric ischemia and small bowel obstruction with a previous SMA stent, would the SMA stand for "superior mesenteric artery" stent or "shape memory alloy" stent? I can find both on the Internet. Thanks. ...
It is dictation about a cath from 2000 where the pt had 3 s/l nye rrr stents placed. This predates my time in cardio and I have never heard of this stent.
Thanks for your help. ...
Doc is saying "removal of cysto stent". Is this 1 word, 2 words, hyphenated, slashed through, etc. (Ex: cysto/stent, cysto-stent, cystostent, cysto stent.....) Thanks everyone for helping me out. ...