BOS2 says both breasts removed - mastectomies. nm
Posted By: M.A. on 2008-01-08
In Reply to: Help me settle a debate - Patti
Subject: BOS2 says both breasts removed - mastectomies. nm
nm
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I say the plural mastectomies is correct if..sm
Subject: I say the plural mastectomies is correct if..sm
you want to get techical. Would you say bilateral amputation? I believe the singular would be used if it were stated this way: Mastectomy, bilateral or below-knee amputation, bilateral. Otherwise I think bilateral mastectomies and bilateral amputations etc.
bilateral mastectomy mastectomies - sm
Subject: bilateral mastectomy mastectomies - sm
Need the rule on singlular/pleural following the word bilateral
Thank you
Breasts on male?
Subject: Breasts on male?
This new doctor has a review of systems normal. It includes a 'Breasts' normal. Do I keep that if it is a man? I'm confused because I've heard men can get breast cancer. should I leave it/delete it?
s/l "galding or gualding" under breasts sm
Subject: s/l "galding or gualding" under breasts sm
but not in Stedman's (of course) and unable to verify online either. These are elderly nursing home patients (female). Thanks kindly.
The problem is that I can never tell whether he is saying breast OR breasts.
Subject: The problem is that I can never tell whether he is saying breast OR breasts.
Men do have breasts, oftentimes doctors
Subject: Men do have breasts, oftentimes doctors
include their breast exam in a report.
So...does it s/l a foraneous salve going under the breasts or what? Sentence, please! nm
Subject: So...does it s/l a foraneous salve going under the breasts or what? Sentence, please! nm
s
after a birth, breasts were non-tender, non s/l ag-ra-nay-shish
Subject: after a birth, breasts were non-tender, non s/l ag-ra-nay-shish
mycotic ? (does she have any fungal infection under the breasts?)
Subject: mycotic ? (does she have any fungal infection under the breasts?)
patient undwent menarche and s/l sealarche at 15. Has asymmetry of breasts. nm
Subject: patient undwent menarche and s/l sealarche at 15. Has asymmetry of breasts. nm
x
Breast exam - She does have asymmetry in both breasts from previous s/l brain ansatangias. please sm
Subject: Breast exam - She does have asymmetry in both breasts from previous s/l brain ansatangias. please sm
I know that makes no sense at all but that's what it sounds like. This doctor is from Puerto rico. Up until this point, she has been pretty clear. Thanks for any help
mastomegaly (large breasts) http://forums.obgyn.net/ob-gyn-l/OBGYNL.0705/0464.html
Subject: mastomegaly (large breasts) http://forums.obgyn.net/ob-gyn-l/OBGYNL.0705/0464.html
His s/l JP was removed.nm
Subject: His s/l JP was removed.nm
xx
Thank you. I removed it. :-)
Subject: Thank you. I removed it. :-)
it's "unresectable," i.e. cannot be removed ...sm
Subject: it's "unresectable," i.e. cannot be removed ...sm
completely. They resect cancerous tumors, etc, but sometimes they are unresectable..you were really close! Sometimes (with me) the dictator mispronounces something so oddly that it completely throws me off.
Where's the cyst being removed from? nm
Subject: Where's the cyst being removed from? nm
s
"JEP" removed from axilla? sm
Patient has breast cancer. Had some procedure (not mentioned what) and the report says: Wounds are well healed. The "JEP" was removed from the left axilla. "JEP" is the closest sounds like I can get...
Any clues?
....a lobe of lung removed? nm
Subject: ....a lobe of lung removed? nm
s
could it be Bennell rolled and removed...nm
Subject: could it be Bennell rolled and removed...nm
see above
Skin wedge removed in s/l toe-toe
Subject: Skin wedge removed in s/l toe-toe
The skin wedge was removed in _________. T he redundant accessory tendon was removed also with that skin wedge thereby exposing the head of the proximal phalanx.
Think he is saying total or is there something else?
WAG ... could he/she be saying "this whole sheath was removed."
Subject: WAG ... could he/she be saying "this whole sheath was removed."
bridging X-Fix device was removed nm
Subject: bridging X-Fix device was removed nm
xxx
Tissue removed by ultrasonic *cure* (nm) thanks
Subject: Tissue removed by ultrasonic *cure* (nm) thanks
cyst being removed from the small finger
Subject: cyst being removed from the small finger
What's the next sentence? Am thinking that they removed the vibrissae but
Subject: What's the next sentence? Am thinking that they removed the vibrissae but
s
surgery- The s/l schoal sheath was removed. TIA
Subject: surgery- The s/l schoal sheath was removed. TIA
s/l "Guard hairs" removed bilaterally?
xx
later he says "Specimens removed were kidney plus s/l gerotis."
Subject: later he says "Specimens removed were kidney plus s/l gerotis."
pulvinar was removed, second word is osteophytes. nm.
Subject: pulvinar was removed, second word is osteophytes. nm.
nm
BOS2........sm
Subject: BOS2........sm
MT50, I have the free download and couldn't find it. Would you tell me how you found it for next time. ty so much.
Per BOS2, 2nd, 3rd, etc.
Subject: Per BOS2, 2nd, 3rd, etc.
x
Thanks! I think my QA must be using BOS2.
Subject: Thanks! I think my QA must be using BOS2.
x
patient "had a molar removed via [s/l olnafast]"? (nm)
Subject: patient "had a molar removed via [s/l olnafast]"? (nm)
Atherectomy procedure: "bur removed using *Dynaglide.*
Subject: Atherectomy procedure: "bur removed using *Dynaglide.*
Scratching head...
Thank you.
The s/l palplitome was removed leaving the wire in place. This is a EGD. TIA
Subject: The s/l palplitome was removed leaving the wire in place. This is a EGD. TIA
removed his toenails becauseof *benecial* mycosis
Subject: removed his toenails becauseof *benecial* mycosis
Spitz nevus with clear borders was removed, so not sure. Thanks.
Subject: Spitz nevus with clear borders was removed, so not sure. Thanks.
help! - on exam, says "patient lying naked in bed, having removed
Subject: help! - on exam, says "patient lying naked in bed, having removed
s/l 'johnny' and all sheets"
Patient had warts removed from the anal canal. sm
Subject: Patient had warts removed from the anal canal. sm
Doc says " Gelfoam covering s/l "try-a-thane" cream was then placed in the anal canal.
Per AAMT BOS2
Subject: Per AAMT BOS2
Under "dangerous abbreviations" they would prefer mL instead of cc; thus, have changed it in my expansions and use it for all hospitals without anything to the contrary ever being said for about a year now.
and per BOS2 and AAMT for this we are not
Subject: and per BOS2 and AAMT for this we are not
not supposed to expand - unless your client profile says to - so if the dictator says I's and O's and it's verbatim - well....they get I's and O's. Most accounts today do not want over-expansions to pad lines. Of course, the client profile (CP) comes first or client preferences, but secondarily across the board - BOS2 keeps us all pretty uniformed....
not QA here but page 149 BOS2
Subject: not QA here but page 149 BOS2
Page 149 in Book of Style 2nd edition explains this in detail.
See below taken from AAMT BOS2
Subject: See below taken from AAMT BOS2
Ordinals: Ordinal numbers are used to indicate order or position in a series rather than quantity.
Ordinals are commonly spelled out, especially when the series goes no higher than 10 items. However, as with all numbers in medical reports, AAMT recommends using numerals: 1st, 2nd, 3rd, 4th, etc.
Do not use a period with ordinal numbers.
3rd rib (or third)
5 th finger (or fifth)
She is to return for her 3rd (or third) visit in 2 days.
She was in her 9th (or ninth) month of pregnancy.
His return visits are scheduled for the 15th and 25th of next month.
The 4th cranial nerve...
From AAMT BOS2
Subject: From AAMT BOS2
followup, follow up
Use followup for the noun and adjective forms (the hyphenated form, follow-up is an acceptable alternative).
The patient did not return for followup. (noun)
In followup visits, she appeared to improve. (adjective)
For the verb, the two-word form follow up is the only correct choice.
We will follow up with regular return visits. (verb)
HINT: To test whether the correct form is one word or two, try changing the tense or number. If one or more letters must be added, the correct form is two words.
We will follow up.
tense change >>
We followed up.
(Followedup is not a word, so followed up must be two words.)
We follow up.
number change >>
He follows up.
(Followsup is not a word, so follows up must be two words.)
per BOS2, no apostrophe after name
Subject: per BOS2, no apostrophe after name
Per AAMT- BOS2
Subject: Per AAMT- BOS2
Express partial units as indicated.
D: grade 4 and a half over 6 murmur
T: grade 4.5 over 6 murmur
or grade 4.5/6 murmur
D: grade 4 to 5 over 6 murmur
T: grade 4 to 5 over 6 murmur
or grade 4/6 to 5/6 murmur
not grade 4-5/6 murmur
Per AAMT BOS2
Subject: Per AAMT BOS2
With periods for the latin abbreviation i.e.
q.i.d.
p.o.
b.i.d.
etc.
Per AAMT-BOS2...
Subject: Per AAMT-BOS2...
In particular, avoid the use of unnecessary or inappropriate capitals. Do not, for example, capitalize a common-noun reference to a thing or person if it is just one of many other such things or persons. Thus, emergency room and recovery room are not capitalized. Think of the rule for generic versus brand names for drugs. The generic term (common noun) emergency room is applied to all emergency rooms, so it is not capitalized.
Thus, I do not capitalize it unless it is with a facility name so I would say you are correct. Always exceptions to the rule according to the facility preference.
Per AAMT BOS2
Subject: Per AAMT BOS2
disk
Dictionaries and other reference works have long shown a lack of agreement about the spelling of this word. Some authorities prefer the spelling disc for references to the eye and disk for the spine. Others have an opposite preference.
We recommend the spelling disk for all anatomic and surgical references for this round, flat, regular, and regularly condensed plate of material.
There is classical support for this spelling. Disk is derived from the Greek diskos and came into our lexicon by way of medieval Latin (discos), whose alphabet does not include a k. Other English words ending in sk with similar derivation include ask, desk, kiosk, task, and whisk. By comparison, there are very few English words that end in sc.
optic disk
L4-5 disk space
diskectomy
diskitis
Per AAMT BOS2
Subject: Per AAMT BOS2
Follow up versus follow-up; the hyphenated form is also an acceptable alernative.
Rest of the rules...
Followup, follow up: Use followup for the noun and adjective forms (the hyphenated form, follow-up is an acceptable alternative).
The patient did not return for followup. (noun)
In followup visits, she appeared to improve. (adjective)
For the verb, the two-word form follow up is the only correct choice.
We will follow up with regular return visits. (verb)
HINT: To test whether the correct form is one word or two, try changing the tense or number. If one or more letters must be added, the correct form is two words.
We will follow up.
tense change >>
We followed up.
(Followedup is not a word, so followed up must be two words.)
We follow up.
number change >>
He follows up.
(Followsup is not a word, so follows up must be two words.)
Per AAMT-BOS2 (sm)
Subject: Per AAMT-BOS2 (sm)
Capitalize the word following the colon if it is normally capitalized, if it follows a section or subsection heading, or if the list or series that follows the colon
includes one or more complete sentences. Lowercase the first letter of each item
in a series following a colon when the items are separated by commas.
The patient is on the following medications: Theo-Dur, prednisone, Bronkometer.
ABDOMEN: Benign.
Pelvic examination revealed the following: Moderately atrophic vulva. Markedly
atrophic vaginal mucosa.
or Pelvic examination revealed the following: moderately atrophic vulva, markedly atrophic vaginal mucosa.
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