Derm will make you absolutely nuts. sm

First typed it back in 1970s. Then again in the 90s and the doctor used all abbreviations. Almost lost it that time!!!  They all have their little "docisms". keratinaceous is used by a lot of them. For real!!!

• s/l curotenacious material...sm - stumped
  • Keratinous is more appropriate - dragonlady
  • I can't find keratinaceous in any dictionary... - Hayseed
    • Derm will make you absolutely nuts. sm - Txczech
    • Maybe not, been typing it for years though. nm - Txczech
  • always hear keratinaceous. sm - Txczech
    • Thank you....nm - stumped

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I have tried every possible spelling of this word, med. dictionary, google, webmd. I can't seem to come up with it.

Sounds like:

Synchrostyberticulum

The context doesn't give much away either.  One is the problem list, one is the past medical history, and one is:

There is a history of ... and he had a PEG placement.

Not even sure if the two go together, LOL, she tends to run her sentences together.

TIA for the help!

SG

I was taught to never change a transcription, even if it's blatantly wrong.  I would leave as dictated and leave a note for the doctor (if you have a place to do it)

I hate it when the doctors/PAs prounounce diabetes MELLitus as diabetes mellITUS like it's some kind of inflammation or something. 

From Dorland's.com:

diabetes mellitus (di″ә-be´tēs mel´ĭ-tәs)  

Good grief - you're a highly educated person.  You should know how to pronounce the medical terminology and medications.  Sorry.  Just tired and crabby todayd. 

If the QA is insisting ".5" after weight instead of "1/2", wouldn't they also insist on typing "A 2.5-year-old child" instead of the obviously correct "A 2-1/2-year-old child?"  It just doesn't jive with me on some level, but then again neither did Aqua-Net hairspray.      

It was not a medication, rather an "environmentally friendly" fly repellent used on livestock and pets.  Here's a link to one of the product sites I found it on:
https://www.smartpakcanine.com/productclass.aspx?productClassId=1518&GCID=C11284x040

They no longer use the Clac name and have since renamed it Deo-Lotion.

I'll be interested on hearing what you finally find out about your patient!

It is an assessment - eczema s/l craculae or crackle-a.  TIA!!

Under Review of Systems, it sounds like the doctors says "Derm no complaints, Hem no complaints." I've never heard this dictated in the Review of Systems before.

Need help with words in bold.  Thank you.

SKIN:  Lots of seborrheic keratoses.  He does have an elevated 9 mm papule on left side of the face, which has some vascularization and central core.  It almost looks like acanthokeratosis, but basal cell carcinoma cannot be fully ruled out.  No other suspicious lesions.  He does have some miliary rubra on the back. 

I have 2 dermatology - I am usually not a derm girl, so any help is MUCH appreciated.

Assessment:  Nevus s/l: roo-let-ee s/l: tip-e-er midabdomen.  (Nevus ruletti tipiar midabdomen)?? AND:

s/l: Dermatified (or dromatified) broma right shin.  She uses this phrase in a previous sentence:

On his right shin he has superficial change that appears like a dermatified broma; however, it is not as nodular beneath the shin, but it is definitely excoriated or irritated on the surface. 

I just cannot find any info on these two - sorry this is so long.  I am covering for someone and would prefer not to send to the editor!!  TIA

nevus, rule out atypia, midabdomen

dermatofibroma

http://dermatlas.med.jhmi.edu/derm/search.cfm

http://www.dermsmart.com/encyclopedia/skin_encyclopedia.htm

I am in the derm part of the exam:

DERM: The patient with some darkened discoloration with some evidence of s/l Likif_____cation on the lateral aspect of the right leg. (the patient says that he has had experienced pruritus and has scratched that area vigorously.

Thanks

http://dermis.multimedica.de/dermisroot/en/home/index.htm

http://dermis.multimedica.de/dermisroot/en/home/index.htm

http://mtdesk.com/word-lists/dermatology-terms.php

The patient has been doing well in rehab except for some s/l mild derm and hypotension.

TIA!

Is alphabetized etc.

http://dermatlas.med.jhmi.edu/derm/cd_lists.cfm

These derm guys and their adjectives are putting me right over the top!!!  Comma or no comma???

Physical examination reveals relatively severe diffuse facial dermatoheliosis

relatively severe, diffuse or relatively severe diffuse

since telantiectasia is one of the symptoms/signs of rosacea I believe these sites are okay and reliable. See below. Sort of like saying papulo-pustular, which in the old days when I typed derm was always hyphenated etc. Just new derm-speak I believe

Pt has diffuse pruritic rash treated by a dermatologist with Aveeno baths and "Lentek" ointment. In the med listing, he only says "and the Aveeno bath and Lentek ointment."  No dosage given.

When I google Lentek, I come up with pest control agents. Any ideas?