I'm sure this is something simple, but here's the s/l - sm

• I'm sure this is something simple, but here's the s/l - sm - LE
  • peau de orange - Patty
    • Hey Patty. Thanks. sm - LE
      • Actually.. - Patty
        • Thanks - my Dorland's is packed and I couldn't find spelling :) nm - LE

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But I can't seem to find documentation to tell me, maybe some of you with more experience can enlighten me?

I have a dictator today, she is saying, "Review of systems: s/l perinegative except for ...." and, "exam is s/l perinormal with EKG done today showing normal sinus rhythm"

Anyone hear of this "peri"normal "peri"negative and is this how to spell it? Can't find anything conclusive on google in any letter combination I can come up with. 

Thanks for any help.

Tara

I just cannot seem to get a grasp of this guy today. Pt is seen for congestive heart failure. Here are the sentences leading up to my problem:

We will check a BMP today to reevaluate renal function and, if he does have a markedly elevated creatinine, we may not be able to do this (referring to 64-slice CT angiography). I am hopeful that, with ___ and renal protection, we can get by with this. We will also plan on checking a TSH and baseline blood work, including a CBC and BNP for outpatient baseline.     

Sounds like mucavest. I then thought of Mucomyst, but would like to know if anyone agrees because it does not make sense to me.

Thanks for any help! 

"On examination today, I did note that he has thickened yellow toenails on both feet. We recommend that he start using ?Clorox? soaks twice weekly as, at this time, oral treatment of this problem is extremely expensive.

I find one reference to this, but did not know how appropriate it would be. He may be saying something more like chloric, but I don't think that is it either. Thanks!

Glandular tissue is also found in breast tissue and males also do get cancer there, most think about down below when referring to males.

How is male breast cancer staged?
The term "stage" is used to describe the anatomic extent of disease according to standardized rules. The same staging system is used for both male and female breast cancer patients. This standardized language allows clinicians and researchers to accurately describe the extent of disease. The AJCC (American Joint Committee on Cancer) staging system uses three numbers to determine the stage of the disease. T (stands for tumor) describes tumors of increasing size and local tissue destruction. N (stands for nodes) describes whether or not the tumor has metastasized to regional lymph nodes and if so, how extensive those nodal metastases are. M (stands for metastases) describes the presence or absence of systemic metastases. The AJCC staging system for breast cancer allows precise stratification of cases and is too complex to fully describe here (24).In most series, men present with more advanced disease (higher stages) women. It is not known whether this reflects delay in diagnosis, more rapid progression in disease, different breast anatomy resulting in most lesions being subareolar (with easy access to subareolar lymphatic trunks) or other factors.

She says:  "Mild to moderate osteoarthritis about the s/l TRI SCAVY joint."  Help?