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--:)
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  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? 
  
	 
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