| OBJECTIVE: Left s/l "EEC" is occluded with soft cerumen.Posted By: jckerygma on 2007-11-20In Reply to:
 
 Subject: OBJECTIVE: Left s/l "EEC" is occluded with soft cerumen.
 
 diagnosis:  Cerumen impaction.
 
 
 Complete Discussion Below:
  marks the location of current message within thread 
 
 The messages you are viewing 
are archived/old. To view latest messages and participate in discussions, select 
the boards given in left menu
 Other related messages found in our database
 
 S/L Hul-o-ma-maly or soft corn left foot
 Subject: S/L Hul-o-ma-maly or soft corn left foot
 
 Not good with podiatry
   Please help with objective . . .
 Subject: Please help with objective . . .
 
 
 The wound has been cleaned by the nurse, and it looks very good.  s/l Pride flesh is starting to form.  
 TIA for any suggestions! partially occluded s/l eep duct
 Subject: partially occluded s/l eep duct
 
 
 I need help with this part on a not so great recording.  The doctor says "At the bronchus intermedius is a partially occluded [s/l eep] duct and [s/l polyp or polished] white pale tissue which [bled (I think)] easily."  Can anyone shed any light?  Thanks. but I believe occluded is incorrect, should that be excluded??
 Subject: but I believe occluded is incorrect, should that be excluded??
 
 I think so.
 s/l:  Associated mucocellular papillae are occluded ...(sm)
 Subject: s/l:  Associated mucocellular papillae are occluded ...(sm)
 
 
 as well as the right frontal recess with moderate polypoid soft tissue within... 
 mucocellar papillae 
 or mucocele papillae?  Not finding either one in my search. 
   
 Thank you kindly :) Objective portion
 Subject: Objective portion
 
 
 does this make sense to anyone 
 GU and rectum s/l farum are rectal sphincter muscle tone a few hints for you - when doing the objective
 Subject: a few hints for you - when doing the objective
 
 
 findings, when doc says, for instance, "In general, the patient is..." you are putting that under the "general" subheading, so you don't need to repeat the "in general" part - meaning it would just be GENERAL:  The patient is.... 
 same with the skin exam that you have there - if doc is saying "skin is warm and dry," and you are putting it under the "skin" subheading, it should just be "SKIN:  Warm and dry" ...and so on. 
 also, in the HEENT section, it should be "sclerae" and "conjunctivae" - doc is referring to the plural form here. 
 Does that make sense?  This is the way it's usually done, but you'll need to follow the instructions you've been given, of course. It's just under and Objective/General section
 Subject: It's just under and Objective/General section
 
 
 The LAD actually **supplied clavis**S/L  to the totally-occluded right coronary artery
 Subject: The LAD actually **supplied clavis**S/L  to the totally-occluded right coronary artery
 
 
 Cardio surg: The LAD gave off a large s/l septa, which was occluded.
 Subject: Cardio surg: The LAD gave off a large s/l septa, which was occluded.
 
 
 Subjective, Objective, Assessment, Plan=SOAP..
 Subject: Subjective, Objective, Assessment, Plan=SOAP..
 
 Twenty-five years ago, SOAP format was still the in-thing, but doctors slowly trended away from it, probably due to medical transcription and formats changing over time.  They are easy to do though.
   Objective: Head is held straight with no s/l "lift or lisp"
 Subject: Objective: Head is held straight with no s/l "lift or lisp"
 
 
 cerumen
 Subject: cerumen
 
 The cerumen was removed from his ear s/l aboriously with great difficulty.
 cerumen (ear wax) nm.
 Subject: cerumen (ear wax) nm.
 
 xxxx
 Cerumen (ear wax) nm
 Subject: Cerumen (ear wax) nm
 
 
 cerumen ??
 Subject: cerumen ??
 
 
 cerumen curette?
 Subject: cerumen curette?
 
 
 cerumen in sinuses
 Subject: cerumen in sinuses
 
 think something is wrong - if you are talking cerumen impaction, the doc is not looking in his nose; could be "gross cerumen impaction" if looking in ears, but not sinuses -
 Impacted with cerumen
 Subject: Impacted with cerumen
 
 S/L accreditus with cerumen.
 earwax is cerumen
 Subject: earwax is cerumen
 
 nm
 cerumen, eosinophils, eosinophilia- have to look again
 Subject: cerumen, eosinophils, eosinophilia- have to look again
 
 x
 cerumen in his NOSE?  don't think so.  Try again chickie. nm
 Subject: cerumen in his NOSE?  don't think so.  Try again chickie. nm
 
 .
 how about "partial" cerumen, again just guessing
 Subject: how about "partial" cerumen, again just guessing
 
 
 true they can but not cerumen IN the nose.
 Subject: true they can but not cerumen IN the nose.
 
 ,
 thinking it over - can you hear cerumen in your s/l?
 Subject: thinking it over - can you hear cerumen in your s/l?
 
 
 "absence" to remove cerumen
 Subject: "absence" to remove cerumen
 
 Sounds like...I used cerumen with both a curette and "absence"
 Funny thing, I had this yesterday and left 3 blanks that QA also left blank.
 Subject: Funny thing, I had this yesterday and left 3 blanks that QA also left blank.
 
 x
 pain over the left hip and a biopsy of the left s/l SA pablum showed adenocarcinom
 Subject: pain over the left hip and a biopsy of the left s/l SA pablum showed adenocarcinom
 
 n
 Speaking of ears clogged with cerumen, are there
 Subject: Speaking of ears clogged with cerumen, are there
 
 
 any ENT MTs who know if there is another product, other than Debrox, or Cerumenix (which was by RX only, but discontinued) to remove chronic earwax, other than going to the ENT to have them irrigated and removed with a curette? 
 I can't seem to find any drug on the market; prescription or otherwise, other than those mentioned above, which were of no benefit. 
 Your help is greatly appreciated.  Thanks. wild guess - "fresh cerumen" impaction?
 Subject: wild guess - "fresh cerumen" impaction?
 
 
 cerumen impaction is it! But can there be any other word in front of it instead of fresh?
 Subject: cerumen impaction is it! But can there be any other word in front of it instead of fresh?
 
 
 probably means left anterior descending.  Instead of saying LAD, just saying left AD.
 Subject: probably means left anterior descending.  Instead of saying LAD, just saying left AD.
 
 x
 S/P left total knee reconstruction.  On exam, has a palpable s/l clod defect on the left knee.
 Subject: S/P left total knee reconstruction.  On exam, has a palpable s/l clod defect on the left knee.
 
 :-)
 It is Coe-Soft!
 Subject: It is Coe-Soft!
 
 nm
 Soft dog / jaw
 Subject: Soft dog / jaw
 
 a "bull dog"-type clamp 230 commonly used to occlude vessels in cardiac surgery. The clamp 230 has a pair of adjustably positionable soft jaws 232 which clamp gently across a vessel as desired.
 s/l kom-soft eyedrops.
 Subject: s/l kom-soft eyedrops.
 
 
   s/l kom-soft eyedrops
 Subject: s/l kom-soft eyedrops
 
 It is Cosopt eye drops.  Happy typing for the rest of your night!
 soft tissue
 Subject: soft tissue
 
 It is "soft tissue signal"
 reL s/l culture soft
 Subject: reL s/l culture soft
 
 "culture and sensitivity was Staphylococcus, coag. negative" maybe? or staph/coag?
 mechanical soft
 Subject: mechanical soft
 
 
 could it be soft cuff?
 Subject: could it be soft cuff?
 
 
 SOFT trial?
 Subject: SOFT trial?
 
 ...hormonal therapy on the SOFT trial?  I cannot tell if she is saying FOFT or SOFT.
 s/l soft neuro PND
 Subject: s/l soft neuro PND
 
 Denies chest pain, shortness of breath or "soft neuro PND."
 
 Any thoughts?!
 s/l soft call?  sm
 Subject: s/l soft call?  sm
 
 We are going to have this patient go into a thumb spica cast.  At this time, this patient does have the 1st metacarpal fracture s/l soft call  so we will see him back again in two weeks.
 
 
 soft call?
 Subject: soft call?
 
 This patient presents to us with a left distal radius fracture.  This was a "soft call" as he had no changes on the x-ray however did have some soreness right over the growth plate so he was treated with a splint.
 It was soft-tissue (she sneezed)
 Subject: It was soft-tissue (she sneezed)
 
 thats what threw me, haha!
 Zo-Med soft tissue shaver (sp Zo-Med?) nm
 Subject: Zo-Med soft tissue shaver (sp Zo-Med?) nm
 
 
 soft blood pressure??
 Subject: soft blood pressure??
 
 
 We did not start the patient on ACE inhibitor in view of -----soft------ blood pressure, normal systolic LV function and --------lack------- of diabetes mellitus. 
   
 Thanks in advance. It's been a rough day!!! Soft cast question
 Subject: Soft cast question
 
 Doctor says the patient was seen in the emergency room and given "a soft cast OR appliance." I THINK he says "or" but the word is muffled. would that fit?
 soft tissue s/l signal
 Subject: soft tissue s/l signal
 
 Pain clinic doc discussing post laminectomy says,
 There is a soft tissue **signal** surrounding the S1 nerve root.
 
 The word is clear as a bell, but this term does not show up in any of my references or online.  Anyone have an idea??
 javascript:editor_insertHTML('text','
  '); javascript:editor_insertHTML('text','
  '); s/l soft tissue signal
 Subject: s/l soft tissue signal
 
 thanks! Now if I just knew what it meant......
 
 |