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Maybe sibilant -- Somnolent refers to awareness/

Posted By: sm on 2008-11-19
In Reply to: Anyone ever heard of this? - Dana

Subject: Maybe sibilant -- Somnolent refers to awareness/

neurologic state of a patient.


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Yes, sibilant!
Subject: Yes, sibilant!

Yes, I believe the two of your are correct. Sibilint. It sounded so wierd, I couldn't even come up with any spelling that would give me a definition anywhere. Thanks again guys!
somnolent? NM
Subject: somnolent? NM

.
Maybe you were somnolent at the time. :-) nm
Subject: Maybe you were somnolent at the time. :-) nm

x
maybe somnolent or combatant? Can go either way, but usually sleepiness prevails. nm
Subject: maybe somnolent or combatant? Can go either way, but usually sleepiness prevails. nm

s
Sibilant can describe breath sounds, kind of rhonchi or "sh" sound on expiration,,,,,nm
Subject: Sibilant can describe breath sounds, kind of rhonchi or "sh" sound on expiration,,,,,nm

nm
somnolent means patient is not totally awake. Has
Subject: somnolent means patient is not totally awake. Has

x
QE&A - anyone know what this refers to?
Subject: QE&A - anyone know what this refers to?

I know the phrase is what is dictated because I sent to QA the first time I heard it.  I have a doc who says it infrequently.  I can't document it and am just curious. 


THANKS!


0.2 to 0.22 (think it refers to seconds)
Subject: 0.2 to 0.22 (think it refers to seconds)


Dr. doing laminectomy and refers to
Subject: Dr. doing laminectomy and refers to

xxxx
nephritis refers to the kidneys
Subject: nephritis refers to the kidneys

so not sure.
Dr. doing cervical laminectomy and refers to SM
Subject: Dr. doing cervical laminectomy and refers to SM

s/l Kafnicks tubercle.  I cannot find this and I have looked under several spellings. 



Thank you.


Could be, heme just refers to blood. NM
Subject: Could be, heme just refers to blood. NM

x
Maybe just refers to putting mesh
Subject: Maybe just refers to putting mesh

at the 12 o'clock, 3 o'clock, etc. positions? Weird. Never heard that one before.
Believe it would be tenting. Tinting refers
Subject: Believe it would be tenting. Tinting refers

to color changes, tenting is referring to "poking up or out" of the skin.
but encephalopathic refers to the brain, not knee???? nm
Subject: but encephalopathic refers to the brain, not knee???? nm


Probably refers to staples--white load, maybe? nm
Subject: Probably refers to staples--white load, maybe? nm

x
When transcribing "Sister so-and-so, when dictator refers
Subject: When transcribing "Sister so-and-so, when dictator refers

to patient as "sister" throughout report, is "sister" capitalized or not?  Neither way looks correct to me. 
it is adverse lie. refers to how the testicles lay in the scrotum.
Subject: it is adverse lie. refers to how the testicles lay in the scrotum.

nm
pepto refers to stomach so peptoesophageal
Subject: pepto refers to stomach so peptoesophageal

is same as gastroesophageal. There is cecectomy for exicision of cecum.
Break the word down - osteo refers to
Subject: Break the word down - osteo refers to

bone and condyle is a part of the bone as per femoral condyle, lateral condyle etc. so yes it is a word.
ray refers to the digits...toes, fingers, etc..not patellae..sm
Subject: ray refers to the digits...toes, fingers, etc..not patellae..sm

does not make any sense.
a or an refers to the SOUND of the word, not necessarily a vowel
Subject: a or an refers to the SOUND of the word, not necessarily a vowel

therefore YURanalysis sounds like it has a consonant and so A is used. With MI and MRI, it sounds like EM-I or EM-R-I. It sounds like a vowel and so AN is used.
on a quick search, it seems Atar refers to a drug RX
Subject: on a quick search, it seems Atar refers to a drug RX

can't be certain, but that does fit the context of the sentence. "if the patient doesn't have *a prescription drug supplement coverage plan*"
capitalization question - if refers to a heading in the note, do I cap
Subject: capitalization question - if refers to a heading in the note, do I cap

In the dictation, MD says (in ROS)  "...please see history of present illness."  Do I type  "...please see History of Present Ilness" or no caps?


 


 


Third-spacing is correct. Refers to fluid shift
Subject: Third-spacing is correct. Refers to fluid shift

to interstitial space.
Dont know, but "sharp" usually refers to optic disc
Subject: Dont know, but "sharp" usually refers to optic disc

nm
apoptotic ? refers to cellular changes which may result in a gait disturbance. nm
Subject: apoptotic ? refers to cellular changes which may result in a gait disturbance. nm

nm
And by the way, PLEURAL refers to thelining of the lungs, PLURAL means ore than one. have not heard
Subject: And by the way, PLEURAL refers to thelining of the lungs, PLURAL means ore than one. have not heard of pleural effusion, etc????

nm