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Cannot get the venous pressure in the neck due to it probably being too thick from being overweight

Posted By: MT50 on 2007-12-11
In Reply to: HEENT exam - ML

Subject: Cannot get the venous pressure in the neck due to it probably being too thick from being overweight




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  • HEENT exam - ML
    • Cannot get the venous pressure in the neck due to it probably being too thick from being overweight - MT50

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crowded airway, short and thick neck?Good ref for you. sm
Subject: crowded airway, short and thick neck?Good ref for you. sm

http://www.aafp.org/afp/991115ap/2279.html
correct. jugular venous pressure
Subject: correct. jugular venous pressure

nm
Kussmaul sign (has to do with the jugular venous pressure) -- nm
Subject: Kussmaul sign (has to do with the jugular venous pressure) -- nm

.
CVP catheter (central venous pressure monitoring)
Subject: CVP catheter (central venous pressure monitoring)

x
venous stasis impairment or cessation of venous flow.
Subject: venous stasis impairment or cessation of venous flow.


venous ... long-standing VENOUS ulcer!
Subject: venous ... long-standing VENOUS ulcer!

nm
s/l venous light or venous late on CT. sm
Subject: s/l venous light or venous late on CT. sm

Head CT:


There is also a small, nonaggressive lytic lesion in the left frontal bone that appeared to reflect an angioma or venous s/l "light or late". 


The patient is an overweight white female who is clearly aphasic.
Subject: The patient is an overweight white female who is clearly aphasic.

:)


I'm gonna second "Your kidding right" Have you not heard of overweight people?
Subject: I'm gonna second "Your kidding right" Have you not heard of overweight people?


physical exam: neck shows no s/l N-S-E? looking for a standard abbrev. used for neck. nm
Subject: physical exam: neck shows no s/l N-S-E? looking for a standard abbrev. used for neck. nm

d
There is neck dystonia (neurologic condition affecting the muscles of the neck)?
Subject: There is neck dystonia (neurologic condition affecting the muscles of the neck)?


I would say 6-7 liters and it might also be PEEP pressure, instead of peak pressure
Subject: I would say 6-7 liters and it might also be PEEP pressure, instead of peak pressure


Thanks. He has a thick accent, so could not be sure. nm
Subject: Thanks. He has a thick accent, so could not be sure. nm


thick accent
Subject: thick accent

yeah..but this dictator has a very thick accent and thats exactly what it sounds like.....
I am still trying but talking fast and a thick
Subject: I am still trying but talking fast and a thick

accent the beginngs could even be different, M for N and V or B, etc. I find a Morse blade in my surgical word book but not sure what that is for but nothing like Norson
yes, they say thin/thick drainage
Subject: yes, they say thin/thick drainage

nm
Is this to do with thick secretions of some kind?
Subject: Is this to do with thick secretions of some kind?

There is inspissation.  Know it's probably too late for any suggestions, but I had a hard time with that one the first time I heard it dictated.
Thick-It (food thickener)
Subject: Thick-It (food thickener)


Thick accent - Orthopedics sm
Subject: Thick accent - Orthopedics sm

re:  flat feet


He is unable to toe walk on the left especially, with reconstitution of his arch s/l tight foot angles are normal.  TIA!


second is nectar thick liquids
Subject: second is nectar thick liquids


Not sure, doc has thick, hispanic acent
Subject: Not sure, doc has thick, hispanic acent


s/l thick-lick-ien syndrome????
Subject: s/l thick-lick-ien syndrome????

I'm sure I'm butchering it, but that's the best I can make out... 


I have heard nectar-thick liquids before...so
Subject: I have heard nectar-thick liquids before...so

I guess they could substitue the word 'honey' for that. It is for people that have dysphagia or have a tendency to aspirate when they swallow.
Sheesh - nevermind - doc has thick accent - he's just saying
Subject: Sheesh - nevermind - doc has thick accent - he's just saying

nm
vallecula, and yes, nectar-thick liquids --
Subject: vallecula, and yes, nectar-thick liquids --

nectar-thick being hyphenated as it is a compound adjective.....
Stretching, but if thick esl: possibly readmitted n/m
Subject: Stretching, but if thick esl: possibly readmitted n/m


closing the surgery. a 0.25 mm thick cial-is-tic sheet was trimmed to shape and placed
Subject: closing the surgery. a 0.25 mm thick cial-is-tic sheet was trimmed to shape and placed

in a bifold fashion in the left ethmoid cavity.
Patient consuming pureed and nectar thick liquids with s/l eastem or E stem?? TIA
Subject: Patient consuming pureed and nectar thick liquids with s/l eastem or E stem?? TIA


venous ? (nm)
Subject: venous ? (nm)


It's venous stasis.
Subject: It's venous stasis.


venous sticks (nm)
Subject: venous sticks (nm)


Venous sticks
Subject: Venous sticks

Thank you Lori! You are to sweet.

Aloha from Kula, Maui- Hawaii
Try venous anomaly...
Subject: Try venous anomaly...

...as always, disclaimer about not being able to listen.
venous lake
Subject: venous lake


venous s/l breaking?
Subject: venous s/l breaking?

The patient is in for GI bleed.  In the physical exam: 

Mild tenderness at the bilateral ankles with mild venous s/l breaking.


venous stasis
Subject: venous stasis


venous stasis?
Subject: venous stasis?


It should be venous stasis.
Subject: It should be venous stasis.


venous baffle
Subject: venous baffle

venous baffle
Venous stasis/venostasis...sm
Subject: Venous stasis/venostasis...sm

Is there a preferred way to transcribe venostasis/venous stasis?  I've always typed venostatis (in reference to changes in the extremity).  QA person saying that venostasis is "treatment of CHF by compression proximal veins of the extremities with tourniquets" taken from Stedman's dictionary...  your thoughts?  Thank you!


Val



venous flow question
Subject: venous flow question

Doc says s/l "AFRO" did show significant disease in his right iliac as well.
Possibly venous line?
Subject: Possibly venous line?


they usually say chronic venous stasis
Subject: they usually say chronic venous stasis

can you hear that at all?
jugular venous distention? NM
Subject: jugular venous distention? NM

x
DVT - deep venous thrombosis
Subject: DVT - deep venous thrombosis

Depends on the preferences of your company. I just put DVT myself, but my account allows for that.

What is this "plamery cemal"?
venous s/l chassis changes.( in the pe of extremities)
Subject: venous s/l chassis changes.( in the pe of extremities)


Dorsal Venous Complex
Subject: Dorsal Venous Complex

Lilly
DVT? deep venous thrombosis ? nm
Subject: DVT? deep venous thrombosis ? nm

xx
active venous pulsations
Subject: active venous pulsations


venous stasis or venostasis
Subject: venous stasis or venostasis

"The patient had a right lower extremity venous stasis/venostasis and cellulitis."  These 2 sound exactly alike. Which is correct?  Thanks.


venous stasis vs venostasis.
Subject: venous stasis vs venostasis.

Both are correct. "o" is the combining form and thus acceptable as venostasis. Some dictators will use the combined form and some will use two separate words, I go with what the dictator says.

Ven = venous
stasis = cessation/impairment of flow thus ven "o" statis.