I was thinking pleuritic, but I like cryptic better. Closer to your s/l. Go with Wanderer. NM
Posted By: MissouriMT on 2006-09-21
In Reply to: has anyone ever hard of the phrase quick tick describing chest pain - jami
Subject: I was thinking pleuritic, but I like cryptic better. Closer to your s/l. Go with Wanderer. NM
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ENT ? holey cryptic tonsils??? nm
Subject: ENT ? holey cryptic tonsils??? nm
You're not crazy...some terms seem to reveal themselves in a way that is more cryptic, as it were
Subject: You're not crazy...some terms seem to reveal themselves in a way that is more cryptic, as it were.
You are closer than you know! Barkof (sm)
Subject: You are closer than you know! Barkof (sm)
Here's a link:
http://www.emedicine.com/radio/topic461.htm
Sorry just listened again a little closer
Subject: Sorry just listened again a little closer
And got the correct word.
Listened closer, it's Aquacel. THANKS--
Subject: Listened closer, it's Aquacel. THANKS--
nm
Phenytek sounds closer actually
Subject: Phenytek sounds closer actually
but could also be saying venlafax...short for venlafaxine, an antidepressant. I hate it when docs do that. :-(
maybe "past phlebotomy" is closer to your s/l ? nm
Subject: maybe "past phlebotomy" is closer to your s/l ? nm
Thank you wanderer!!!!! nm
Subject: Thank you wanderer!!!!! nm
nm
Thanks Wanderer :) (nm)
Subject: Thanks Wanderer :) (nm)
dd
Thanks, wanderer.
Subject: Thanks, wanderer.
After listening to it again, that is it! I appreciate your help.
thank you wanderer and nm....for responses...nm
Subject: thank you wanderer and nm....for responses...nm
Allevyn - duh! thanks wanderer
Subject: Allevyn - duh! thanks wanderer
Wanderer seems to be right on the money!
Subject: Wanderer seems to be right on the money!
Agree with wanderer's. Would add intramural, intraluminal or sm
Subject: Agree with wanderer's. Would add intramural, intraluminal or sm
intragastric. His mother should have smacked him at an early age for mumbling.
Found pretty much same thing as wanderer...
Subject: Found pretty much same thing as wanderer...
Ethicon Surgicel fibrillar absorbable hemostat...you can even buy it on eBay for those do-it-yourselfers 
pleuritic? nm
Subject: pleuritic? nm
Pleuritic?
Subject: Pleuritic?
x
pleuritic? nm
Subject: pleuritic? nm
x
Pleuritic
Subject: Pleuritic
sure does!
only other question is can pleuritic chest pain be clearly observed by speaking with the patient?
pleuritic?
Subject: pleuritic?
I'm pretty sure this is pleuritic but it sounds like he is saying pruritic.
Has anyone ever heard a doctor describe chest pain as pruritic? The patient had negative enzymes, normal cardiac cath., but atypical chest pain.
pleuritic
Subject: pleuritic
It's pleuritic. As relating to pleurisy (an inflammation of the lining of the chest wall). I had it, and it's not fun. Don't wear tight pants or girdles to try to avoid it (it was common in the victorian age due to the wearing of corsets.)
pleuritic
Subject: pleuritic
nm
pleuritic
Subject: pleuritic
pleuritic
Wanderer you are a savior, just got to the last line of the report and did not have to send a blank,
Subject: Wanderer you are a savior, just got to the last line of the report and did not have to send a blank, thank you so much!
pleuritic chest pain
Subject: pleuritic chest pain
..."he had a somewhat pleuritic component to that (chest pain), s/l 'of sal-veh-ter short'....."It was a bit difficult to say whether it was painful to breathe or if he was breathless." HELP!!! TIA -
nevermind.. pleuritic is the word.
Subject: nevermind.. pleuritic is the word.
Pleuritic chest pain.
Subject: Pleuritic chest pain.
does that sound like it now?
It's probably pleuritic; pruritic is itching. nm
Subject: It's probably pleuritic; pruritic is itching. nm
nm
??pleuritic pain or hemoptysis?
Subject: ??pleuritic pain or hemoptysis?
All I can think of pleuritic left-sided chest pain?
Subject: All I can think of pleuritic left-sided chest pain?
x
still thinking
Subject: still thinking
Turns out that the patient is having very high fevers giving impression of left lower lobe pneumonia. Came across a brand name of a drug used in mouthwash called Advexin. They were talking about oral cancers...but then cross-referenced on http://www.pharma-lexicon.com/ and found (generic Mepron) atovaquone, classified as an anti-infective used in both adults and children who are at risk for PCP with initial doses of 750 mg per 5 mL. Since Hodgkin's lymphoma and bone marrow transplant would put this girl in a severely immunocompromised state, I would bet they are giving her a pretty hefty dose of the stuff. Atovaquone it is.
Thanks for helping me.
Thanks, I was thinking along
Subject: Thanks, I was thinking along
those lines, just wanted a second opinion. :-)
that's actually what I was thinking too - nm
Subject: that's actually what I was thinking too - nm
x
Tks. I kept thinking there is another
Subject: Tks. I kept thinking there is another
Like ...there were lewes....or something. You are probably right, and I finally found it in stedman's and it says *sternal angle* and that seems to fit the way the doctor used it. Thanks again.
that's what i am thinking
Subject: that's what i am thinking
I was thinking along the lines of this from the begining....compression over lower extremities.....just wish I didn't hear otherwise! (I hate Monday's)
That's exactly what I was thinking
Subject: That's exactly what I was thinking
but I have this doc all the time and she's never dictated time like that before, so I just wasn't sure. Thanks to all who replied.
I was thinking that too...I'd have to say it was:
Subject: I was thinking that too...I'd have to say it was:
Past history notable or is notable for ______.
That's what I was thinking..maybe she
Subject: That's what I was thinking..maybe she
just got ahead of herself when dictating it in the assessment..because I definitely didn't hear an itis at the end...just a gingival or gingivo sound.
Thanks 
that is what I am thinking..thanks
Subject: that is what I am thinking..thanks
What was I thinking
Subject: What was I thinking
of course, para anything with twins, triplets, etc. Thanks for fixing my answer!
I'm thinking it's probably
Subject: I'm thinking it's probably
R&M for "routine and microscopic"
That's what I was thinking, too.
Subject: That's what I was thinking, too.
.
I am thinking it
Subject: I am thinking it
may be (LIMA) or left internal mammary artery ..... of course you are hearing it.
That's what I was thinking...
Subject: That's what I was thinking...
but was unsure. It's an ESL doctor and she says it twice. It doesn't really sound like there is an F in the pronunciation, though.
that's what I was thinking.
Subject: that's what I was thinking.
That is what I have been doing but I guess I just wanted extra reassurance! Thanks.
I am thinking that is what she must be saying. Thanks. nm
Subject: I am thinking that is what she must be saying. Thanks. nm
I am thinking it might be SM
Subject: I am thinking it might be SM
some kind of rowing exercise...____ rows, but I can't come up with anything better than that.
Thanks, I was thinking that or 0.1. nm
Subject: Thanks, I was thinking that or 0.1. nm
xxx
I was thinking that myself, but just not sure so I sent to QA
Subject: I was thinking that myself, but just not sure so I sent to QA
I was thinking the same, but (sm)
Subject: I was thinking the same, but (sm)
why would he dictate this along with vital signs? Seems strange  ...
I was thinking that too! Thanks!
Subject: I was thinking that too! Thanks!
Thank you for your input!!!
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