There are a few things I need help with regarding dictations 12.6 & 12.15.
For 12.6 Discharge Summary
BRIEF HISTORY
The last sentence of the second paragraph: She had become quite depressed after the death of her husband from myasthenia gravis. Is that correct?
In the fourth paragraph: Over the next week she became increasingly nervous, emotionally ______ and suffered from insomnia. The last sentence: She also noted ecchymosis and _____.
The physical exam paragraph
Lungs: No ___, ___, or ___.
EKG showed nonspecific tumor abnormality ________. Then the last sentence: A healed right proximal humoral fracture was present??? Is that correct??
Under HOSPITAL COURSE:
Second paragraph: Under ultrasound guidance, the patient underwent paracentesis for a removal of 3500cc of thinned non_____ acidic fluid. CA125 was 589, CEA ___ was 2.5.
For 12.15 Operative Report
Under Procedure in detail: Patient was previously seen in the mammography suite and a guide wire was placed in the patient's left breast, except the tip of the wire was _____ patients previous biopsy site and clipped.
One percent ____epinephrine was used to infiltrate an incision in the lateral aspect of the left breast adjacent to the biopsy needle, to the guide wire.
The incision is approximately 2 1/2 centimeters in size. Soft tissue was then sharply dissected in a circumcenter______ matter until the complete wire was removed.
Once adequate hemostasis was obtained, the wound was then infiltrated with _____ to provide additional local anesthia.
Please someone, anyone lol.. If Jill is reading this I am still experiencing problems receiving replies. Could you please email your response at tigastylez@gmail.com.. I tried a couple of times to get the issue resolved but can not catch a break lol.. thank you..