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Okay - he wants MRI to rule out internal derangement, so I'm thinking he means- nm

Posted By: Apley grind. :} on 2008-01-09
In Reply to: Rheumatology s/l sm.... - Thanks--:)

Subject: Okay - he wants MRI to rule out internal derangement, so I'm thinking he means- nm

nm


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  • Rheumatology s/l sm.... - Thanks--:)
    • Okay - he wants MRI to rule out internal derangement, so I'm thinking he means- nm - Apley grind. :}

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That's what I'm thinking he means...sm
Subject: That's what I'm thinking he means...sm

But he just says pc. The patient is on a lot of narcotics already for his pain, and with the surgery, it makes sense that this is what he means.

I just wondered if anyone had ever heard it said this way. My only other thought was he meant IV penicillin.

Thanks.
That's what I'm thinking she means. Thanks! nm
Subject: That's what I'm thinking she means. Thanks! nm

x
I'm thinking he means onlay also NM
Subject: I'm thinking he means onlay also NM

x
I'm thinking that's what he means, but he mispronounces it big time.
Subject: I'm thinking that's what he means, but he mispronounces it big time.


derangement ?
Subject: derangement ?


derangement.
Subject: derangement.

x
could it be derangement, sm
Subject: could it be derangement, sm

  I also think it is posterior horn "of" medial meniscus
Better ask your QA. Some "verbatim" means "not really verbatim," some means "strictl
Subject: Better ask your QA. Some "verbatim" means "not really verbatim," some means "strictly verbatim." nm

x
Para means near. Parathoracic means near the thoracic muscles. nm
Subject: Para means near. Parathoracic means near the thoracic muscles. nm

x
internal or external
Subject: internal or external

x
s/l block internal
Subject: s/l block internal

significant bradycardia although there was some mild blockternal formula rate
internal rotation
Subject: internal rotation


s/l internal arrangement...
Subject: s/l internal arrangement...

Diagnosis: Mild Knee sprain.

Dr says significant internal arrangement. I have only heard of derangement. Could it be arrangement as he says it clearly starting with an A.
with 10 of internal rotation.
Subject: with 10 of internal rotation.

nm
internal rotation to her arm across her belly
Subject: internal rotation to her arm across her belly

It has been a long day and I need an opinion.  Thanks!!
four levels of internal rotation?
Subject: four levels of internal rotation?

That's probably correct if it's a shoulder exam. Internal rotation is measured by vertebral levels.


right internal mammary vein
Subject: right internal mammary vein

right iternal mammary vein?

internal ureteral fistula?
Subject: internal ureteral fistula?


Internal fixation ZHS system?
Subject: Internal fixation ZHS system?

PREOPERATIVE DIAGNOSIS


Comminuted intertrochanteric fracture, left hip.


 


OPERATION PERFORMED


Open reduction and internal fixation with _______0m:15s_______ system, left hip fracture using 135 degree 4-hole side plate, 80 mm hip screw.


 


blank s/l ZHS


 


internal fetal electrode ?
Subject: internal fetal electrode ?


maybe internal rotation is normal?
Subject: maybe internal rotation is normal?

depending on what part of the body you are at.
External or internal carotid artery? nm
Subject: External or internal carotid artery? nm

s
lacks four levels of internal rotation??
Subject: lacks four levels of internal rotation??

nm
history of internal s/l vortiolum conjunctavitis
Subject: history of internal s/l vortiolum conjunctavitis

h
open reduction and internal fixation
Subject: open reduction and internal fixation


Y. left internal mammary artery
Subject: Y. left internal mammary artery


right internal s/l marinoy or marinoid vein?
Subject: right internal s/l marinoy or marinoid vein?

The doctor is doing a MediPort repositioning and the tip is currently in this vein. 
Doc says patient is a s/l Peduli-3 in internal medicine
Subject: Doc says patient is a s/l Peduli-3 in internal medicine

Thank you for any help!
Internal iliac artery aneurysm.
Subject: Internal iliac artery aneurysm.

I usually don't do operation notes so i'm stuck on something that could possibly be so simple =)


An Omni-tract was used for exposure.  The peritoneum overlying the previous aortic graft was incised to expose the s/l vosicated lins of the graft.


Thanks for any help!


ok, so they might use bandage scissors on the internal organs? thanks
Subject: ok, so they might use bandage scissors on the internal organs? thanks


spinal, external or internal, etc.? Just guesses.
Subject: spinal, external or internal, etc.? Just guesses.


Can you hear "Bralon," used for internal fixation?.....nm
Subject: Can you hear "Bralon," used for internal fixation?.....nm

nm
word help internal medicine account please...
Subject: word help internal medicine account please...

urinary s/l "dysenergy" symptoms. TIA!! 
How about LIMA (left internal mammary artery)? nm
Subject: How about LIMA (left internal mammary artery)? nm

x
A Zickel sliding nail internal fixation?
Subject: A Zickel sliding nail internal fixation?


just a guess - ? IJ (internal jugular) temporary catheter
Subject: just a guess - ? IJ (internal jugular) temporary catheter


I can find DVIU as direct vision internal urethrotomy. nm
Subject: I can find DVIU as direct vision internal urethrotomy. nm

s
Ortho help please - shoulder internal rotation to s/l alice junction Thanks for the help! nm
Subject: Ortho help please - shoulder internal rotation to s/l alice junction Thanks for the help! nm

x


Sounds like "orraphy" - internal hemorrhoids with occasional red blood dripping
Subject: Sounds like "orraphy" - internal hemorrhoids with occasional red blood dripping


Multiple internal s/l syneckyi are present within this popliteal cyst. I know this word....grr!
Subject: Multiple internal s/l syneckyi are present within this popliteal cyst. I know this word....grr!


IJ (internal jugular) sometimes IJV catheter into (PA) pulmonary artery... hope this helps...
Subject: IJ (internal jugular) sometimes IJV catheter into (PA) pulmonary artery... hope this helps...


DVIOU. I did find DVIU, Direct Vision Internal Urethrotomy
Subject: DVIOU. I did find DVIU, Direct Vision Internal Urethrotomy

but he is putting an O in there.  Does anyone know what the O would stand for?  Clear as a bell DVIOU.
Previously *surgerized* left internal carotid remains patent. (nm)
Subject: Previously *surgerized* left internal carotid remains patent. (nm)

Thanks.
It seems some rodent poisons kill the rats through internal bleeding. Sounds like they're
Subject: It seems some rodent poisons kill the rats through internal bleeding. Sounds like they're


External/internal range of motion with tibiotarsal pain (TTP?) docs can make up abbreviations, ???n
Subject: External/internal range of motion with tibiotarsal pain (TTP?) docs can make up abbreviations, ???nm

nm
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?