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Lichen sclerosus (skin problem in genital area)

Posted By: Kathy on 2008-03-15
In Reply to: OB/GYN help please - LilB

Subject: Lichen sclerosus (skin problem in genital area)




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try lichen sclerosus et atrophicus (LS&A)
Subject: try lichen sclerosus et atrophicus (LS&A)

Sted Derm rocks
s/l 'proovah' for lichen sclerosus
Subject: s/l 'proovah' for lichen sclerosus


lichen sclerosus referred to as LSNA? sm
Subject: lichen sclerosus referred to as LSNA? sm

I can document LS for lichen sclerosus and LSA for lichen sclerosus et atrophicus, but LSNA?  Doc clear, though I supposed it could be LSMA. 
Peroneal for the leg, perineal for the genital area. nm
Subject: Peroneal for the leg, perineal for the genital area. nm

nm
I meant dermatome as in area of skin...sm
Subject: I meant dermatome as in area of skin...sm

Dermatome: (1) A localized area of skin that is has its sensation via a single nerve from a single nerve root of the spinal cord. ...


I didn't mean the instrument....but I learned a new word from this thread now - dermotomy.......


THANKS POSTERS!!! 


wheal -- raised area on the skin when injected.
Subject: wheal -- raised area on the skin when injected.

//
of shooting pain into the left radial wrist and thumb area and over the intercuginous area of the-sm
Subject: of shooting pain into the left radial wrist and thumb area and over the intercuginous area of the-sm

first and second digit of the left hand.  Thanks. 
lichen planus? sm
Subject: lichen planus? sm





lichen planus



eruption of flat-topped, shiny, violaceous papules on flexor surfaces, male genitalia, and buccal mucosa of unknown cause; may form linear groups; microscopically characterized by a band-like subepidermal lymphocytic infiltrate. Spontaneous resolution is common after months to years.


Genital warts...sm
Subject: Genital warts...sm

There are two clusters of genitalia warts, turned white with application of (s/l "aceto"). 
Genital exam
Subject: Genital exam

The patient has some pinpoint vesicular lesions below the (S/L colona) which may represent early genital warts.


Thank you.


genital exam
Subject: genital exam

corona?
Genital exam
Subject: Genital exam

GENITALIA: Unremarkable.  Bartholin, urethrae and Skenes are clear.  The cervix is parous, free, movable midline, nontender.  Can someone proof the last sentence for me?  I believe I am missing something he is saying as it does not seem quite right. 


urethral or genital?, nm
Subject: urethral or genital?, nm


lichen-type scale?
Subject: lichen-type scale?

nm
Aldara if they are genital warts.
Subject: Aldara if they are genital warts.

nm.
TNH solutoin for lichen planus?
Subject: TNH solutoin for lichen planus?

Has anyone heard of either T&H or TNH solution as a treatment for lichen planus? 
GENITAL/URINARY: No cause for s/l tingulary tenderness
Subject: GENITAL/URINARY: No cause for s/l tingulary tenderness


Sted's Derm Words has it as LS&A for lichen
Subject: Sted's Derm Words has it as LS&A for lichen

s
Hyaloronic acid, humectant found in healthy skin....also used as injectible for skin wrinkles, defor
Subject: Hyaloronic acid, humectant found in healthy skin....also used as injectible for skin wrinkles, deformities, etc?

nm
"she has s/l keltic skin. -- I just so want to write in "hell thick skin"
Subject: "she has s/l keltic skin. -- I just so want to write in "hell thick skin"


pre-skin cancer - as in common skin lesions caused by sun exposure.
Subject: pre-skin cancer - as in common skin lesions caused by sun exposure.


that's all I could think of as well..but isn't that the chest area and not the neck area? nm
Subject: that's all I could think of as well..but isn't that the chest area and not the neck area? nm

d
patient with back pain. s/l lichen does help but it makes him drowsy. Thanks. nm
Subject: patient with back pain. s/l lichen does help but it makes him drowsy. Thanks. nm

nm
didn't see "mixed" part, so I guess urethral AND genital
Subject: didn't see "mixed" part, so I guess urethral AND genital


There is bullous lichen planus which are blisters that generally appear on the lower legs.
Subject: There is bullous lichen planus which are blisters that generally appear on the lower legs.


Dermatology: Skin precancer or pre-skin cancer? I have a doc saying pre-skin cancer
Subject: Dermatology: Skin precancer or pre-skin cancer? I have a doc saying pre-skin cancer


They have tried applying (s/l Begbalm) to the skin to at least keep the skin from cracking
Subject: They have tried applying (s/l Begbalm) to the skin to at least keep the skin from cracking


skin breakdown and s/l massuration of the skin
Subject: skin breakdown and s/l massuration of the skin


Little area. Same as Kiesselbach area.
Subject: Little area. Same as Kiesselbach area.

I found it in my Sted's Electronic Dictionary. Really good source for everything.


 


Little area



Syn: Kiesselbach area.


Kiesselbach area



an area on the anterior portion of the nasal septum rich in capillaries (Kiesselbach plexus) and often the seat of epistaxis. Syn: Little area.


interscapular area or inter scapular area or inner scapular?
Subject: interscapular area or inter scapular area or inner scapular?

Physical examination today of the shoulder shows some soreness primarily over the posterior aspect of the shoulder in the *interscapular* area. tia.
rib area?
Subject: rib area?

dd
area that's (that is)....nm
Subject: area that's (that is)....nm


area above the eye ? ..sm
Subject: area above the eye ? ..sm

On examination patient has a little less than 2 cm laceration above her left eye in the (s/l iber) ____ area. 


She is not stating outer area.  She is calling above the eye area something but I just cannot get it.  She is not a very clear dictator.


Thanks !


Maybe saying an area.
Subject: Maybe saying an area.


s/l suconate area
Subject: s/l suconate area

orthopaedics - there is a "suconate" area just over the medial malleolus that may be normal.
necklabella area???
Subject: necklabella area???

The necklabella area of the nasal area is a very large escard ray area.


This is under phy. exam.


Help.


s/l 'krista' area
Subject: s/l 'krista' area

Pain on end range plantarflexion of the MPJ plantarly. There is also pain on deep palpation in the (s/l) 'krista'
area of the metatarsal head.
The area was the neck...sm
Subject: The area was the neck...sm

I have already turned in the report. Even QA could not figure out what she was saying. They asked that a blank be left. Thank you for trying though. I appreciate it.
Kiesselbach's area. nm
Subject: Kiesselbach's area. nm

nm
If you are in the shoulder area then
Subject: If you are in the shoulder area then

SLAP would be correct.
canal area
Subject: canal area

I believe he may be saying canal area.
vaginal area....sm
Subject: vaginal area....sm

Pt comp. of pain with intercourse etc. Nothing found on vag. smear. Has already had a hysterectomy few years ago.
s/l werk's area
Subject: s/l werk's area

Preop diagnosis is mass in the inferior aspect of the right parotid gland in s/l Werk's area. Procedure is removal of mass. Thanks.
Wernicke area ?
Subject: Wernicke area ?


could be CVA area tendernss or
Subject: could be CVA area tendernss or

costovertebral angle area tenderness
S/L 'hypothearic' area of
Subject: S/L 'hypothearic' area of


Pt with a wart. The area was SM
Subject: Pt with a wart. The area was SM

cleansed with alcohol and then injected with equal parts of "s/l albea can-de-a-sis" and 1% lidocaine.
could it be watershed area?
Subject: could it be watershed area?

I informed the patient that his fracture is in a _____ area, which is previous post and possible nonunion.


 


does watershed area make sense in the blank above?  Tx


The area was BSSed and...
Subject: The area was BSSed and...

What does BSS stand for?  I haven't been able to document it.


Context is after suturing a laceration and applying Steri-Strips - the area was BSSed and the patient was sent home on Gentamycin ophthalmic ointment...


Thanks!


New York area MTs can you help with s/l
Subject: New York area MTs can you help with s/l

Patient status post total knee arthroplasty, was recently released from s/l Berk-hass, home PT and home nursing set up.

Don't know if this is a nursing home facility, but patient is 51 years old.

Thanks for any help you can offer.

pannus area
Subject: pannus area

Doctor is saying....SKIN:  Positive for rash on back.  Positive for rash in INTERVISIONIST area and groin. 


Previous report states that patient has rash in groin area and under the pannus. What could he be saying?