s/l diabetic cardio-arthropathy?

[Guest guest]

DX: DM, asthma, FM, *diabetic cardio-arthropathy, and possible CTS.

MEDICATIONS: Albuterol; Glucotrol; Zanaflex; and Neurontin, 900 mg t.i.d.

HPI: The patient returns at this time in excruciating pain. She is quite

teary-eyed at this time. She complains of pain throughout. She has numbness and

tingling throughout. She has not followed with a neurologist as of yet.

ROS: Positive for significant neuropathy. Negative for GI, cardiac, or pulmonary

manifestations.

PE: HEENT demonstrates paracervical spasm. LUNGS are clear. COR is regular.

ABDOMEN is benign. NEUROLOGIC: Alert and oriented. DTRs intact. Negative exam.

SKIN is dry and intact without rash. EXTREMITIES demonstrate significant

paraspinal trigger point tenderness throughout.

IMPRESSION/PLAN: Polyneuropathy and FM. 1) We will add Duragesic, 25 mcg per

hour changing every three days. Ramifications of the drug were discussed. 2) We

will use Darvocet for breakthrough pain. 3) We will see her in two weeks. 4) We

will have her follow with neurology for an evaluation.

** I cannot believe I cannot find this one. I think it is just late and I have

exhausted everything! Any suggestions? Is there anything like this?

*spf

Lori

[Guest guest]

Lori, I believe you are looking for diabetic cardiomyopathy. It probably is

just late and brain is malfunctioning. By the way, are you allowed to use all

of those abbreviations in the diagnosis and impression section? I have always

been told that was a no-no. Besides, it is late right now and I am having

trouble trying to think of what that abbreviation FM stands for. Just

wondering, Margaret

>>> " Lori Winkler " 03/21/01 12:53AM >>>

DX: DM, asthma, FM, *diabetic cardio-arthropathy, and possible CTS.

MEDICATIONS: Albuterol; Glucotrol; Zanaflex; and Neurontin, 900 mg t.i.d.

HPI: The patient returns at this time in excruciating pain. She is quite

teary-eyed at this time. She complains of pain throughout. She has numbness and

tingling throughout. She has not followed with a neurologist as of yet.

ROS: Positive for significant neuropathy. Negative for GI, cardiac, or pulmonary

manifestations.

PE: HEENT demonstrates paracervical spasm. LUNGS are clear. COR is regular.

ABDOMEN is benign. NEUROLOGIC: Alert and oriented. DTRs intact. Negative exam.

SKIN is dry and intact without rash. EXTREMITIES demonstrate significant

paraspinal trigger point tenderness throughout.

IMPRESSION/PLAN: Polyneuropathy and FM. 1) We will add Duragesic, 25 mcg per

hour changing every three days. Ramifications of the drug were discussed. 2) We

will use Darvocet for breakthrough pain. 3) We will see her in two weeks. 4) We

will have her follow with neurology for an evaluation.

** I cannot believe I cannot find this one. I think it is just late and I have

exhausted everything! Any suggestions? Is there anything like this?

*spf

Lori

[Guest guest]

I'll bet it was driving you nuts. I just hate it when docs use all those

abbreviations, because I keep trying to figure out exactly what they mean. But

if that's what they want, they pay the bills so they get it. If you need

anything else, better make it quick, I will be leaving very shortly. Have a

good night, Margaret

>>> " Lori Winkler " 03/21/01 01:00AM >>>

Yes, it is their preference : \ These reports are sticky paper.

Oy vay, this one was driving me nutts!

Thank you for being here, up so late! : )

Lori

Re: s/l diabetic cardio-arthropathy?

> Lori, I believe you are looking for diabetic cardiomyopathy. It probably

is just late and brain is malfunctioning. By the way, are you allowed to

use all of those abbreviations in the diagnosis and impression section? I

have always been told that was a no-no. Besides, it is late right now and I

am having trouble trying to think of what that abbreviation FM stands for.

Just wondering, Margaret

>

> >>> " Lori Winkler " 03/21/01 12:53AM >>>

> DX: DM, asthma, FM, *diabetic cardio-arthropathy, and possible CTS.

>

> MEDICATIONS: Albuterol; Glucotrol; Zanaflex; and Neurontin, 900 mg t.i.d.

>

> HPI: The patient returns at this time in excruciating pain. She is quite

teary-eyed at this time. She complains of pain throughout. She has numbness

and tingling throughout. She has not followed with a neurologist as of yet.

>

> ROS: Positive for significant neuropathy. Negative for GI, cardiac, or

pulmonary manifestations.

>

> PE: HEENT demonstrates paracervical spasm. LUNGS are clear. COR is

regular. ABDOMEN is benign. NEUROLOGIC: Alert and oriented. DTRs intact.

Negative exam. SKIN is dry and intact without rash. EXTREMITIES demonstrate

significant paraspinal trigger point tenderness throughout.

>

> IMPRESSION/PLAN: Polyneuropathy and FM. 1) We will add Duragesic, 25 mcg

per hour changing every three days. Ramifications of the drug were

discussed. 2) We will use Darvocet for breakthrough pain. 3) We will see her

in two weeks. 4) We will have her follow with neurology for an evaluation.

>

> ** I cannot believe I cannot find this one. I think it is just late and I

have exhausted everything! Any suggestions? Is there anything like this?

>

> *spf

>

>

>

> Lori

>

>

>

>

[Guest guest]

Yes, it is their preference : \ These reports are sticky paper.

Oy vay, this one was driving me nutts!

Thank you for being here, up so late! : )

Lori

Re: s/l diabetic cardio-arthropathy?

> Lori, I believe you are looking for diabetic cardiomyopathy. It probably

is just late and brain is malfunctioning. By the way, are you allowed to

use all of those abbreviations in the diagnosis and impression section? I

have always been told that was a no-no. Besides, it is late right now and I

am having trouble trying to think of what that abbreviation FM stands for.

Just wondering, Margaret

>

> >>> " Lori Winkler " 03/21/01 12:53AM >>>

> DX: DM, asthma, FM, *diabetic cardio-arthropathy, and possible CTS.

>

> MEDICATIONS: Albuterol; Glucotrol; Zanaflex; and Neurontin, 900 mg t.i.d.

>

> HPI: The patient returns at this time in excruciating pain. She is quite

teary-eyed at this time. She complains of pain throughout. She has numbness

and tingling throughout. She has not followed with a neurologist as of yet.

>

> ROS: Positive for significant neuropathy. Negative for GI, cardiac, or

pulmonary manifestations.

>

> PE: HEENT demonstrates paracervical spasm. LUNGS are clear. COR is

regular. ABDOMEN is benign. NEUROLOGIC: Alert and oriented. DTRs intact.

Negative exam. SKIN is dry and intact without rash. EXTREMITIES demonstrate

significant paraspinal trigger point tenderness throughout.

>

> IMPRESSION/PLAN: Polyneuropathy and FM. 1) We will add Duragesic, 25 mcg

per hour changing every three days. Ramifications of the drug were

discussed. 2) We will use Darvocet for breakthrough pain. 3) We will see her

in two weeks. 4) We will have her follow with neurology for an evaluation.

>

> ** I cannot believe I cannot find this one. I think it is just late and I

have exhausted everything! Any suggestions? Is there anything like this?

>

> *spf

>

>

>

> Lori

>

>

>

>

[Guest guest]

It used to bug me to always look them up to know what they were talking

about, but I am getting use to it. Ya, they are paying the bills, but I

would rather type them out for the lines--if you know what I mean. ; )

I'll just have to flag anything else if I cannot possibly find it... thank

you!

I thank you for your help. You have a great night too ; )

Lori

Re: s/l diabetic cardio-arthropathy?

>

>

> > Lori, I believe you are looking for diabetic cardiomyopathy. It

probably

> is just late and brain is malfunctioning. By the way, are you allowed to

> use all of those abbreviations in the diagnosis and impression section? I

> have always been told that was a no-no. Besides, it is late right now and

I

> am having trouble trying to think of what that abbreviation FM stands for.

> Just wondering, Margaret

> >

> > >>> " Lori Winkler " 03/21/01 12:53AM >>>

> > DX: DM, asthma, FM, *diabetic cardio-arthropathy, and possible CTS.

> >

> > MEDICATIONS: Albuterol; Glucotrol; Zanaflex; and Neurontin, 900 mg

t.i.d.

> >

> > HPI: The patient returns at this time in excruciating pain. She is quite

> teary-eyed at this time. She complains of pain throughout. She has

numbness

> and tingling throughout. She has not followed with a neurologist as of

yet.

> >

> > ROS: Positive for significant neuropathy. Negative for GI, cardiac, or

> pulmonary manifestations.

> >

> > PE: HEENT demonstrates paracervical spasm. LUNGS are clear. COR is

> regular. ABDOMEN is benign. NEUROLOGIC: Alert and oriented. DTRs intact.

> Negative exam. SKIN is dry and intact without rash. EXTREMITIES

demonstrate

> significant paraspinal trigger point tenderness throughout.

> >

> > IMPRESSION/PLAN: Polyneuropathy and FM. 1) We will add Duragesic, 25 mcg

> per hour changing every three days. Ramifications of the drug were

> discussed. 2) We will use Darvocet for breakthrough pain. 3) We will see

her

> in two weeks. 4) We will have her follow with neurology for an evaluation.

> >

> > ** I cannot believe I cannot find this one. I think it is just late and

I

> have exhausted everything! Any suggestions? Is there anything like this?

> >

> > *spf

> >

> >

> >

> > Lori

> >

> >

> >

> >