My rule of thumb is if it is in a diagnosis,
Posted By: sm on 2009-05-19
In Reply to: APR abbreviation in OR - Horski
Subject: My rule of thumb is if it is in a diagnosis,
assessment, impression, procedure performed, it is spelled out.
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RULE OF THUMB
Subject: RULE OF THUMB
basic guideline is:
if you have a credible reference, spell it whichever way the reference spells it.
you should never be counted off for it, as long as the reference is credible. if you are, it is a valid challenge to assert.
Rule of thumb. When I was in school for
Subject: Rule of thumb. When I was in school for
my Associate Degree in MRT and BA in HCA, in transcription we were taught that any combining medical form can be combined with any other combining form for things associated in the same part of the body.
Rule of thumb for followup/follow up
A good rule of thumb I was taught in training for followup/follow up is if you can put "a" or "the" in front of followup, it is the noun form; otherwise it is the verb form. Ex.
...a/the followup appointment.
...a/the followup x-ray.
...will follow up. (You can't put "a" or "the" in front of follow up, it won't work.)
Anyway, just thought I would share something that has helped me tremendously as a newbie. 
Standard rule of thumb, (no pun intended)
Subject: Standard rule of thumb, (no pun intended)
if it sticks out in the report like a sore thumb and draws undue attendion, then capitalize the first letter not the whole word, i.e. Dermabond.
Rule of thumb--if an allergy is not clear,
Subject: Rule of thumb--if an allergy is not clear,
x
General rule of thumb for hyphenation is - sm
Subject: General rule of thumb for hyphenation is - sm
If you can't find it as one word in the Merriam-Webster dictionary, then you should hyphenate it.
Rule ot thumb: When lab values/drug doses are less than 1, add a zero before the decimal point.
Subject: Rule ot thumb: When lab values/drug doses are less than 1, add a zero before the decimal point.
A thumb MCP fusion and a thumb *IPE* possible capsulodesis
Subject: A thumb MCP fusion and a thumb *IPE* possible capsulodesis
x
That should be thumb.
Subject: That should be thumb.
Thanks.
Splint for the thumb
Subject: Splint for the thumb
s/l orthoply ? splint for the thumb after surgery Thanks for the help. pj
name of thumb tourniquet
Subject: name of thumb tourniquet
Sounds like "tournicot"?
polydactylyzed???? thumb
Subject: polydactylyzed???? thumb
procedure is excision, reconstruction of right polydactylzed??? thumb. Patient has right thumb polydactyly. Is there such a word?
area of the thumb - s/l em-pu-age
Subject: area of the thumb - s/l em-pu-age
On physical examination, she is point tender, has a positive CMC grind in the very base of her thumb and in the empuage of her thumb as well.
Thanks.
X-ray of nail through thumb. SM
Subject: X-ray of nail through thumb. SM
Dictator gives location of nail, saying "apparently s/l SKY-VING just anterior to the tuft of the distal phalanx." Skyving? I can find it only in the urban dictionary. 
"Falen" on right thumb tip
Subject: "Falen" on right thumb tip
The patient has a 2-week history of a "falen" on her right thumb tip. It was decompressed in the ER and she subsequently went on to have an MRI.
I've done ortho for a long time and have only ever heard of Phalen's test/maneuver, but that's exactly what it sounds like.
Anybody hear of this before?
s/l 'tofi' on thumb
Subject: s/l 'tofi' on thumb
The patient has a large 'tofi' on her thumb.
Vapo Thumb?
Subject: Vapo Thumb?
sounds like vapo thumb??
Wrist/base of thumb. nm
Subject: Wrist/base of thumb. nm
nm
pollicis pertains to the thumb - sm
Subject: pollicis pertains to the thumb - sm
hallux pertains to the great toe. Would the word before *pollicis* be flexor or extensor, or maybe adductor or abductor???
I only know boutonniere deformity of thumb
Subject: I only know boutonniere deformity of thumb
swan-neck is just for fingers?
Gamekeeper's thumb or cast
Subject: Gamekeeper's thumb or cast
type of thumb splint?
Subject: type of thumb splint?
s/l comfercle splint
Collapse thumb test?
Subject: Collapse thumb test?
This is a deformity of the joint in osteoporosis patients - just a thought.
Collapse thumb test?
Subject: Collapse thumb test?
This is a deformity of the joint in osteoporosis patients / found this explanation on an earlier post.
s/l "Roleon" thumb splint..nm
Subject: s/l "Roleon" thumb splint..nm
x
right thumb "phalen" infection?
Subject: right thumb "phalen" infection?
Thanks for any clues!
Licking gecko-goo off my thumb...
Subject: Licking gecko-goo off my thumb...
another one related to same thumb injury - says
Subject: another one related to same thumb injury - says
...2 interrupted sutures of 4-0 "P3" - never heard of that - pretty clear.
S/L moon foam splint? for thumb
Subject: S/L moon foam splint? for thumb
I did s/l truf-in-ate the thumb nail with cautery....
Subject: I did s/l truf-in-ate the thumb nail with cautery....
TIA :-)
s/l Walthel or waffle type thumb reconstruction sm
Subject: s/l Walthel or waffle type thumb reconstruction sm
Reconstruction of thumb, s/l walthel or waffle 5 type. Dx is thumb duplication.
thumb spica splint wrapped w/cling?
Subject: thumb spica splint wrapped w/cling?
Cling?
Thanks
hc
I'll keep your 'rule of thumb' in mind next time. nm
Subject: I'll keep your 'rule of thumb' in mind next time. nm
short arm cast with a small thumb component.... sm
Subject: short arm cast with a small thumb component.... sm
put this patient back into a short-arm cast with a small thumb component with a tension to be able to allow the patient to get some flexion at the MP joint.
Is this right or would it be "attention"?
s/l osteo tourniquet - used for trigger thumb release (thanks)
Subject: s/l osteo tourniquet - used for trigger thumb release (thanks)
x
A s/l clasped thumb test is more sore than a Finkelstein's.
Subject: A s/l clasped thumb test is more sore than a Finkelstein's.
:-)
injury was s/l *lass-a-tive" and penetrating to the right thumb.
Subject: injury was s/l *lass-a-tive" and penetrating to the right thumb.
Bilateral thumb CMC arthritis with s/l shelf deformities.
Subject: Bilateral thumb CMC arthritis with s/l shelf deformities.
TIA :-)
basic human anatomy (thumb has "opponens" musculature) sm
Subject: basic human anatomy (thumb has "opponens" musculature) sm
Opposition is the movement whereby the palmar aspect of the thumb touches the palmar aspect of another finger of the same hand. (When the contact is not by their palmar aspects, the movement is merely apposition.) The converse of opposition is reposition. These movements occur at all the joints of the thumb, although opposition takes place mainly at the carpometacarpal joint.(source--Dartmouth.edu)
http://www.dartmouth.edu/~humananatomy/part_2/chapter_11.html
Patient with heterotopic bone formation of the IP joint right thumb. please sm
Subject: Patient with heterotopic bone formation of the IP joint right thumb. please sm
Given the patient’s subjective complaints, findings on physical exam and failure with conservative treatment, surgical intervention was recommended. This comes in the form of excision of the bony fragment with 1) s/l capsular release and possible 2) s/l anchor repair versus pinning of the right thumb.
the rule is ....
Subject: the rule is ....
... x2 ....2 times
If the "times" comes before the number use the x (no space). If the "times" comes after use the word.
don't know if there is a rule but....
Subject: don't know if there is a rule but....
I think if you would substitute "bilateral" (mentally) and say "both" you might have a better idea how to say it. Like would it sound better iff you said "both hand" or "both hands." To me bilateral hands sounds better. But again, I don't know if there is actually a rule. I looked for an answer in "style Guide for Medical Transcription" (Tessier and Pitman) and couldn't find an answer.
I think if you wrote what the doctor said ....you can't go wrong there either. Good luck!.
What is the rule now for cc?
Subject: What is the rule now for cc?
should we put mL or what the doc says as cc? I got so beat up over this one time with a different company I worked for; however, I am with a wonderful new company and want to make sure I am typing it correctly.
Thank you
Does anybody know a rule regarding
Subject: Does anybody know a rule regarding
to para or not to para, that is the question..... okay, so that was dumb, but so many words are not actually in the dictionary.... is there a rule regarding when to use peri as opposed to para ??? sometimes I'm confused.
As a rule yes, but not always
Subject: As a rule yes, but not always
I find way too many exceptions to that rule so I always look them all up the first time and add them to my ever-growing list. I wish there was a list out there somewhere with most of them already catagorized for us.
cannot rule out?
Subject: cannot rule out?
Is this a new rule????
Subject: Is this a new rule????
x
maybe saying rule out again? nm
Subject: maybe saying rule out again? nm
x
I'm all yours - you rule! :) :) :) :) - nm
Subject: I'm all yours - you rule! :) :) :) :) - nm
x
I'm all yours - you rule! :) :) :) :) - nm
Subject: I'm all yours - you rule! :) :) :) :) - nm
x
patient has a s/l *felon* on the side of his left thumb with surrounding erythema.
Subject: patient has a s/l *felon* on the side of his left thumb with surrounding erythema.
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