HEENT: I do not feel any "loris", thyromegaly, or adenopathy in the neck. ???
Posted By: MSmt on 2009-06-12
In Reply to:
Subject: HEENT: I do not feel any "loris", thyromegaly, or adenopathy in the neck. ???
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HEENT: Neck supple ? nm
Subject: HEENT: Neck supple ? nm
HEENT: Trachea is midline. No s/l subculary in the neck. Help?
Subject: HEENT: Trachea is midline. No s/l subculary in the neck. Help?
HEENT is head, eyes, ears, nose and throat. NECK would be listed separately.
Subject: HEENT is head, eyes, ears, nose and throat. NECK would be listed separately.
thyromegaly
Subject: thyromegaly
thyromegaly.
Subject: thyromegaly.
x
could doc be saying "gross" thyromegaly...??
Subject: could doc be saying "gross" thyromegaly...??
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)?
Figured out thyromegaly, but still don't know the cream
Subject: Figured out thyromegaly, but still don't know the cream
Never mind the "megaly" word. I figured out it is thyromegaly. I still don't know the cream though.
That's probably it. Before saying A1a, he says family is concerned about thyromegaly.
Subject: That's probably it. Before saying A1a, he says family is concerned about thyromegaly.
mesenteric adenopathy could be it. mn
Subject: mesenteric adenopathy could be it. mn
nn
supraclavicular adenopathy
Subject: supraclavicular adenopathy
nm
Supraclavicular adenopathy.
Subject: Supraclavicular adenopathy.
nm
? s/l supercalabigatory adenopathy
Subject: ? s/l supercalabigatory adenopathy
...has no palpable cervical or s/l supercalabigatory adenopathy.
Thanks!!!
Mediastinal adenopathy.
Subject: Mediastinal adenopathy.
dd
adenopathy vs lymphadenopathy
Subject: adenopathy vs lymphadenopathy
Brain must not be in gear today.........when do you use just adenopathy and when do you use lymphadenopathy if cervical adenopathy is referring to the lymph nodes anyway
(dr. dictating "No JVD. No cervical adenopathy / lymphadenopathy"
Adenopathy vs Lymphadenopathy
Subject: Adenopathy vs Lymphadenopathy
Adenopathy - Swelling or abnormal enlargement of the lymph nodes.
Lymphadenopathy - A chronic, abnormal enlargement of the lymph nodes, usually associated with disease.
This is per the Free Dictionary online.
mediastinal adenopathy?...nm
Subject: mediastinal adenopathy?...nm
x
could adenopathy have been lymphadenopathy?
Subject: could adenopathy have been lymphadenopathy?
Hope this helps..
There is no CEFFAGLORY inguinal adenopathy.
Subject: There is no CEFFAGLORY inguinal adenopathy.
. .
probably no cervical or inguinal adenopathy...NM
Subject: probably no cervical or inguinal adenopathy...NM
d
anterior chain adenopathy?
Subject: anterior chain adenopathy?
The doc is stating "he has mild anterior chain adenopathy" ( it sounds like that!) but she does not give any headings for her PE --just rattles off comments for each one, so I am wondering where this goes. Any suggestions? What I have found so far may indicate NECK, but am not sure.
Thanks!
Adenopathy noted in the retroperitoneum, periaortic
Subject: Adenopathy noted in the retroperitoneum, periaortic
and aortic *cable* distribution? I've of chain distribution but never cable. Is that right?
aortoiliac ______ adenopathy s/l chain*
Subject: aortoiliac ______ adenopathy s/l chain*
please help. It sounds like aortoiliac chain adenopathy, and I dunno if this is really correct. TIA!
CT chest residual adenopathy in the s/l four L region n/m
Subject: CT chest residual adenopathy in the s/l four L region n/m
s/l *superglyficate* adenopathy... also excision and * lome* of breast...
Subject: s/l *superglyficate* adenopathy... also excision and * lome* of breast...
Elderly woman 3 years status post breast carcinoma and mastectomy.
Healthy breast inspected and no *superglyficate* or axillary adenopathy.
Three years post diagnosis of small, localized breast carcinoma for which she underwent excision and *lome*.
THANKS!
I googled and found retrocrural adenopathy, nothing for retrocrucial
Subject: I googled and found retrocrural adenopathy, nothing for retrocrucial
ENT-physical examination reveals *syn___ectomy* without palpable adenopathy??? Thanks- nm
Subject: ENT-physical examination reveals *syn___ectomy* without palpable adenopathy??? Thanks- nm
HEENT:
Subject: HEENT:
Left TM is still slightly red. There is no drainage or discharge present in the canal. No crusting. No pain of the pinna or __tagus__. 
HEENT
Subject: HEENT
tragus
HEENT
Subject: HEENT
Pterygium.
Please help with HEENT
Subject: Please help with HEENT
The HEENT exam is positive for tenderness on tapping around the right eye, and there is definite tympanic membrane retraction noted bilaterally, with prominence of the s/l inca and stabies on this exam.
TIA! 
HEENT
Subject: HEENT
fundi? EOM?
HEENT
Subject: HEENT
HEENT ??...sm
Subject: HEENT ??...sm
Can someone help. Does this sentence sound correct?
Physical exam revealed slight injection of the palpebral and scleral conjunctiva.
I'm not sure if I'm typing it correctly because what he's saying s/l palpebral and scleral laconjunctiva.
HEENT
Subject: HEENT
HEENT: Early chalazion is present.
Chalazion: A chronic inflammatory granuloma of a meibomian gland. Syn: Chalaza, tarsal cyst. A sty.
HEENT
Subject: HEENT
Examination was within normal limits except examination of the pharynx revealed s/l global stall pattern.
HEENT
Subject: HEENT
Mucosa is moist and unremarkable except for ??__________. It kind of sounds like pallored but he goes into his next sentence so quick it's hard to know.
HEENT - need help with 2 s/l - thanks
Subject: HEENT - need help with 2 s/l - thanks
HEENT: No AV S/l nick and no s/l tear in optic discs.
HEENT
Subject: HEENT
head, eyes, ears, nose and throat
HEENT
Subject: HEENT
s/l "little ann grojy", no dizziness or vertigo.
HEENT help!!
Subject: HEENT help!!
s/l eyes clear and elade or laid? Any suggestions would be appreciated.
HEENT Help!
Subject: HEENT Help!
It does not sound like that, unfortunately! Thanks for the suggestion.... Any other ideas?
HEENT
Subject: HEENT
HEENT: Neck is supple, no thyromegaly, no carotid bruit. Throat is normal. Nose is congested. She has some s/l trinal tenderness.
Need help with above term...thnks
SL Dye in HEENT?
Subject: SL Dye in HEENT?
HEENT: She wears glasses. She does dye and talk with a speech impediment due to a childhood illness.
This is a fairly clear dictator who has never mentioned dye in this context before. Does anyone have a better idea what this might be? Thanks.
Since no QA, just do what you feel
Subject: Since no QA, just do what you feel
looks right and then they will let you know if it is right or wrong.
I would probably separate each by stating the problem is blah, blah, blah then paragraph the examination is blah, blah, etc.
I would not capitalize headings since they are office notes.
Make each problem standout somehow.
If they have no samples for you, then do it and let them get back to you.
Good Luck
Thanks so much. I feel much better about this now.
Subject: Thanks so much. I feel much better about this now.
Wow!! Feel sorry for you.
Subject: Wow!! Feel sorry for you.
No one from QA has EVER treated me that way. I have had a few less than desirables, but this one is shocking.
I can stand for the fact that people who have diabetes do not necessarily have hypertension. My father has diabetes and has had two MIs and does not have nor has he been treated for hypertension ever.
Plus, I have done QA and yeah, once in awhile a sound alike may seem way off to you because you may know the dictator so well, BUT I have never had anything come across that was "way off". I have always listened a couple of times to try to figure the word out before flagging it as I am sure 99% of us MTs do. Frankly, I would try to speak to her supervisor in the company if you have that option because if she is treating people that way, the company will lose their good MTs. I left a company of a nasty QA manager (apparently not this bad). I would NOT put up with that. It is abusive pure and simple
I feel like I should know this....
Subject: I feel like I should know this....
This is an ESL. I think she has said this before, but I cannot get a grip on it this time.
She was bleeding so much that she called 911 and the patient was taken to the ER. The ER controlled the bleeding and put a plastic **salizine** tape and sent her to see PCP today. According to her, she is not in pain at all but she was afraid when she took off the dressing it would bleed. Thanks!
Feel better?
Subject: Feel better?
Just trying to help, didn't claim to be perfect. cushingoid/Cushing disease, effect, phenomenon, pituitary basophilism, response, suture, syndrome, etc. according to Stedman's. Just call me "you'd be wrong" then from now on. That won't bother me a bit. I've got broad shoulders! LOL  Hope you have a nice day!
LOL!!! I know how you feel!!! nm
Subject: LOL!!! I know how you feel!!! nm
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